Patients undergoing vitreous surgery under local anesthesia.
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Anesthesia, Local↗
Biomedical subjects
A W Willis
Publications and source records attributed to A W Willis.
Macular hole surgery. Comparison of longstanding versus recent macular holes.
PURPOSE: The purpose of the study is to determine the effect that the duration of the macular hole has on the postoperative visual result. METHODS: The authors reviewed 132 consecutive eyes that underwent macular hole surgery. Eyes were separated based on the time interval between the onset of symptoms and the surgical procedure into group 1 (< 2 months), group 2 (2-6 months), and group 3 (> 6 months). RESULTS: In group 1, distance vision improved 3.94 Snellen chart lines on average and near vision 6.03 lines. In group 2, distance vision improved 3.42 lines on average and near vision 5.31 lines. In group 3, distance vision improved 2.96 lines on average and near vision 4.96 lines. The two main factors that influenced visual improvement were anatomic closure and duration of symptoms. CONCLUSION: Visual improvement rates varied with the length of time that a macular hole existed before surgery. Recent holes fared better than did longstanding holes. Even in longstanding holes, useful vision could be obtained. Near vision improved more than did distance vision.
Adult↗
Seeing two doctors at once in general practice.
We report the reactions of 250 patients who saw two doctors together, a general-practitioner trainer and a vocational trainee, when they came to a general practice for consultation.Over 80 per cent were neutral and the remainder were almost equally divided between those who preferred to see two doctors and those who preferred to see their own doctor alone.Selected favourable statements outnumbered adverse comments by about ten to one, although allowance must be made for the desire of patients to please their doctor.
Education, Medical↗
[Surgical treatment of idiopathic macular epiretinal membrane].
Forty consecutive eyes with macular pucker were treated surgically with a vitrectomy and dissection of the epiretinal membrane; 28 eyes (70%) obtained a final visual acuity of 20/40 or better. The most common complication was a cataract which developed in the post-operative period.
Adult↗