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Biomedical subjects

H F Spalter

Publications and source records attributed to H F Spalter.

At least 19 recordsLinked to original sources

Diabetic maculopathy.

This paper discusses a special group of diabetics (maturity onset) who present with a particular form of retinopathy. The pathology is restricted to the macular zone with minimal other retinopathic complications such as detachment, proliferans, or neovascularization. One hundred of these patients with circinate rings of perimacular exudate with edema have characterized and compared to a similar number of patients with diabetic retinopathy without circinate exudates. The statistically significant differences in age of onset, duration of the disease, and associated ocular findings are defined. Photocoagulation therapy has resulted in a satisfying response in a large number of patients, as well as in the control series where the contralateral eye with the same pattern of disease is untreated. It is concluded that this study group represents an identifiable segment of our diabetic retinopathy population which is highly amenable to successful photocoagulation therapy.

Diabetes Mellitus, Type 2

Traction release of subretinal fluid.

The purpose of this investigation was to establish whether the hazards of drainage of subretinal fluid could be reduced. The technique employed utilizes a three-pronged circular grid with a central aperture, 1 mm in diameter. This rigid grid engages the sclera perpendicularly and can be satisfactorily controlled with one hand. Traction with this device elevates the scleral wall to a variable degree depending upon the rigidity of the sclera and the intraocular tension. This scleral elevation allows the point of penetration of the subretinal space to be further removed from the plane of the detached retina than normally would be achieved by conventional techniques. The data presented illustrates the advantages of this approach in terms of reducing the risk of retinal penetration, inadvertent vitreous release, and failure to penetrate the subretinal space in the drainage maneuver. It is suggested that this technique adds an additional safety feature to this problem area of retinal detachment surgery.

Drainage