[Pathological anatomy of congenital hip diseases].
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Biomedical subjects
Publications and source records attributed to H L Moss.
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Following several years of experience with a newly designed spectacle-supported ptosis crutch for ptosis and blepharospasm, the author has developed a new approach to these conditions. In mild to moderate blepharospasm cases, the spectacle-supported prosthesis can still produce satisfactory results. However, in moderate to severe blepharospasm, the force of the spasm moves the entire device forward and downward, making it ineffective or too uncomfortable to wear. To create greater stability and a more effective counterforce to the blepharospasm, the author has developed a simple headband-supported device which does not use a spectacle frame for support. This new prosthesis is constructed of varying diameters of spring tempered diamond drawn stainless steel orthodontic wire, partially or completely covered by Teflon tubing. A silicon rubber cylinder is placed over the center which becomes a bridge and the main support for the device. An elastic head band completes the prosthesis.
Blepharoptosis and blepharospasm are ocular phenomena, which cause severe functional and cosmetic problems. Both conditions respond poorly to medical and surgical correction, although surgery does provide a moderate degree of success in ptosis cases. Ptosis prostheses (crutches) have been utilized for years with only limited degrees of success. It is the author's opinion that this has been due to a lack of scientific approach to the design and limitations of the materials available for the device. To eliminate these problems, we devised and organized an approach to the design of the prosthetic device and utilized new materials with advantageous characteristics for the crutch. The results have been remarkable from a cosmetic and functional aspect and have produced an improvement in a condition considered beyond the pale of relief or treatment.
The author relates his experience in developing and conducting a vision screening program for 1,522 children between age one to six of Eilat, Israel. He describes a method similar to the Modified Clinical Technique which he adapted to the specific circumstances and devised a simplified two-minute procedure which proved very effective in use. The author clearly demonstrates the need and advantage of a professionally conducted program with cooperation of the Yosepthal Hospital, the public health nurses and the teachers of the Eilat school system. The results indicate a low overall referral rate of 7-1/2%, probably due to the early and careful attention most children receive. His conclusions support the importance of a vision screening program and substantiate the value of a Modified Clinical Screening procedure.
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