Graves exophthalmos without muscle involvement.
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Biomedical subjects
Publications and source records attributed to R J Hesse.
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Orbital inflammatory disease in a patient with systemic lupus erythematosus is rare and presents a diagnostic dilemma as well as a therapeutic challenge. Ours appears to be the sixth such case reported in the literature.
We retrospectively reviewed the results of the first 20 procedures of a modification of the penetrating trabeculectomy ab externo procedure in which an attempt is made to limit subconjunctival fibrosis at the filtering site. With a follow-up ranging from 2 to 29 months, the average intraocular pressure was reduced from 33 to 12 mm Hg.
Involutional entropion is an inturning of the eyelid margin caused by changes of lid tissues due to aging. Two patients with the uncommon finding of involutional entropion of the upper lid were treated with surgery based on the principles used to treat common lower lid entropion. The causes of lower lid entropion include increased horizontal and vertical lid laxity, and correcting these same factors in the upper lid resulted in a satisfactory repair of the entropion. Treatment of involutional entropion in the upper lid is compared and contrasted with that of the lower lid.
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Since the approval of timolol for the treatment of open-angle glaucoma, beta-adrenergic blocking drugs have replaced epinephrine, a pure alpha and beta agonist, as the treatment of choice for glaucoma in aphakic patients. To date, there have been no reports of cystoid macular edema secondary to timolol, a non-selective beta-adrenergic blocker that apparently has little intrinsic sympathomimetic activity. Betaxolol is a new beta-adrenergic receptor blocker that preferentially blocks beta 1 receptors. We report a case of angiographically proven cystoid macular edema secondary to betaxolol therapy that resolved after discontinuation and recurred after a monocular therapeutic trial.
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A 58-year-old woman developed typical herpes zoster ophthalmicus associated with delayed retinal thrombophlebitis and subsequent vitreous hemorrhage. Fluorescein angiography confirmed a diagnosis of thrombophlebitis and demonstrated sparing of the arteriolar circulation. The retinopathy cleared spontaneously and visual acuity returned to 6/6 (20/20).
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