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Biomedical subjects

D B Freilich

Publications and source records attributed to D B Freilich.

At least 19 recordsLinked to original sources

Choroidal (subretinal) neovascularization secondary to choroidal nevus and successful treatment with argon laser photocoagulation. Case reports and review of literature.

Retinal detachment secondary to choroidal nevus may be caused by subretinal fluid accumulation or neovascularization. Foveal subretinal fluid or leakage of choroidal neovascularization may impair visual acuity. 10 cases of nevus with serous sensory retinal detachment successfully treated with laser photocoagulation are reviewed. 2 additional cases of successful laser therapy for retinal detachment secondary to choroidal neovascularization with nevus of the choroid are presented.

Choroid↗

Branch retinal artery occlusion in patients with Hodgkin's disease.

Ocular involvement in Hodgkin's disease is relatively unusual. This report describes two cases of branch retinal artery occlusion in young patients with Hodgkin's disease. Both patients were thought to be in remission when the occlusions occurred. The possible etiology and relationship to drug therapy is discussed.

Adult↗

Absorbable implants in nondrainage procedures for repair of retinal detachment.

Our experience in 1,700 consecutive cases of retinal surgery for the repair of nontraumatic, rhegmatogenous retinal detachments using a modified technique involving a nondrainage procedure with an absorbable implant was presented. We found that 228 of these 1,700 cases fell into our criteria for the use of this technique. We discussed the indications and contraindications for both the operative procedure and for the absorbable implant, and it is our belief that this technique is a valuable addition to the methods available to the retinal surgeon for the treatment of certain selected cases of retinal detachment.

Drainage↗

Retinal injuries associated with cataract surgery.

Five patients had trauma to the retina that occurred during cataract surgery. In two of the cases the injury was caused by perforation of the globe by the retrobulbar injection needle and in one case the retinal injury occurred when the superior rectus muscle bridle suture perforated the sclera. A stab incision for release of blood in an expulsive choroidal hemorrhage caused a retinal dialysis. Another case of retinal dialysis was caused by aspiration of solid vitreous after vitreous loss.

Adult↗

Long-term follow-up of scleral buckling procedures with sickle cell disease and retinal detachment treated with the use of hyperbaric oxygen.

We have presenteed a late follow-up study of 8 eyes previously presented which were treated with scleral buckling procedures under hyperbaric oxygen conditions for repair of rhegmatogenous retinal detachments complicating sickle cell disease. In addition, we have presented a patient treated under similar conditions with a scleral shortening procedure and drainage of subretinal fluid for repair of a non-rhegmatogenous traction detachment secondary to diabetic retinopathy and sickle disease. We feel that our successful results in these cases and our lack of the usually reported complications merits the continued use of this technique in these difficult cases of detachment of the retina.

Adult↗

Rushing the net and retinal detachment.

With the growth in popularity of tennis has come an increase in ocular injuries due to tennis balls. This report describes ten patients who sustained ocular confusion from high-speed tennis balls. Seven of the patients required either retinal surgery, laser photocoagulation, or both. Early detection of regional damage is essential, but of greater importance is prevention. For that reason, we advise use of some sort of ocular protection device for high-risk individuals.

Adult↗

Further studies in the use of hyperbaric oxygen in retinal detachment with sickle cell anemia.

Patients with sickle cell anemia in many cases develop proliferative retinopathy which frequently progresses to retinal hole formation and retinal detachment. These patients do very poorly with scleral buckling procedures. This is probably due to sickling of the red blood cells during surgery, which may interfere with the circulation to the structures of the anterior segment of the eye. We have previously reported avoiding this problem in three cases by performing a modified scleral buckling procedure in the hyperbaric oxygen chamber. This paper reports additional cases successfully treated with this technique. Blood studies performed during surgery in the hyperbaric chamber are reported and the technique is further described.

Adolescent↗

Miotic drugs, glaucoma, and retinal detachment.

It has been reported in the literature, and is the clinical impression of many ophthalmologists, that the use of miotic drugs and especially Phospholine Iodide increases the incidence of retinal detachment. A review of 1,000 cases of retinal detachment is reported with a breakdown of the percentage of patients who previously had glaucoma and the various drugs with which they had been treated prior to the development of their retinal detachments. The incidence of bilateral cases is also studied and conclusions are drawn as to whether or not there is any increased incidence of retinal detachment or in the bilaterality in patients who are on miotic medications.

Adult↗

Use of ophthalmic gelfilm in retinal surgery.

This report describes our experience with absorbable gelfilm in retinal detachment and intraocular foreign body surgical cases. The material was used as an intrascleral implant in 100 trapdoor retinal procedures. In 10 other cases it was used as a meridional implant under a silicone buckle, and in 2 cases it was used as a vitreous tamponade over the site where an intraocular foreign body was removed. The gelatin was found to be an excellent adjunct in retinal surgery. The material was easy to work with and there were no complications of erosion, extrusion, or infection. The indications for use of this material, as well as the advantages and disadvantages, are discussed.

Absorption↗