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D Kirschen

Publications and source records attributed to D Kirschen.

6 recordsLinked to original sources

Comparison of fixation disparity measurements obtained with the Wesson Fixation Disparity Card and the Sheedy Disparometer.

We compared the fixation disparity measurements obtained with the Disparometer to those of the Wesson Card. Previous studies suggest that the measurements obtained by these two instruments gave different results. The results of previous studies were based on the analysis of pooled data, which may have led to spurious results. Analysis of our data done in this manner (pooled data) revealed the same findings. However, after analysis of the data based on the separation of subjects according to phoria (exophoria/esophoria), no statistically significant difference was found between the measurements obtained with the Wesson Card and those with the Disparometer.

Adult↗

Vertical rectus muscle transposition and botulinum toxin (Oculinum) to medial rectus for abducens palsy.

Ten adult patients developed sixth-nerve palsy after trauma or a cerebral tumor. No clinical evidence of recovery of function was noted by at least 8 months after onset. All patients underwent total transposition of the superior and inferior rectus muscle insertions to the area of the lateral rectus insertion, accompanied by botulinum toxin (Oculinum) injection of the ipsilateral medial rectus. These patients developed a mean diplopia-free field of 51 degrees, with a diplopia-free field in the abducted field of 20 degrees. This procedure involved surgery on only two rectus muscles, but the results compared favorably with surgical strategies involving three rectus muscles. Thus, the risk of developing anterior segment ischemia was greatly reduced.

Abducens Nerve↗

How to write an abstract of a paper or a report to be presented at the annual meeting of the American Academy of Optometry.

Although the General Papers Program (held on Saturday, Monday and Tuesday afternoons at the Annual Meeting of the Academy) has expanded to a format in which 20-minute papers and 10-minute reports are presented simultaneously in 4 or 5 rooms the committee continues to receive abstracts for approximately 25 percent more papers and reports than the program can accommodate. The committee's task of selecting papers and reports is complicated by the failure of many writers of abstracts to include sufficient and pertinent information in their abstracts. This presentation lists the essential elements of an acceptable abstract, and tabulates the reasons for non-acceptance of abstracts.

Abstracting and Indexing↗

Monocular central-field occlusion for intractable diplopia.

This report describes several methods of degrading imagery through the central portion of a spectacle lens to provide a cosmetically acceptable means of obtaining single vision in the central field of patients with intractable diplopia. For 2 strabismic patients with annoying diplopia, we applied to 1 spectacle lens a centrally placed disc (about 1 inch diameter) consisting of (1) translucent tap,a (2) a +7 D Fresnel lens,b or (3) stippled, clear lacquer. For 1 patient, the lacquer was the most acceptable; for the other, the tape was best. We present here the case reports for these 2 patients, showing why they preferred different image-degrading methods and how these and other methods of central-field image degrading can be advantageous even when diplopia is present across most of the visual field.

Adolescent↗