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Biomedical subjects

E Kutschera

Publications and source records attributed to E Kutschera.

At least 19 recordsLinked to original sources
PubMed1985

[Cataract operation with anterior chamber lens implant].

The results of 106 intracapsular cataract extractions with implantation of an anterior chamber lens are reported. The indications were monocular cataract in 63%, bilateral cataract in 15%, cataract with maculopathy in 10%, practical monocularity, parkinsonism etc. in 12%. Postoperative visual acuity was 0.4 to 1.0 in 88%; diminished vision was caused by maculopathy, central venous thrombosis, or glaucoma in 12%. Postoperative complications: pupillary block in 8.5%, glaucoma in 10.5%, cystoid macular edema in 3.6%, and decentration of implant in 1%. The need for postoperative care of patients with intraocular implants after cataract surgery is pointed out.

Aged↗
PubMed1982

[Preliminary results with the Lincoff-Kreissig balloon buckle].

The authors used the unsecured balloon buckle of Lincoff and Kreissig in 15 cases during a six-month period (September 1981 to March 1982) at the Ist Eye Clinic in Vienna and the Eye Department in Salzburg. Cases were selected in which one large tear and a circumscribed detachment existed, as well as detachments with only one tear or a group of holes which did not exceed one hour in extent. After an observation period of between three and nine months the detachment was cured with the balloon buckle in 12 eyes, while in three eyes it failed; in two of them a cure was achieved by permanent buckle operation. In one eye the find result was MPP. This method seems particularly suited to cases where cryocoagulation or photocoagulation alone is too dangerous, but on the other hand a permanent buckle operation might cause muscle disturbances and irritating diplopia in eyes with usually good visual acuity before and after surgery. Further experience with the unsecured balloon buckle will show how far the indications for this method can be extended.

Female↗
PubMed1981

[General anesthesia in surgery for retinal detachment (author's transl)].

A report on operations for retinal detachment performed under general anesthetic during the last five years. These were restricted to selected patients. If requirements regarding operating rooms and personnel can be satisfied, general anesthesia should be the general rule in retina surgery, neuroleptanalgesia being the ideal type of anesthesia.

Anesthesia, General↗
PubMed1980

[Ominous retinal changes in aphakia].

Report on examinations of the retinal periphery with a three-mirror contact lens during the first year following cataract operation. Latent retinal defects found in six out of 169 eyes were submitted to active detachment prophylaxis. In two eyes manifest retinal detachment was discovered and treated successfully. During the same period we saw seven patients with aphakia and retinal detachment who had undergone cataract surgery up to 13 years previously. In these cases too, anatomic healing was achieved, although in some cases several interventions were necessary and the result was functionally useful only in five cases. Therefore, the author urges that a biomicroscopic examination of the fundus periphery be performed at the latest during the first six months following cataract operation.

Aged↗
PubMed1980

[Is some therapeutic influence upon macular function after postoperative re-attachment of the retina possible? (author's transl)].

Two groups of cases, comprising 20 and 22 patients respectively, successfully operated on for retinal detachment with involvement of the macular area are compared with each other, the second group having been treated postoperatively with i.m. injections of retina phosphatides. Examinations of the visual acuity and metamorphoptic phenomena were performed one week, and then 2, 4, 8 and 12 weeks after surgery. The cases thus treated achieved better visual acuity during the first week than the untreated ones; however, 3 months after surgery, visual acuity of both groups was almost equal. Form and extension of metamorphoptic phenomena were not essentially different.

Adult↗
PubMed1979

[The value of an outpatient clinic for patients with retinal detachment].

The article reports on an outpatient department for retinal detachment patients established since 1972 in the First Eye Clinic in Vienna. Of the 225 patients treated up to 1978, 19 had a relapse, 9 patients were subjected to prophylactic retinopexy in the tear area which had not coagulated sufficiently, whereas in 15 cases latent tears were found in healed eyes and in 17 cases in the second eye. In two patients, beginning detachment in the second eye was detected at an early stage, whereas in two cases detachment occurred despite continual control. The article underlines the usefulness of this outpatient section for clinical and research work.

Aftercare↗
PubMed1979

Influence of retinal detachment surgery on eye motility and binocularity.

Material, orientation and topography of episcleral buckling procedures are examined concerning the motility and the binocular functions of the eyes after retinal detachment surgery. The preoperative binocular state is of peculiar interest because also congenital palsies and heterophorias may be followed by a postoperative disturbance of the binocular vision. Some points that may contribute to a reduction of the amount and duration of these disturbances are discussed.

Cryosurgery↗
PubMed1977

[Macular function after successful surgery of retinal detachment (author's transl)].

Following successful surgery 20 cases of retinal detachment with previous separation of the macular area were submitted to examination of visual acuity, colour perception and metamorphopsia. Improvement of visual acuity usually developed during the 12-week-period of supervision; this improvement was related to the preoperative duration of the detachment. The disturbance of colour sense was confined to the perception of yellow and blue, beeing independent of the duration of the retinal detachment; as a rule a tendency to improvement was found during the time of observation. Labile postoperative metamorphopsias were more pronounced in the spoke-test than in the Amsler-test. No evident connexions between the duration of retinal detachment and the intensity of metamorpoptic distortions could be found. In cases with retinal tears in the posterior segment cured with a high plombade effect stable visual distortions occurred in the Amsler-test only. Such distortions seem to be due to mechanical factors and cannot be considered real metamorphopsias.

Adult↗
PubMed1977

[Echoculmetry in ablation surgery without subretinal drainage].

Based on echo-oculometric measurements of the maximum height of retinal detachments during the first hours and days after surgery without subretinal drainage, using a sound frequency of 12 MHz, final success (24 cases) or failure (2 cases) could be predicted within 24 h at the latest.

Humans↗
PubMed1976

[Echooculometry in retinal detachment surgery without subretinal drainage (author's transl)].

Changes of the height of retinal detachments up to 0.1 mm can be visualized by A-scan-ultrasonography; such small changes cannot be ascertained by means of ophthalmoscopy. Based on echooculometric measurements of the maximal height of retinal detachments during the first hours and days after surgery without subretinal drainage, the final success (24 cases) or failure (2 cases) could be predicted 24 hours at latest. Thus in cases of retarded resorption of the subretinal fluid it can be decided by means of echography, wether a reattachment of the retina can be expected or a failure, the cause of which needs early detection.

Adolescent↗
PubMed1975

[Late results of cataract surgery after oculopression (author's transl)].

By the hypotonisation of the eyeball with an oculopressor the loss of vitreous during the cataract extraction can be almost always avoided. The anatomic and functional results are discussed from 65 cases examined at follow-up. The further supervision should not be neglected as also recommended in cases of cataract extractions without previous oculopression.

Cataract Extraction↗