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Biomedical subjects

L G Pape

Publications and source records attributed to L G Pape.

5 recordsLinked to original sources

Intracapsular and extracapsular technique of lens implantation with Healon R.

This study showed a dramatic decrease in the amount of postoperative corneal edema and endothelial cell loss when Healon was injected into the anterior chamber during cataract surgery and used to coat an iris suture medallion-style lens prior to its insertion. Significant postoperative intraocular pressure elevations lasting 24 to 48 hours were frequently encountered when Healon was not irrigated from the eye after surgery. Dilution of intracameral Healon immediately after lens implantation eliminated postoperative pressure elevation.

Anterior Chamber↗

The use of sodium hyaluronate (Healon) in human anterior segment surgery.

The safety and efficacy of sodium hyaluronate (Healon) was evaluated in a wide spectrum of anterior segment surgical procedures. Healon is not only safe, but actually facilitates the outcome of surgery. Healon placed intracamerally before cataract removal results in significantly decreased endothelial cell loss. In filtering procedures, use of intracameral and subconjunctival Healon promotes superior bleb formation while still maintaining chamber depth postoperatively. Corneal grafts performed over intracameral Healon receive maximal endothelial protection and manifest striking postoperative clarity.

Anterior Chamber↗

Retinal detachment and miotic therapy.

We studied a series of 34 eyes in 31 patients in whom retinal detachment occurred during miotic therapy. In 14 eyes, the duration of miotic use before the development of detachment was two months or less. Most detachments occurred in detachment-prone eyes either by virtue of myopia (62%), aphakia (24%), ipsilateral lattice degeneration (38%) or retinal pathology, in the fellow eye (50%). Virtually all detachments were rhegmatogenous. Distributions of retinal breaks are similar to the corresponding profiles in detached eyes not receiving miotics. The observed phenomena may be accounted for mechanistically, either with or without the role of miotics, so a specific causal role cannot be assigned to any given miotic in any given case. However, our data suggest that detachment-prone eyes may be at increased risk with miotic use, and thus demand careful retinal evaluation and prophylaxis when ominous peripheral symptoms are present.

Adult↗