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Biomedical subjects

A G Parelman

Publications and source records attributed to A G Parelman.

3 recordsLinked to original sources

Sterile uveitis and intraocular lens implantation.

Cases of sterile hypopyon following intraocular lens implantation, accumulated over a 4 1/2-year period, were subjected to critical clinical review and analysis. In approximately two-thirds of the cases, the anterior chamber cleared within three to four weeks without significant sequelae. The remaining cases followed a chronic or recurrent course. Recurrent anterior segment reaction appears to be a definite indication for early implant removal. The final visual results in this group of cases were less than satisfactory, suggesting that the appearance of sterile hypopyon after implant surgery is an ominous clinical sign which may prelude secondary membrane formation, chronic cystoid maculopathy, or even phthisis. The etiology of sterile hypopyon remains vague.

Aged

The circular loop intraocular lens.

A large series of cases of intracapsular cataract extractions with implantation of the recently introduced Medallion circular loop lens is reviewed. Case selection surgical technique, postoperative management, complications and results are presented in detail. Surgical and visual results have been excellent ahd compare favorably with intracapsular cataract surgery performed without artificial lens implantation. The transiridectomy clip of the posterior supporting circular loop provides an excellent system of lens fixation and eliminates the need for an iris suture with the potential long-term complications of possible iris suture absorption. The lens is essentially unluxatable. A particularly low incidence of cystoid macular edema, as well as other long-term postoperative complications, has been encouraging. The surgical technical requirements for implantation of this particular implant are very exacting. Further refinements in design and construction of this artificial lens based on the experiences developed in this series of cases are proposed.

Adult

Monocular aphakia and contralateral pseudophakia.

The implanatation of an intraocular lens into the contralateral eye of non-implanted monocular aphakic patients is reviewed. The specific indications, contraindications, and advantages are discussed. The results of a series of 31 cases are presented and analyzed. The generally good results and specific advantages of this technique, when utilized under proper conditions, indicate that it merits inclusion in the ever expanding spectrum of options available to the modern cataract surgeon.

Adult