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L Dralands

Publications and source records attributed to L Dralands.

At least 37 records · Page 2Linked to original sources

Non-arteritic anterior ischemic optic neuropathy and refraction.

A small cup-disk ratio has been reported as a risk factor in non-arteritic anterior ischemic optic neuropathy. Hyperopia is possibly related with a small cup-disk ratio. The purpose of the present study is to compare the refraction of 37 eyes with non-arteritic anterior ischemic optic neuropathy with a sex and age matched control group of 74 eyes. In our study, mild hyperopia was more frequently observed in the anterior ischemic optic neuropathy group than in the control group.

Adult↗

Septo-optic dysplasia.

The authors present three patients with the diagnosis of septo-optic dysplasia or 'de Morsier' syndrome. They stress the important role of the ophthalmologist in the diagnosis. With the advent of MRI, subtle central nervous system abnormalities have been recognized. A close ophthalmological and endocrinological follow-up is necessary.

Female↗

Four cases of Wolfram syndrome: ophthalmologic findings and complications.

The association of diabetes insipidus, diabetes mellitus, optic atrophy and deafness (DIDMOAD) is known as Wolfram syndrome. The ophthalmic signs are progressive decrease in visual acuity, constriction of the peripheral visual field with or without central scotoma, colour vision disturbances and bilateral optic disc atrophy. Diabetic retinopathy is a rare complication. We describe the ophthalmological complications in four patients with this syndrome.

Adult↗

Therapeutic possibilities and limits of vitreoretinal surgery after expulsive choroidal hemorrhage.

The aim of this retrospective study was to demonstrate that in certain cases of expulsive choroidal hemorrhage (ECH) anatomical success and useful vision can be obtained with repeated vitreoretinal surgery. The authors report on their experience in 8 patients who were treated following ECH over the past 3 1/2 years. Three types of ECH could be identified. Two cases with massive hemorrhage and expulsion of retinal tissue (type 1) developed phthisis bulbi. Five patients with vitreous loss and an abolished vitreous cavity due to the extent of the ECH (type 2) needed early and usually several interventions to achieve a stable anatomical and functional outcome. Three out of the 4 cases who were anatomically successful had useful vision (1/10, 2/10 en 8/10). One patient with a less extensive choroidal hemorrhage and a partially preserved vitreous cavity (type 3) had a visual acuity of 8/10 after the intervention.

Aged↗

Sudden blindness in a child: presenting symptom of a sphenoid sinus mucocele.

A 10-year-old girl with no nasal or respiratory symptoms developed a headache lasting a few hours. The next day she became totally blind in the right eye and over 5 days vision in the left eye deteriorated to bare light perception. The diagnosis of a sphenoid sinus mucocele was made radiologically and drainage via an endonasal sphenoidectomy produced 12 ml of brownish fluid. Endoscopic biopsy of the wall confirmed the diagnosis of a mucocele. Steroid treatment was given postoperatively, but vision recovered to 6/12 in the left eye only. The importance of urgent clinical diagnosis and treatment is stressed.

Acute Disease↗

[Syndromes of the vitreo-macular interface].

Macular pucker, the vitreomacular traction syndrome and the macular hole are three conditions related to the vitreomacular interface. The role of the vitreous is different for each of these syndromes. Vitreous surgery aims at improving vision in the first two conditions. The role of preventive vitrectomy in the impending macular hole syndrome is still a matter of debate. The authors report their own experience and give a review of the recent literature on the subject.

Eye Diseases↗

[Colobomatous pits and serous macular detachment].

Several congenital anomalies of the optic disc are associated with serous detachment of the macula or retinal detachment. Treatment of this condition, and hallmarks of disc and systemic anomalies are discussed.

Coloboma↗

Retrolental white mass.

From 1985 till 1990 twenty-three children aged seven weeks to six years presented with a retrolental white mass. Six children had retinoblastoma, six Coats' disease, five retinopathy of prematurity, four persistent hyperplastic primary vitreous, one cysticercosis and one retinal detachment. Retinoblastoma and Coats' disease was only seen in children over eight months, whereas persistent hyperplastic primary vitreous and retinopathy of prematurity all presented before the age of six months. Differentiation between Coats' disease and retinoblastoma is not always easy. Most helpful for the diagnosis is to perform funduscopy under general anaesthesia with special attention to the vasculature. Ultrasounds are helpful, but can give confusing results. Cytological analysis of subretinal fluid is useful in Coats' disease.

Child↗

"Optic neuritis": a masquerading disease.

Optic neuritis is a clinical entity with specific characteristics. Many disease can be associated with the symptomatology. We retrospectively selected the files of 16 persons out of 60 optic neuritis patients. Selection was based on the detection of a non-common etiology. As underlying etiology for "optic neuritis" we found e.g.: histiocytosis, intracerebral aneurysm, spongioblastoma.

Diagnosis, Differential↗

[Detachment with giant tear].

The authors report their experience in treating 39 eyes in 36 patients suffering a retinal detachment with giant tear. Follow-up has been from 7 to 54 months with a mean of 25 months. The different surgical procedures are compared and evaluated.

Adolescent↗