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Biomedical subjects

S E Marren

Publications and source records attributed to S E Marren.

3 recordsLinked to original sources

Idiopathic peripheral vitreous membranes.

An unusual case of bilateral prepapillary glial sheets and peripheral vitreal membranes is described. Such membranes are seldom reported in the literature. A retinal specialist concurred that the avascular membranes, present in the inferior retinae of both eyes, were congenital because the membranes were bilateral and symmetrical and because the patient had no other sign of retinal or systemic conditions associated with membrane formation. There were fenestrations in the membranes, which gave the initial impression of retinal tears and associated detachment However, there were no retinal breaks beneath the membranes nor was there any evidence of retinitis, myopia, or any other mechanism which could be considered causative for a vitreal membrane. Diseases associated with membrane formation and the confusion of the membranes with retinal detachment are discussed.

Adult

Contact lens wear, use of eye cosmetics, and Meibomian gland dysfunction.

The purpose of this study was to explore the interrelations among contact lens wear, use of eye make up, eye rubbing, and Meibomian gland dysfunction. Fifty optometry students were evaluated for Meibomian gland function (number of lower lid glands expressing freely with gentle pressure) and fluorescein staining of the cornea and conjunctiva. Subjects were questioned regarding contact lens wear, use of eye cosmetics, and frequency of eye rubbing. No relation was detected among Meibomian gland clogging, contact lens wear, cosmetic use, or eye rubbing in these subjects. The data suggest a relation among clogged glands, contact lens wear, and fluorescein staining. Future studies of older contact lens wearers are warranted.

Adult

Postpump retinopathy.

Postpump syndrome is a systemic manifestation which occurs somewhat frequently after cardiac surgery when cardiopulmonary bypass (CPB) is used. It is probably caused by platelet injury secondary to plasma contact with the CPB machinery. Damaged platelets aggregate and result in small emboli which course throughout the body, causing short-lived infarcts in the smaller blood vessels in multiple organs including the eyes where the result is retinopathy. Postpump syndrome is well documented in the cardiovascular literature but not in the ophthalmologic literature. We report a case of postpump syndrome retinopathy seen in a 56-year-old black male who had previously undergone valve replacement surgery for endocarditis. Follow-up revealed a postoperative embolus which necessitated further evaluation by the cardiologist and cooperative care with the optometrist/ophthalmologist team at The Eye Institute. Sequential photographs document this retinopathy as well as the embolic complication.

Cardiopulmonary Bypass