PubMed Health⌕ Search

Biomedical subjects

P H Judson

Publications and source records attributed to P H Judson.

7 recordsLinked to original sources

[Dislocation of lens particles during cataract surgery].

BACKGROUND: The charts of 46 patients with dislocated lens particles during cataract surgery were reviewed. Forty patients had trans-pars plana vitrectomy; 5 were treated medically and one had retinal detachment repair only. MATERIAL AND METHODS: The following complications were associated with dislocated lens particles: uveitis 87%, glaucoma 66%, corneal edema 71%, retinal detachment 5%. RESULTS: The vision on the initial visit was 20/200 or worse in 85%. After vitrectomy the final vision was 20/40 or better in 58%. Visual acuity of 20/40 or better was obtained in 72% of patients who had surgery the same day; in 55% who had surgery later and in 64% with initial IOL placement. Insertion of an intraocular lens at the time of cataract surgery is not contraindicated. CONCLUSION: The best visual acuity occurred in patients who had vitrectomy the same day as cataract surgery. Small lens particles may be left in the eye. Trans-pars plana vitrectomy is a successful method of treatment of dislocated lens particles during cataract surgery.

Aged↗

Lymph node metastasis from carcinoma in situ of the penis: a case report.

Lymph node metastasis from carcinoma in situ of the penis is rare. We report a case of carcinoma in situ of the penis that was initially managed with circumcision and topical 5-fluorouracil. Subsequently inguinal and para-aortic lymph node metastasis developed, which was treated successfully with systemic chemotherapy and right inguinal lymph node dissection. The patient is free of disease 7 years after initial diagnosis and 3 years after the diagnosis of nodal metastasis.

Carcinoma in Situ↗

Spontaneous resolution of hemorrhagic retinal pigment epithelial detachment.

Large hemorrhagic retinal pigment epithelial detachments (RPEDs) with presumed subretinal neovascularization (SRN) generally have a poor visual prognosis. We report the case of a 70-year-old woman who initially had a large serous hemorrhagic RPED associated with lipid exudation and juxtafoveal SRN. Without treatment, spontaneous resolution occurred with subsequent visual improvement.

Aged↗