PubMed Health⌕ Search

Biomedical subjects

A Lechner

Publications and source records attributed to A Lechner.

24 records · Page 2Linked to original sources

Tapered transition zone and surface smoothing ameliorate the results of excimer-laser photorefractive keratectomy for myopia.

This report compares the results we obtained after photorefractive keratectomy (PRK) for myopia using different treatment modalities. PRK was performed on 35 eyes (group 2; mean refraction, -5.7 +/- 2.3 D) using a tapered transition zone (TTZ), smoothing of the corneal surface, and somewhat more steroids than usual. The results were compared with those obtained in another group of patients (group 1) with equally high myopia in whom these measures were not used. Quicker rehabilitation and stabilization of visual acuity (VA) and less regression were observed. An uncorrected VA of +/- 20/40 after 9 months was found in 94.4% of eyes in group 1 (P = 0.026). A refraction of +/- D after 9 months was found in 89% of eyes in group 2 and in only 58% of eyes in group 1 (P = 0.024). Haze reduction was quicker and stronger in group 2, and fewer patients in this group suffered loss of best corrected VA. The results of PRK of myopia can be ameliorated thanks to improved technique and increased experience.

Adult↗

[Epidemiology of endometrial carcinoma in the tyrol].

The incidence rates of endometrial cancer during 1955-1980 were calculated for Tyrol and its political areas. The tumor registry of the Department of Obstetrics and Gynecology, University of Innsbruck, and the population statistics of the Austrian Central Office of Statistics were the sources of our data. We found a rising incidence although the increase was different in the various areas of Tyrol and during the time of observation. The age specific incidence rates were maximal in the age group 70 years and older in the last decennium of the observation time. The rising incidence of endometrial cancer can be explained partly by the changing age related structure of the population and by the better diagnostic efficiency, partly it is due to a factor which is not known until today.

Adult↗

Postpartal endomyometritis in a case of unknown tertian malaria.

A 28-year-old woman developed puerperal endomyometritis and tertian malaria simultaneously. She delivered her child by vacuum extraction during week 41 of pregnancy in September 1994. The peripartal period was uneventful. Nine days post partum the patient was readmitted to hospital with fever and pain in the area of the episiotomy. On day 13 post partum a hysterectomy was performed because of suspected abscess-forming endomyometritis. Two days after the hysterectomy the patient developed septic temperatures, which persisted for 10 days. Tertian malaria due to Plasmodium vivax was found to be the cause of fever. The patient had been in Indonesia without anti-malarial prophylaxis in 1991. Two years later she travelled to Ghana, having taken mefloquine as prophylaxis. Malaria was obviously caused by reactivated hypnozoites in the liver, although the patient had never had an episode of fever associated with malaria before. This case proves that tertian malaria may "recur" even without previous manifestation, years after a stay in a region endemic for malaria.

Adult↗