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Biomedical subjects

B Davidson

Publications and source records attributed to B Davidson.

At least 55 records · Page 3Linked to original sources

Leiomyomas of the duodenum.

Leiomyoma is a neoplasm of smooth muscle relatively common in the stomach, but very rare in the duodenal location. Symptoms are gastrointestinal bleeding or abdominal pain resembling peptic disease. Three cases of duodenal leiomyomas are described, and the importance of endoscopy is emphasized as a diagnostic tool. Surgical resection of the tumor is the recommended therapeutic procedure, and the difficulty in deciding at the pathological examination whether the leiomyoma is benign or malignant demands prompt follow-up of patients after surgery.

Aged

Comparison of complications following frontal sinus fractures managed with exploration with or without obliteration over 10 years.

Two hundred twelve patients were treated for facial or skull trauma at the West Virginia University Hospital between the years 1977 and 1987. Sixty-six of these patients had frontal sinus or nasofrontal duct trauma. Follow-up information was obtained on 64 of these patients through clinic visits, chart review, questionnaires to patients and physicians, and telephone calls to the patients. Follow-up greater than 1 year was obtained on 52 patients. Sixty-four patients were managed either with a frontal sinus obliteration or with an open exploratory procedure. The incidence of complications occurring in the past 10 years after each of these procedures is compared. Because the indications for each procedure vary somewhat, data is presented on fracture etiology, associated injuries, specific fracture location, fracture displacement, severity of injury, and associated cerebrospinal fluid leaks.

Adolescent

Porphyria--the UCT experience.

Several forms of porphyria are commonly seen in South Africa. Much of the knowledge accumulated in this field has been due to the meticulous research of Professor Lennox Eales and his colleagues at the University of Cape Town. Professor Eales headed the Porphyria Research Group, founded by the CSIR in 1957 and upgraded to a Unit by the MRC in 1979, until he retired in 1983. Since then porphyria research at UCT has continued within the MRC Liver Research Centre. We present here a description of those forms of porphyria commonly seen in South Africa, based in part on recent work carried out at UCT and in part on the work of Lennox Eales, to whom we dedicate this article.

Acute Disease

Endothelial cell loss following phacoemulsification in the pupillary plane.

Endothelial cell loss following posterior chamber phacoemulsification with and without posterior chamber lens implantation was studied. Postoperative cell counts were taken four months after surgery. Three surgeons participated in this study. Posterior chamber phacoemulsification alone (30 patients) resulted in a mean cell loss of 9%, with a maximum cell loss of 22% in one patient. Posterior chamber phacoemulsification with posterior chamber lens implantation (30 patients) resulted in a mean cell loss of 8% with a maximum cell loss of 26% in one patient. Statistical analysis shows no difference in postoperative cell loss between these two groups.

Aged

Secondary posterior chamber intraocular lens implants.

Secondary posterior chamber lens implants were performed on sixty-nine patients. Although technically the insertions were slightly more difficult than in a primary case, the results were excellent. Only one eye had vision significantly lower than preoperative level, and this, only a drop from 20/25 to 20/40. Three eyes required a second procedure to suture the lens. One eye suffered detachment later with count fingers vision as the final result.

Aged

The Terry surgical keratometer: a 12-month follow-up report.

Postoperative astigmatism was studied in two groups of patients. All patients had undergone phacoemulsification with implantation of a posterior chamber intraocular lens. The incision closure techniques in both groups were identical, with one exception: One group was closed using the Terry keratometer intraoperatively, the second group was closed without the use of this instrument. Two observations are made from the twelve-month data. First, astigmatic error in the Terry group remained constant from the postoperative keratometer readings at six weeks to the twelve-month keratometer readings. Second, while there was a considerable difference in astigmatism at six weeks between the Terry group and the control group (less astigmatism in the Terry group), the differences were no longer apparent at twelve months. Sutures were removed as necessary to improve astigmatism in the control group. No sutures were cut in the Terry group during this twelve-month period.

Astigmatism

The Shearing intraocular lens: a report of 1,000 cases.

Implantation of Shearing and Shearing-style J-loop posterior chamber lenses in 1000 cases was associated with an absence of corneal decompensation and a low incidence of glaucoma, cystoid macular edema, iritis, vitritis and retinal detachment. The low complication rate was attributed to the posterior chamber position of the J-loop lens, which may reduce the movement of intraocular fluid and tissue.

Adult