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Biomedical subjects

D J Schumer

Publications and source records attributed to D J Schumer.

5 recordsLinked to original sources

Phacoemulsification with intraocular lens implantation after excimer photorefractive keratectomy: a case report.

We report the first case, to our knowledge, of phacoemulsification with lens implantation in a patient with previous photorefractive keratectomy for myopia. Intraocular lens calculations were performed using manual and automated keratometry. The surgical and postoperative course were uneventful with a good visual outcome. Standard intraocular lens calculation and surgical technique appear to be successful for cataract extraction after photorefractive keratectomy.

Cataract Extraction↗

Two-dimensional gel electrophoretic analysis of human lens proteins.

Human lens proteins from clear lenses were separated and identified using two-dimensional polyacrylamide electrophoresis. Isoelectric focusing, both equilibrium and non-equilibrium, was performed in the first dimension and SDS electrophoresis in the second dimension. Proteins were identified by Western blotting and sequencing techniques and by comparison with patterns obtained with purified crystallin fractions. Analyses were performed on total urea soluble proteins of lenses varying in age from fetal to 73 yr. Several hundred protein spots representing crystallins, cytoskeletal proteins and enzymes were resolved in the fetal lens. In the older lenses there was a dramatic increase in the number of protein species in the molecular weight range of the crystallins and a reduced number of discrete protein species visible at molecular weights greater than 50,000. Conversely, a number of proteins below approximately 15 kDa were visible even in the fetal lens. The number and amount of polypeptides in this molecular weight range were increased in the older lenses. Many of these low molecular weight species could be assigned to either the alpha-, beta- or gamma-crystallin fractions. An age dependent increase in the number of acidic species of both crystallins and other proteins, such as, glyceraldehyde 3-phosphate dehydrogenase was observed as well as the loss or mobility change of gamma-crystallin. Two-dimensional gel electrophoresis provides a sensitive and practical technique for characterizing all of the proteins of the human lens.

Adult↗

The Nidek MK-2000 microkeratome system.

PURPOSE: To assess flap thickness and the performance of the Nidek MK-2000 microkeratome during laser in situ keratomileusis (LASIK). METHODS: Three hundred seventy consecutive eyes of patients undergoing LASIK had the depth of flaps measured via subtractive pachymetry. All flaps were created using two different model numbers of the Nidek MK-2000 microkeratome. Both 130-microm and 160-microm depth plates were evaluated. Microkeratome-induced complications were also recorded. RESULTS: Buttonhole flaps and free flaps were not seen in this study. One short flap occurred and suction could not be obtained in two eyes. The mean flap thickness obtained using the 130-microm depth plate for model number 121 was 129 +/- 21.8 microm. The mean flap thickness obtained using the 160-microm depth plate for model number 121 was 150 +/- 29.6 microm. The mean flap thickness obtained using the 130-microm depth plate for model number 65 was 152 +/- 25 microm. The mean flap thickness obtained using the 160-microm depth plate for model number 65 was 173 +/- 26.9 microm. CONCLUSION: The Nidek MK-2000 microkeratome is safe and creates flaps of predictable thickness.

Anthropometry↗

Photorefractive keratectomy for residual myopia after previous refractive keratotomy.

Photorefractive keratectomy (PRK) was performed on 91 eyes of 71 patients who had previous radial keratotomy, radial combined with astigmatic keratotomy or astigmatic keratotomy alone (refractive keratotomy). Residual myopia, prior to photorefractive keratectomy, ranged from -1.50 to -8.00 D (mean -3.62) and cylinder from 0 to 2.25 D (mean 0.78). Uncorrected visual acuity was 20/40 or better in 89.7% at one year. At the 12 month follow-up 75.9% of patients were within +/- 1.00 D of intended correction.

Adult↗

Holmium:YAG laser thermokeratoplasty for hyperopia.

Holmium:YAG laser thermokeratoplasty (LTK), a procedure using a solid-state infrared laser to treat hyperopia, was performed on 10 patients in phase I and 16 patients in phase II--in a total of 29 eyes at the Hunkeler Eye Clinic. Phase II was redesigned after phase I results showed undercorrection and regression. The follow-up period ranged from 1 to 24 months (mean 10.9 months). A total of 79% of phase II patients were within +/- 1.00 D of intended correction at the 6-month visit. Looking at both phases together, no patients had J2 or better near vision preoperatively, but 75% had J2 or better at the 6-month visit. A total of 43% of eyes in phase II lost 1 line and 7% lost two lines of best spectacle corrected visual acuity due to induction of irregular astigmatism. The surgical challenges are to insure appropriate centration of the procedure about the optical axis. Concerns about regression and stability will be defined as these patients are followed through their 2-year visits.

Cornea↗