J A Lowery | PubMed Health

PubMed1997

Treatment of leg telangiectasia using a long-pulse dye laser at 595 nm.

BACKGROUND AND OBJECTIVE: Pulsed dye lasers (PDL) operating at 585 nm wavelength and 0.45 msec pulsewidth offer effective treatment for port wine stains (PWS). Vessels in leg telangiectasias are larger than those in PWS. Longer pulsewidths and wavelengths may improve clearance of these larger vessels. STUDY DESIGN/MATERIALS AND METHODS: Twenty patients were treated using PDL at 595 nm and 1.5 msec. Vessel diameters ranging from 0.635 to 1.067 mm were treated using energy densities of 15 and 18 J/cm2, and a 2 x 7 mm elliptical spot. Telangiectasia clearance and complications were scored at 6-weeks and 5-months following the single treatment. RESULTS: Results demonstrated > 50% clearance by 6 weeks in 11/26 (42.3%) patients using 15 J/cm2, and 6/13 (45.2%) using 18 J/cm2. By 5 months > 50% clearance was noted in 18/34 (53.0%) using 15 J/cm2, and 11/17 (64.7%) using 18 J/cm2. Complications were minor and infrequent. CONCLUSION: The long-pulse PDL may have a role in treating leg telangiectasias.

Female↗

PubMed1990

Artificial orbit system for experimental surgery with enucleated globes.

A portable system for holding, accurately positioning, and restoring the physiologic integrity of enucleated globes during experimental anterior segment procedures and pars plana vitrectomy is described. A 0 to 500-mm Hg vacuum fixation ring and positioning apparatus mechanically locks globes into known spatial position while they are supported in a 2 to 6-mm Hg pressurized, pliable socket designed to match the size and pressure of a natural orbit. A gravity infusion system and an implantable piezoelectric pressure sensor in conjunction with a syringe and stopcock assembly allow for controlled inflation of globes to intraocular pressure (IOP) levels from 0 to 70 mm Hg, and to over 300 mm Hg. The fixation vacuum level, and intraocular and extraocular pressures are simultaneously monitored on 3-digit LED displays, and permanent records of each can be generated by routing data to storage devices. The anterior segment remains accessible at all times for surgical procedures and diagnostic measurements. The entire system is portable, allowing globes to be transported to multiple experimental stations, while all pressure settings and the position of the globe are maintained. To demonstrate applications of the artificial orbit system, we describe experiments using it to calibrate applanation tonometers, and to study the relationship between IOP and corneal curvature as well as the effect of trephination procedures and limbal vacuum fixation on IOP.

Animals↗