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R Weidlich

Publications and source records attributed to R Weidlich.

8 recordsLinked to original sources
PubMed2005

[The autologous ipsilateral rotating penetrating keratoplasty: an early surgical procedure to prevent deep irreversible amblyopia in Peters anomaly].

PURPOSE: It is a challenge to prevent irreversible amblyopia in infants suffering from Peters anomaly. In some cases of centrally located corneal opacifications an optical sector iridectomy can not lead to a clear optical axis. The homologous penetrating keratoplasty as early surgical procedure has shown an extremely poor outcome with a high risk of irreversible graft failure. We report on the autologous ipsilateral rotating penetrating keratoplasty in an eight-week-old infant suffering from Peters anomaly. PATIENTS: An autologous ipsilateral rotating penetrating keratoplasty was performed in an eight-week-old infant suffering from Peters anomaly to prevent irreversible amblyopia. RESULTS: After a follow-up time of 8 months we saw a clear graft within the optical axis without any complications in wound healing. We removed the single sutures two months after keratoplasty. Postoperative astigmatism could be corrected first by fitting a special nursery contact lens and after reduction of astigmatism because of suture removal we fitted special nursery glasses. The intraocular pressure remained within the normal range during the follow-up period. CONCLUSION: The autologous ipsilateral rotating penetrating keratoplasty should be considered superior to homologous keratoplasty in infants with Peters anomaly if sector iridectomy is not advisable because of a central corneal opacification. Resulting high refractive errors can be successfully corrected by special contact lens fitting or by nursery glasses.

Amblyopia↗
PubMed2001

[Indications and prognosis of dacryocystorhinostomy in childhood. A clinical study 1970-2000].

BACKGROUND: Dacryocystitis in infants is a serious complication of congenital, but seldom of acquired nasolacrimal duct obstructions. If conservative treatment fails, dacryocystorhinostomy (DCR) appears to be effective. The indications, special clinical history and results will be reviewed. PATIENTS AND METHODS: From 1/1970 to 2/2000, a total of 72 children (56 male, 16 female) with persistent dacryocystitis (18 bilateral) were treated surgically by DCR and were continuously documented. The patients ranged in age from 10 months to 14 years old (mean age 4.9 years). Included in our study were 66 children (52 male, 14 female) with 84 surgically treated lacrimal ducts (46 right eyes, 38 left eyes) who underwent control examinations. RESULTS: The cause of dacryocystitis was congenital obstruction in 63 children and trauma (maxillary fracture) in 3 children, respectively. Of these, 20 children (30.3%) had additional anomalies of the lacrimal system, 21 (31.8%) systemic malformations and 8 out of the 66 children (12.1%) had a family history of nasolacrimal duct obstruction. Since 1985 the surgical procedures have been performed under microsurgery conditions and since 1998 sometimes with a transcanalicular laser-assisted technique. We found a functional success rate (with complete resolution of symptoms) of 90.4% (76 out of 84 lacrimal ducts) over follow-up periods ranging from 1 month to 12 years (average 1.6 years). CONCLUSION: Patients with persistent dacryocystitis due to congenital nasolacrimal duct obstruction have a prevalence of further nasolacrimal abnormalities and a family history. The dacryocystorhinostomy of infants requires minimal invasive (sometimes laser-assisted) techniques. In the case of persistent dacryocystitis, DCR is indicated after the age of 1 year and has the same success rate in infants as in adults (90-95%).

Adolescent↗
PubMed1996

[The contribution of Alfred K. Graefe to surgical treatment of paretic squint in the second half of the 19th century].

Alfred Graefe is one of the three important ophthalmologists of the Graefe family in the nineteenth century, who were engaged scientifically with squint. He dealt with disorders of ocular motility in twenty publications. In: "The indication of operative treatment of paretic eye deviations" Graefe suggested three operative principles: Resection of the paretic muscle, tenotomy of the ipsilateral antagonist and tenotomy of the contralateral synergist. Depending on the amount of the motility disturbance Graefe recommended one or several of these methods. Concerning the vertical muscles Graefe emphasized the importance of parallelism of the retinal meridians. Hence, in the case of superior oblique palsy he favoured a tenotomy of the contralateral inferior rectus.

Germany↗
PubMed1996

[Wyburn-Mason syndrome].

BACKGROUND: There are various malformations of retinal vessels. Some of them are associated with cerebral vascular anomalies. MATERIALS AND METHODS: This report is given on a girl 6 years of age with a retinal racemose angioma. RESULTS: The clinical examination showed a unilateral racemose angioma combined with retinachorioidal anastomosis and a hemifacial vascular malformation. We found teleangiectasia in this area. The ophthalmoscopy demonstrated a blurred border of optic disc on the right eye with forward protrusion of the disc about + 2.0 dioptres. Large racemose lesions may be localized to the optic nerve and may involve segmental areas of the macula. The ultrasound showed a papillary stasis with highly reflective structures. The ultrasonic patterns are interpreted as a cholesterosis or fibrovascular tissue. This findings may belong to the rare Wyburn-Mason syndrome. Acute neurological symptoms by similar lesions the midbrain and hemorrhages during extraction of teeth are reported in literature.

Child↗
PubMed1991

[Clinical studies of eye involvement in porphyria cutanea tarda].

In 1980 we started a long-term study at our department examining 54 Patients with p.c.t. (42 male, 12 female). Out of these patients, 32 were re-examined (23 male, 9 female) in 1986. No ocular lesions were found that might be attributable to the underlying disease. Possible symptoms of p.c.t. are an increased filling of the conjunctival vessels, a decreased tear's formation, as well as brownish pigmentations in conjunctiva, in the lid margin. These changes occur in the anterior eye segment. At the fundus, a dry, in part side-different macular destruction and uncharacteristic peripheral retinal degeneration were found. The most prominent functional disorders are the acquired colour vision deficiency Verriest Type III and FSM Type I, respectively. It is based upon the small decrease of the visual acuity (relative central scotoma), the decline in immediate adaption and the macular destruction. Possible etiopathogenetical links between the underlying disease and the tapetoretinal degeneration are discussed. The morphological and functional eye lesions are limited and show hardly any progression.

Adult↗
PubMed1980

[Current significance of keratopathia neuroparalytica].

Among the complications after surgical interventions carried out on the Ganglion semilunare because of a trigeminal neuralgia the reason why Keratopathia neuroparalytica plays a role is the fact that it very frequently leads to partial or total blindness of the affected eye. The pathogenesis of the keratopathy is still being disputed. The appraisal of the various surgical methods in trigeminal neuralgia always includes the frequent occurrence of a keratopathy. Among the 171 patients who were operated on in Halle because of trigeminal neuralgia in the last ten years no keratopathy was observed. In 12 cases a reduction or removal of the corneal reflex was brought about. On 8 patients a postganglionic intradural operation was carried out, all others received an electro-coagulation. The co-operation with the ophthalmologist is indispensable both prophylactically and therapeutically.

Blinking↗