Complication after cryo therapy.
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Biomedical subjects
Publications and source records attributed to F S Schiff.
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An ophthalmic surgeon's speaking to a patient during surgery, especially if the patient is hard of hearing and the surgeon must shout to be understood, may increase the patient's risk of developing postoperative endophthalmitis. We performed an experiment demonstrating that the number of bacterial colonies on blood agar plates placed 30 cm from a person's mouth increased in relationship to the volume at which the person spoke. Wearing a surgical mask with an overlapping hood considerably reduced the levels of bacterial growth.
A patient with narrow-angle glaucoma developed a post peripheral iridectomy malignant glaucoma in both eyes. The intraocular pressure (IOP) in both eyes was controlled with mydriatics, cycloplegics, and Diamox for 2 years. Subsequently the patient developed a dense cataract and uncontrollable IOP in her left eye. An extracapsular cataract extraction, posterior chamber lens implant, and trabeculectomy were combined with an anterior vitrectomy. The IOP in both eyes has been controlled for 3 years postoperatively.
Spontaneous hyphemas in iris supported intraocular lenses are considerably more likely to occur in patients on systemic Coumadin therapy. Five cases are presented in which hyphemas appear to be related to Coumadin treatment.