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S A Milewski

Publications and source records attributed to S A Milewski.

6 recordsLinked to original sources
PubMed1996

The expanding clinical spectrum of unilateral acute idiopathic maculopathy.

OBJECTIVE: To report on new features of unilateral acute idiopathic maculopathy (UAIM). PATIENTS: We have evaluated an additional 17 patients with UAIM since 1991. This is a report of new features of the maculopathy noted in seven patients from this new series. RESULTS: New clinical findings in UAIM included eccentric macular lesions, subretinal exudation, papillitis, and bilaterality. The occurrence of UAIM in association with pregnancy and human immunodeficiency virus was also observed. CONCLUSIONS: The description of these newly reported features broadens our understanding of the nature of UAIM. With recognition of the expanded clinical spectrum of this disorder, a more confident approach to diagnosis and management may be achieved.

Acute Disease↗
PubMed1996

[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↗
PubMed1993

Endophthalmitis caused by Enterobacter cloacae.

Cataract extraction with placement of intraocular lenses is the most common intraocular procedure done today, with endophthalmitis as its most devastating complication. To our knowledge, this is only the third reported case of postoperative endophthalmitis caused by the gram-negative bacillus, Enterobacter cloacae. The course of infection, the treatment, and the laboratory identification of this organism are presented. It is important to add this proven case of gram-negative endophthalmitis to our growing knowledge of causes of this disease because, despite aggressive treatment with vitrectomy and intravitreal antibiotics, the infection was so virulent that it led to eventual phthisis bulbi.

Aged↗
PubMed1992

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↗