Biomedical subjects

J L Keltner

Publications and source records attributed to J L Keltner.

111 records · Page 7Linked to original sources

PubMedDate not supplied

A red eye and high intraocular pressure.

A 76-year-old woman presents with the classic findings of a carotid-cavernous fistula, including a red eye due to arterialization of the conjunctival veins, proptosis, retinal venous obstructive disease and elevated intraocular pressure. Enlarged extraocular muscles were found on CT scan leading to the misdiagnosis of thyroid orbitopathy. The differential diagnosis and therapy of the dural cavernous fistula and the intraocular pressure are discussed.

Aged↗

PubMedDate not supplied

Double vision, visual loss, and an enhancing orbital apex.

A 70-year-old man presented with mild retrobulbar discomfort and diplopia with a marked left abduction deficit. Three days later the patient noted a sudden decrease of vision in his left eye. A CT scan revealed enhancement of structures of the left orbital apex. A discussion of the differential diagnosis, appropriate testing procedures, and suggested treatment is included. The patient responded to corticosteroid therapy with complete resolution of the problem.

Aged↗

PubMedDate not supplied

Botulinum A toxin (Oculinum) in ophthalmology.

Botulinum A toxin has been used to treat strabismus and a variety of spasmodic neuromuscular diseases. Botulinum toxin treatment of strabismus is not as definitive and stable as the traditional surgical approach, but it has been found most useful in postoperative overcorrection, small deviations, sensory deviations, and acute sixth nerve palsy. This toxin has been effective in the treatment of essential blepharospasm and hemifacial spasm, for which it produces temporary relief of symptoms. In addition, this treatment has been applied to lower lid entropion, myokymia, aberrant regeneration of the seventh nerve, lid retraction, corneal exposure, nystagmus, spasmodic torticollis, and adductor spastic dysphonia.

Blepharospasm↗