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Biomedical subjects

J Suharwardy

Publications and source records attributed to J Suharwardy.

6 recordsLinked to original sources
PubMed1997

The value of perioperative intraocular pressure measurement in trabeculectomy as a predictor of the early post-operative course.

PURPOSE: The purpose of the study was to assess the value of perioperative intraocular pressure (IOP) measurement in trabeculectomy as a predictor of drainage and related complications in the early post-operative period. METHODS: A prospective study was undertaken of 42 eyes (39 patients) followed up after trabeculectomy for the first post-operative month. RESULTS: Analysis of the change in IOP in the first post-operative month showed that at 1 month the pressure in all cases tended to similar values irrespective of the mean perioperative IOP. Early shallowing of the anterior chamber was, however, associated with a significantly lower perioperative IOP, although there was no significant difference in IOP at 1 month in these cases. CONCLUSIONS: The perioperative IOP appears to be effective in predicting anterior chamber shallowing in the first post-operative month with good sensitivity and specificity, but has little value as a predictor of the IOP at 1 month.

Adult↗
PubMed1997

The clinical presentation of children with tumours affecting the anterior visual pathways.

PURPOSE: To review the ways in which children with tumours affecting the anterior visual pathways present and to determine the extent of visual loss at presentation and the visual prognosis after treatment. METHODS: A retrospective review of the 17 children (age 1-13 years at presentation) referred to a specialist paediatric oncology unit. Ten children had extrinsic tumours affecting the chiasmal area whilst 7 had intrinsic gliomas affecting the optic nerve and/or chiasm. Patients were followed up for up to 13 years (median 2 years). RESULTS: The children studied presented with a variety of symptoms including headaches, lethargy and growth failure. Despite the clinical finding of marked visual loss in several cases, visual failure was not prominent amongst the presenting symptoms. After surgical intervention and other treatment vision stabilised or improved; eyes with no perception of light for short periods could regain substantial vision. CONCLUSION: Children with progressive visual deterioration due to tumours do not readily verbalise their difficulty and may have profound loss at presentation. Standard clinical tests of vision will identify the extent of damage. Visual prognosis depends on the underlying pathology and length of history but prompt treatment may lead to substantial improvement in vision.

Adolescent↗
PubMed1995

Sleeves for fixation of Silastic nasolacrimal tubes.

AIMS: To describe a method of securing indwelling O'Donohughe's lacrimal tubes in dacryocystorhinostomy using two 3-4 mm Watski sleeves. METHODS: The operative technique used to secure the sleeves into position on the lacrimal tubes is described. Forty seven procedures with a follow up ranging from 3 to 30 months (mean 10 months) are reviewed. RESULTS: The tubes and sleeves were well tolerated. Upward prolapse of the tubes occurred only once and the tubes were easily repositioned in this case. CONCLUSION: Securing lacrimal tubes with Watski sleeves in dacryocystorhinostomy is a simple, cheap, and effective procedure.

Adult↗
PubMed1994

A comparative trial between diclofenac-gentamicin and betamethasone-neomycin drops in patients undergoing cataract extraction.

Eighty patients were randomised in a single-masked parallel-group study to receive topically either the test drug, a diclofenac and gentamicin combination, or a betamethasone and neomycin combination after routine cataract extraction and intraocular lens implantation. Each group was assessed over a 6 week period for post-operative inflammation. The two drug combinations were equally effective in suppressing inflammation in the early post-operative stages and the diclofenac-gentamicin combination was slightly more effective in the later stages. The test drug was well tolerated and showed no adverse effects. We feel it is an effective and relatively safe drug which has a role as an anti-inflammatory agent after cataract extraction and has potential advantages in certain circumstances.

Aged↗