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Biomedical subjects

J H Maino

Publications and source records attributed to J H Maino.

11 recordsLinked to original sources

Cytomegalovirus retinitis complicated by optic neuropathy: a longitudinal study.

Two cases of suspected cytomegalovirus (CMV) retinitis treated with ganciclovir and followed for 18 and 5 months are presented. Each patient developed optic neuropathy and experienced reduced vision despite effective control of their retinitis. In addition to objective ocular findings, subjective visual function changes (perimetry, contrast sensitivity and accommodation) in long term follow up of AIDS patients are reported for the first time. A discussion of CMV, its treatment and complications follows.

Accommodation, Ocular

Preventing transmission of infectious diseases including the human immunodeficiency virus in the practice of optometry.

The risks of acquisition of infectious diseases including the human immunodeficiency virus--1 (HIV) to practitioners and patients in the practice of optometry is discussed. Measures that reduce the risk of contracting or transmitting HIV and other infectious diseases in optometry are presented. Effective disinfection including that for HIV are discussed.

Contact Lenses

Optometric findings in the fragile X syndrome.

Fragile X syndrome (fra X) is one of the most significant discoveries in the area of mental retardation in the past 2 decades. Although hundreds of articles and two text-books have been written on the subject, only two studies have been published in the ophthalmic literature. This paper provides a brief review of the syndrome and reports on the ocular findings of 30 subjects with this genetic abnormality. We found that 30% of the subjects exhibited strabismus. Of those with strabismus, 70% were esotropes. Fifty-nine percent of the eyes evaluated (N = 58) showed hyperopia of +1.00 D or greater, 17% myopia of -1.00 D or greater, and 22% had at least 1.00 D of astigmatism. Major ocular health abnormalities were not identified in any of our subjects. The optometrist, as the primary eye care provider, should diagnose and treat these oculo-visual dysfunctions.

Adolescent

The BITA telescope: a first impression.

The Bilevel Telemicroscope Apparatus (BITA) is a new galilean telescope designed to offer improved cosmesis, weight, field of view and spatial orientation over more traditional spectacle-mounted telescopic systems. This paper describes the characteristics of the new telescope and presents two cases where the BITA was successfully prescribed.

Adult

Mental retardation syndromes with associated ocular defects.

The mentally handicapped represent up to six million individuals who require the eye and vision care the optometrist can provide. Few of these individuals, however, ever receive this care. This paper reviews the pertinent aspects of each of these syndromes and briefly describes the associated oculo-visual anomalies that are frequently seen. The optometric clinician should actively participate in the primary health care needs of children and adults diagnosed as having mental retardation.

Cerebral Palsy

Ocular anomalies in fragile X syndrome.

Fragile X (fra[X]) syndrome is a newly discovered, but relatively common, genetic disorder with an estimated frequency of 1:1000. Several ocular dysfunctions may be associated with this syndrome, but there are few articles that fully report on these. A review of this genetic disorder is provided, as well as a discussion of a case review of a family with three siblings with fragile X syndrome. Since this disorder is the most common familial cause of mental retardation, is second only to Down's syndrome as a genetic cause for mental retardation, and may play a significant role in learning disabilities, the eye care practitioner should be aware of its importance.

Adult

Veterans Administration residency programs: an overview.

At present, there are 33 Veterans Administration (VA) Medical Centers providing 1-year COE (Council on Optometric Education) accredited residency training programs for 46 recent graduates. This paper describes the types of programs available, discusses the staffing of the clinics, and details the clinical experience.

Hospitals, Veterans

Residency training at the Kansas City Veterans Administration Medical Center: the first 10 years.

Hospital residency training is relatively new to optometry. At the present time, 48 residents are in training at 30 VA Medical Centers and approximately 17 residents are in training elsewhere. This paper reviews the initial 10 years (1975-1985) of the first Council on Optometric Education accredited VA residency program at Kansas City, and describes the program and future plans.

Hospitals, Veterans

The problem-oriented optometric record.

Today's busy practitioner often has little time to fully review his patient's records and thereby runs the risk of not seeing all the previously collected information. The problem-oriented system of patient record keeping provides one systematic logical method for recording data with previous information easily obtained to allow the practitioner to better utilize past and present data in making patient care decisions. This paper outlines the problem-oriented method and how it may be used in daily optometric practice.

Humans