Biomedical subjects
W B Boone
Publications and source records attributed to W B Boone.
Outpatient cataract and intraocular lens surgery.
Outpatient ophthalmic surgery has arrived, and ambulatory surgical centers are cropping up all across the country. Government and third-party payers have produced significant financial incentives for performing outpatient surgery, but there are, perhaps, more compelling reasons for allowing this option for patients. Advantages accrue to both the patient and the ophthalmic surgeon. Disadvantages can be minimized and the prospects for success can be maximized through proper preoperative workup, anesthesia management, and postoperative follow-up.In the experience of one of the authors with outpatient cataract and intraocular lens surgery, 66.7 percent of outpatients achieved visual acuity of 20/40 or better and 33.3 percent of inpatients achieved visual acuity of 20/40 or better. All patients had significant improvement in vision, and failure to achieve a 20/40 level of vision was caused by preoperative pathology. Because of these considerations, the authors believe that it is not only reasonable but prudent to direct the development of skills and techniques toward even safer and more efficient outpatient ophthalmic surgery.
HLA-Bw44 and HLA-DRw4 in male Sjögren's syndrome patients with associated rheumatoid arthritis.
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Immunosuppressive therapy of ocular disease.
Care and caution are required in using immunosuppressive agents to combat sight-threatening ocular disease. Informed consent of the patient and the active participation of a knowledgeable internist are mandatory in view of the known potential consequences of therapy. These consequences or side effects include specific and general problems, and before initiating therapy the cost/benefit ratio must be considered. Although the most commonly used agents are nonspecific, some drugs appear more beneficial in certain conditions than others, as is the case of chlorambucil in Behcet disease. It is a policy at the Uveitis Clinic of the University of California, Irvine, to institute immunosuppressive therapy early enough for conservation of useful vision, yet late enough so that it is clear that moderate to heavy steroid therapy cannot prevent blindness. In the event of failure of the "conventional" immunosuppressive therapy, plasmapheresis may prove a helpful adjunct.
Acquired CMV chorioretinitis in severe combined immunodeficiency.
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Ophthalmia neonatorum. Value of prophylactic treatment.
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