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Biomedical subjects

D F Marcus

Publications and source records attributed to D F Marcus.

At least 19 recordsLinked to original sources
PubMed1985

Argon laser choroidotomy for drainage of subretinal fluid.

We used the argon laser to perforate the choroid and drain subretinal fluid during retinal detachment surgery in 24 consecutive patients. The procedure was successful in 23 of 24 patients (95.8%). The laser settings required for perforation ranged from 0.02 to 0.2 s and from 200 mW to 2.0 W. Because it is not necessary to enter the subretinal space with a solid, pointed object, laser choroidotomy may reduce the incidence of retinal perforation. In addition, the laser has the advantage of cauterizing small vessels during choroidal puncture, which may reduce bleeding at the time of drainage.

Aqueous Humor↗
PubMed1985

Optic disk findings in hypervitaminosis A.

Three cases of papilledema secondary to chronic excessive vitamin A intake are presented, and the optic disk changes are documented with intravenous fluorescein angiography. Two of the three patients reported in this study were symptomatic with blurred vision and systemic complaints. The symptoms of blurred vision and systemic complaints disappeared within one week, and papilledema resolved over several months after discontinuance of vitamin A. The fluorescein angiographic changes observed in the optic disk of patients with hypervitaminosis A are similar to those associated with other known causes of papilledema. Since vitamin A is a nonprescription drug, and its indiscriminate use is potentially great, any history of vitamin ingestion should be elicited during the evaluation of papilledema.

Adult↗
PubMed1984

Physical activity after retinal detachment surgery.

A prospective, randomized, masked clinical trial to assess the value of limited physical activity after scleral buckling surgery included 108 consecutive patients with rhegmatogenous retinal detachment randomly divided into two groups. The first group was encouraged to resume full physical activity immediately after hospital discharge. In the second group, bending, lifting, straining at stool, driving, sexual activity, lawnmowing, gardening, athletics, and returning to work were strictly forbidden for six weeks. A thorough evaluation of patient compliance was performed after six weeks. Six months after surgery the rates of reoperation and final reattachment percentages of the active and inactive groups showed no statistically significant difference (P greater than .05). Final visual acuity, measured one year after surgery, also identified no statistically significant difference between the groups (P greater than .05).

Activities of Daily Living↗
PubMed1984

Intraretinal hemorrhages in cystoid macular edema.

Retinal hemorrhages can be associated with typical cystoid macular edema. We examined the fundus photographs and fluorescein angiograms of 313 eyes of 264 patients with documented cystoid macular edema to establish the incidence and characteristics of associated intraretinal hemorrhages. As we wanted to study only those hemorrhages unique to cystoid macular edema, we excluded 86 eyes because the patients had diseases known to be associated with retinal hemorrhages. These diseases included diabetes mellitus, branch retinal vein occlusion, hypertensive retinopathy, venous stasis retinopathy, and perifoveal telangiectasia. Of the remaining 227 eyes with cystoid macular edema, 56 (24.7%) were identified with retinal hemorrhages not associated with systemic disease. The hemorrhages were characteristically oval, round, or linear and frequently filled or partially filled the intraretinal cystoid space. In many patients, a blood-fluid level was observed.

Adult↗
PubMed1984

Accidental intra-arterial injection of fluorescein dye.

During fluorescein angiography, sodium fluorescein dye intended for intravenous use was inadvertently injected into an artery in the antecubital fossa. An immediate and dramatic orange discoloration of the skin distal to the injection combined with intense burning pain of the right forearm and hand were noted. The patient was treated with ice packs and analgesics. The fluorescein angiogram showed a delayed arm to eye circulation time, but was of normal quality. There were no long-term complications.

Aged↗
PubMed1983

Macular hamartomas of the retinal pigment epithelium and retina.

Four patients with macular hamartomas of the retinal pigment epithelium and retina are described. Associated choroidal neovascularization was noted in one patient. The clinical, fluorescein angiographic, and histopathologic findings of this entity are reviewed.

Adolescent↗
PubMed1982

The mechanism of transient myopia induced by sulfonamide therapy.

We performed acute and convalescent A-scan echographic ocular measurements documenting the anterior chamber depth, lens thickness, and axial length of a patient with acute transient sulfamethoxazole-induced myopia. Shallowing of the anterior chamber, independent of changes in the thickness of the lens, was the only anatomic variation found that could explain the myopia. Swelling of the ciliary body, with forward movement of the lens-iris diaphragm, could produce this transient anatomic change.

Adult↗
PubMed1982

Intraocular foreign-body hazard during vitrectomy.

We noted two instances of forceps-induced fragmentation of the bar used for scleral plug storage during vitreous surgery. The silicone bar material was adherent to the plug in both cases. Because this represents a significant intraocular foreign body hazard, the scleral plug should be carefully inspected before insertion.

Eye Foreign Bodies↗