Annals of ophthalmology (Skokie, Ill.)
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Clinicians are confronted with a plethora of new machines, new software, and new applications of technology, all intended to help with glaucoma management. It is helpful to return to basic principles, to see how these advances fit into our assessment of the intraocular pressure, optic nerve, and visual fields.
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Ann Ophthalmol (Skokie) · Jan 2007
Case ReportsBilateral complete optic atrophy and hemorrhagic infarction of the putamen caused by methanol intoxication.
Methanol is a potent toxic substance for the optic nerves. Even small amounts of ingested methanol can acute permanent neurological dysfunction and irreversible blindness. Methanol intoxication can cause severe visual dysfunction and death. We present a case of a 25 years old admitted to our clinic with bilateral optical atrophy after drinking eau de cologne.
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Ann Ophthalmol (Skokie) · Jan 2007
Randomized Controlled TrialThe effects of different doses of remifentanil on intraocular pressure after tracheal intubation: a randomized, double-blind and prospective study.
We investigated the effects of alfentanil and different doses of remifentanil on intraocular pressure (IOP) and hemodynamic responses during laryngoscopy and endotracheal intubation in 60 patients. IOP values decreased significantly from 30 seconds before the intubation to 5 minutes after intubation measurements compared to baseline values in all the groups. However, a significant increase in IOP was recorded in the 0.5-microg remifentanil group after tracheal intubation.
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Anomalous adaptive conditions (AAC) associated with strabismus include: suppression, amblyopia, abnormal retinal correspondence, eccentric fixation, retinal rivalry, horror fusionis, and suspension. This article poses the hypothesis that AAC, in certain cases, may be the cause of strabismus rather than the result of strabismus.
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Ann Ophthalmol (Skokie) · Jan 2006
Randomized Controlled TrialSubtenon lidocaine vs topical proparacaine in adult strabismus surgery.
Intraoperative subtenon 2% lidocaine and topical 0.5% proparacaine in patients undergoing strabismus surgery were compared. No additional systemic analgesics and sedatives were used. ⋯ Each anesthetic agent provides good intraoperative anesthesia and postoperative analgesia. Topical 0.5% proparacaine may be preferred because of its easy administration and fewer side effects, lack of hospital admission, and immediate and predictable alignment of the eyes.