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Biomedical subjects

G C Morlet

Publications and source records attributed to G C Morlet.

4 recordsLinked to original sources

Scedosporium prolificans corneoscleritis: a successful outcome.

BACKGROUND: A case of Scedosporium prolificans corneoscleritis is reported in a patient who had developed scleral necrosis following pterygium surgery, with adjunctive beta-irradiation. This fungus has been reported to be the causative organism in only two previous cases of corneoscleritis. METHODS: The patient presented with signs and symptoms typical of corneoscleritis. When the fungus was isolated from a biopsy specimen, aggressive scleral debridement was carried out and intensive antifungal therapy was instigated. RESULTS: After a prolonged course, the eye was rendered sterile. CONCLUSION: Early conjunctival recession and aggressive scleral debridement combined with intensive instillation of antifungals are crucial to the successful management of fungal corneoscleritis.

Antifungal Agents↗

A method of drop administration.

Self-administering drops can be a daunting task for many patients. The authors describe a method of drop administration that allows a patient to accurately place drops without the need for special devices or touching the eye. With the bottle of drops held upside down, the back of the thumb is rested on the forehead to stabilize the bottle. The bottle tip can be seen over the eye. The other hand retracts the inferior lid to catch the drop. Poor compliance is common and is often caused by difficulties with drop administration. This simple technique may improve compliance.

Humans↗

A modern approach to lacrimal surgery.

In this series of 129 lacrimal operations over a ten-year period the techniques of simple and complex lacrimal surgery are discussed. Preoperative investigations included dye tests and radiological studies which determined the type of surgical procedure required. Meticulous haemostasis and identification of the surgical anatomy reduced the incidence of operative and postoperative complications. Where failures occurred re-operation was performed with satisfactory results in all except one case. Lester Jones Pyrex tube techniques are described using a flow system of instrumentation designed to facilitate primary and secondary tube insertion and also tube replacement.

Dacryocystorhinostomy↗