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Biomedical subjects

D Pierse

Publications and source records attributed to D Pierse.

At least 19 recordsLinked to original sources

Mastering the donor eye: a new device for obtaining donor corneal discs.

In recognition of the many inexactitudes involved in cutting donor corneal discs, a new instrument is here described which should help to eliminate many of then, and its mode of use is outlined. For a long time instruments available to assist the corneal surgeon in his management of donor material have been inadequate. Many devices are awkward to use, or give rise to donor discs of an unreliable or uneven edge profile. In an attempt to overcome these difficulties we have designed, produced and tested a new instrument which we feel represents an advance. Because different surgeons use fresh or stored material, and because some prefer to trephine from the epithelial surface while others opt to punch from the endothelium, we have endeavoured to meet all these requirements.

Corneal Transplantation

Hydrophilic lenses for "continuous" wear in aphakia: definitive fitting and the problems that occur.

Patients have been very satisfied with these lenses (78% wearing at the end of six months), not the least those with reduced function of the macula. The problems of infection have been discussed, and apart from improvement in lens materials patient selection is of paramount importance. The problem of deposits is presented, but theri elimination will depend on more research into their nature and development, improvement of the material's resistance to this form of attack, and improved lens design to overcome corneal and tear flow problems.

Adult

Mechanical problems associated with the cutting of vitreous.

The properties of the vitreous are considered from the standpoint of the physicist and engineer and the difficulties of its cutting and manipulation considered. The principles underlying existing instruments for use in the vitreous cavity are examined and a series of new instruments is described and illustrated.

Humans