Eyelid phimosis and chronic radiation dermatitis associated with iridium brachytherapy.
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Adult↗
Biomedical subjects
J W Kronish
Publications and source records attributed to J W Kronish.
Upper eyelid crease surgical approach to dermoid and epidermoid cysts in children.
The treatment of choice for subcutaneous and orbital dermoid and epidermoid cysts in children is surgical excision. Numerous surgical approaches have been advocated to excise these lesions from the eyelid and anterosuperior orbit. Our technique for this procedure involves an approach through an upper eyelid crease incision. The advantages over alternative methods include (1) excellent exposure of eyelid and anterior orbital structures, (2) familiarity to most eyelid surgeons, (3) minimal dissection with little risk to vital anatomic structures, (4) simple wound closure, and (5) excellent final cosmetic result with a scar that is well-hidden. We have utilized this technique in 24 patients with excellent results and no complications.
Child, Preschool↗
Treatment of periorbital Molluscum contagiosum by incision and curettage.
Molluscum contagiosum, caused by a double-stranded DNA virus, is found world-wide, affecting humans as well as other primates and marsupials. In humans, a biphasic incidence occurs with peak infection rates among young children and young adults. In children, infection is spread by direct contact or through fomites, with lesions predominating on the trunk, extremities, and face. In young adults, this disease is spread primarily through sexual contact. Periocular infection can cause secondary chronic follicular conjunctivitis, superficial keratitis, and punctal occlusion. Although many modes of therapy are effective in destruction of the virus, some may have significant side effects when used in the periocular area. We describe treatment by incision and curettage, which we recommend as a simple, effective method of managing this problem.
Anti-Bacterial Agents↗
Control of corneal astigmatism following cataract extraction by selective suture cutting.
We evaluated the ability of selective suture cutting to reduce postoperative corneal astigmatism in 75 eyes of 68 patients who underwent extracapsular cataract extraction with posterior chamber intraocular lens implantation. Keratometric and refractive measurements were obtained before and at selected intervals (3, 6, 10, 26, and 52 weeks) after surgery. The number of sutures cut during the sixth week after surgery was based on the degree of astigmatism (0.00 to 2.00 diopters (D), no sutures cut; 2.25 to 3.00 D, one suture cut; 3.25 to 4.00 D, two sutures cut; greater than or equal to 4.25 D, three sutures cut). Our analysis demonstrated the following: (1) a spontaneous reduction of 0.5 D in surgically induced astigmatism in eyes without suture cutting, (2) an additional reduction of 1.2 D in postoperative astigmatism for each suture cut, and (3) attainment of 75% to 93% of the total effect of suture cutting within four weeks. The final astigmatism one year after surgery had increased by a mean of 0.9 D, exhibited predominantly with-the-rule properties, and showed no significant difference among the four groups of patients. Vector analysis revealed that only small shifts in the axis of astigmatism occurred after suture cutting. A strong correlation between the keratometric and subjective refractive measurements during all postoperative examinations indicated that corneal astigmatism is primarily responsible for postoperative astigmatism.
Astigmatism↗
Multifocal static creamy choroidal infiltrates. An early sign of lymphoid neoplasia.
Three patients, each more than 60 years of age at initial presentation, had early stage lymphoid infiltrates (formerly called reactive lymphoid hyperplasia) of the choroid and contiguous extraocular tissues. There were multifocal, confluent, and nonconfluent creamy patches in the choroid. These lesions changed very little over periods of observation ranging from 1 to 4 years and failed to produce ophthalmoscopically visible disturbances of the retinal pigment epithelium (RPE). Fluorescein angiography demonstrated dye collection within the lesions without leakage into the subretinal or subpigment epithelial spaces. Both ultrasonography and computed tomography (CT) showed thickening of the choroid with either anterior or posterior episcleral extensions of lymphoid tissue. Pathologic evaluation of biopsy specimens of extraocular portions of the lesions showed low-grade tumors that were diffuse infiltrates of mature lymphocytes, which exhibited lymphoplasmacytoid features, Dutcher bodies, or small residual germinal centers (so-called borderline lesions). Two patients had uniocular localized disease, whereas the third had bilateral ocular lesions, hypogammaglobulinemia, and another extranodal chest wall lymphoid tumor. Therapy for the localized ocular condition consisted either of oral administration of corticosteroids or low doses of radiotherapy.
Aged↗
The effects of the ultraviolet-protecting plasmids pKM101 and R205 on DNA polymerase I activity in Escherichia coli K-12.
The mutagenesis- and repair-enhancing plasmids pKM101 and R205 were introduced into a series of Esherichia coli K-12 polA mutants including two temperature-sensitive mutants. Polymerase levels in extracts of these strains were assayed using an activated DNA template. In none of the cases did the presence of the plasmid in the strains change either the initial rate of incorporation of [3H]thymidine triphosphate into acid-soluble material or the subsequent degradation of the template at longer reaction times. Neither did the presence of the plasmids affect the proportion of N-ethylmaleimide-sensitive polymerase activity detected. Previous studies have reported increased polymerase I-like activity of polA mutants of Salmonella typhimurium and Pseudomonas aeruginosa upon introduction of mutagenesis- and repair-enhancing plasmids. Our experiments indicate that, at least, such an increase in polymerase-I-like activity is not an obligatory phenotype associated with these plasmids.
DNA Polymerase I↗