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Biomedical subjects

B Becker

Publications and source records attributed to B Becker.

At least 217 records · Page 12Linked to original sources

Cyclocryotherapy in neovascular glaucoma.

To determine the long-term effects of cyclocryotherapy, we conducted a follow-up with a mean of 24.9 +/- 13.9 months in 50 eyes of 46 patients with neovascular glaucoma. On final examination, intraocular pressure in 16 (32%) of the eyes was greater than 26 mm Hg and in 17 (34%), less than or equal to 25 mm Hg; 17 (34%) developed phthisis bulbi. Enucleation was performed in three of the eyes. Anterior segment necrosis occurred immediately postoperatively in four eyes. Twenty-four of 41 eyes (58.5%) with vision lost light perception during our study. All patients were comfortable except the three who required enucleation.

Aged↗

The long-term effects of iridectomy for primary acute angle-closure glaucoma.

Forty-nine eyes were treated with iridectomy for primary acute angle-closure glaucoma. Forty asymptomatic, normotensive fellow eyes were similarly treated. The duration of follow-up after surgery was 52.3 +/- 3.6 months. Thirty-seven (76%) of the eyes with acute attacks were cured by iridectomy alone and required no medical therapy. Twelve eyes (24%) developed increased intraocular pressure following iridectomy, but only one eye (2%) required filtering surgery. Eighty-eight percent of the asymptomatic, normotensive fellow eyes required no subsequent therapy, and none developed visual field defects. Visual acuity was unchanged in 22 of 49 (45%) of the acutely involved eyes and decreased more than six lines in 11 (22%) eyes. In the 40 fellow eyes, visual acuity was unchanged in 63% and decreased more than six lines in only one (2%) eye.

Aged↗

Plasma cortisol and elective cataract surgery.

Plasma cortisol was measured before and after elective cataract surgery in 19 patients given local anesthesia and in 11 patients given general anesthesia. In eight patients control plasma cortisols were measured at times corresponding to the surgical determinations. These eight patients demonstrated the circadian pattern of a fall in plasma cortisol. Only seven (37%) of 19 patients given local anesthesia failed to demonstrate the four-hour decrease in plasma cortisol (4-hr. p.o./8 A.M.0 greater than or equal to 0.80) following surgery, but this occurred in ten (91%) of 11 patients under general anesthesia (P less than .005). The 8:00 A.M. value was increased on the first postoperative day (8 A.M.1/8 A.M.0 greater than or equal to 1.37) in five (26%) of 19 patients given local anesthesia, but this occurred in 8 (73%) of 11 patients undergoing general anesthesia (P less than .025). The cortisol response to cataract surgery was significantly both more frequent and of greater magnitude in those patients undergoing general anesthesia.

Anesthesia, General↗

The effect of calcium dobesilate on nonproliferative diabetic retinopathy: a controlled study.

Two independent, double-masked, controlled studies were made to evaluate the efficacy of calcium dobesilate for the treatment of nonproliferative diabetic retinopathy. Forty-two patients underwent a six-month crossover evaluation while receiving calcium dobesilate (750 mg per day) and placebo in random order. Thirty-six patients received calcium dobesilate (1,000 mg per day) or placebo for one year. Evaluation by clinical examination, fluorescein angiography, angiography, and fundus photography failed to demonstrate any beneficial effect of calcium dobesilate.

Adult↗

Comparative intraocular pressure effects of adsorbocarpine and isoptocarpine.

Nine symmetrical ocular hypertensives used Adsorbocarpine in one eye and Isoptocarpine in the other. Each medication was given twice daily for one week, then Isoptocarpine was used 4 time daily. The 2 drugs were equally effective as twice daily medications while Isoptocarpine 4 times daily was significantly more effective than either given twice daily. The pH of the Adsorbocarpine may not have been optimal although commercially available solutions were used. The results indicated that pilocarpine in either vehicle can lower intraocular pressure when given less than 4 times daily; however, conclusive studies are needed before this can be recommended as a widespread clinical practice.

Clinical Trials as Topic↗

Decreased basal tear production associated with general anesthesia.

Basal tear production was measured by means of standardized Schirmer strips and 0.5% proparacaine hydrochloride topical anesthesia in 20 patients. Premedication with systemic diazepam (Valium) and atropine sulfate had no effect on basal tear production. General surgical anesthesia resulted in a noticeable depression of basal tear production at 10, 30, and 60 minutes following induction of the anesthesia. It is suggested that prophylactic eye care include both replacement of tears and prevention of mechanical exposure of the cornea during general anesthesia.

Adolescent↗

The prevalence of HLA-B12 and HLA-B7 antigens in primary open-angle glaucoma.

HLA-B12 antigen was found in 50% and HLA-B7 was present in 49% of patients with primary open-angle glaucoma. Either one of the antigens B12 or B7 was noted in 88% of such glaucoma patients. The prevalences of B12, B7, or of either antigen were much greater in patients with primary open-angle glaucoma than in the general population or in patients with normal intraocular pressure. The prevalences in patients with ocular hypertension (IOP greater than 20 mm Hg) were intermediate between the ocular normotensives and the patients with primary open-angle glaucoma. The close association between HLA-B12 and HLA-B7 and primary open-angle glaucoma suggested immunologic components of the disease and possible convenient genetic markers.

Glaucoma↗

Family history in primary open-angle glaucoma.

A family history of glaucoma was found in 50% of patients with primary open-angle glaucoma (POAG) and 43% of patients with ocular hypertension (OH). Positive family history was twice as prevalent in those with OH and either HLA-B7 or B12 antigens than in OH with neither antigen (P less than .01). Although POAG occurred equally in men and women, the prevalence of a positive family history of glaucoma on the maternal side of the family in POAG patients was six to seven times greater than on the paternal side (P less than .0005). However, in patients with OH, but no glaucomatous field loss, there was no difference in prevalence of maternal and paternal family history. Even in OH with HLA-B7 or B12 antigens, there was no predominance of maternal family history. The implication that offspring were more likely to develop POAG when their mother's side of the family rather than their father's side had the disease has provided an additional potentially useful risk factor in patients with OH. In addition, it has raised interesting questions as to possible maternal cytoplasmic factors in the transmission and pathogenesis of POAG.

Black or African American↗