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Biomedical subjects

J A Halabis

Publications and source records attributed to J A Halabis.

3 recordsLinked to original sources

An optometric quality assurance program.

BACKGROUND: To be accredited by the Joint Commission on Accreditation of Health Care Organizations (JCAHO), a health care facility must have an ongoing quality assurance program. METHODS: In accordance with JCAHO Guidelines the Optometry Section at the Cleveland Veterans Administration Medical Center developed such a program as part of the Medical Center's hospital-wide ongoing quality assurance plan. RESULTS: The methodology used to develop a quality assurance program is outlined. A discussion of how specific clinical indicators are used to monitor performance and/or patient outcomes is presented. CONCLUSIONS: After the quality assurance monitoring period is completed the data is analyzed; if the outcome is unacceptable action must be taken to improve care. This dynamic process involves patient outcomes and enhances overall care.

Glaucoma

Analysis of the corneal endothelium in keratoconus.

The corneal endothelium in nine cases of keratoconus (18 eyes) was analyzed quantitatively for mean cell area and standard deviation (SD) of cell area to determine the presence of polymegathism. Four of the subjects were veteran wearers of rigid contact lenses and five of the subjects had not worn contact lenses previously. The subjects were matched for age, sex, and contact lens history with a group of normals. The endothelium in eyes with keratoconus did not show a significant increase in the extent of polymegathism as compared with controls. There was no significant difference in mean cell area between the study group and the control group. These results suggest that polymegathism in keratoconic patients may be related to contact lens wear.

Contact Lenses