INTRODUCTION: Exudative diabetic retinopathy is difficult to treat. We describe a patient in whom we believe extracorporeal LDL-precipitation (HELP) improved visual acuity. METHODS: HELP is a variant of extracorporeal dialysis which reduces low-density lipoprotein and fibrinogen levels. CASE REPORT: A heavily overweight patient with massive exudative diabetic retinopathy was administered HELP. Four months after starting HELP, and after vitrectomy and panretinal photocoagulation, the massive exudation was drastically lower. Visual acuity improved from 0.03 (0.02) OD (OS) to 0.25 (0.13) OD (OS). DISCUSSION: The role of vitrectomy and panretinal photocoagulation is discussed. HELP seems to be the most probable explanation for our patient's gain in visual acuity.

Chemical Precipitation↗

PubMedDate not supplied

[Disposal of the corpse by cement encapsulation and submersion in water].

The paper reports on a remarkable case of corpse disposal. A 32-year-old inmate of a prison with the permission to go out on weekends had disappeared since 1 1/4 years. His corpse poured in a concrete block was found in a metal-drum having been sunk in a disused part of a river. Although formation of adipocere and putrefaction was found, the corpse was in a relatively good status of conservation. The man had been killed by a punch of a forked crowbar on his head.

Adult↗

PubMedDate not supplied

[Offensive cadaver dismemberment by an ice pick].

The paper reports on a case of offensive corpse dismemberment by an unusual tool. A man with an acute exacerbation of a psychosis decapitated a 96-year-old woman by an ice-axe.

Adult↗

PubMedDate not supplied

[An extended case of autoerotic accident].

A case of an autoerotic accident in an extended sense is reported. A heterosexual couple died from strangulation at the same time during common autoerotic practice.

Accidents↗