Transactions of the American Ophthalmological Society
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Trans Am Ophthalmol Soc · Jan 2005
Retinopathy of prematurity: involution, factors predisposing to retinal detachment, and expected utility of preemptive surgical reintervention.
To characterize involution of retinopathy of prematurity (ROP) following treatment at threshold, to identify findings during involution that portend development of retinal detachment, and to assess the potential utility of preemptive vitrectomy for eyes with high-risk features. ⋯ Acute-phase ROP involuted quickly in most eyes. Vitreous organization and vitreous hemorrhage were predictive of eyes that developed a retinal detachment. Decision analysis suggests that preemptive vitrectomy for eyes with vitreous organization meeting specific criteria is not likely to be worse than deferred vitrectomy, and it could be advantageous in some scenarios.
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Trans Am Ophthalmol Soc · Jan 2005
Comparative StudyA comparison of implant extrusion rates and postoperative pain after evisceration with immediate or delayed implants and after enucleation with implants.
To examine implant extrusion rates after evisceration with immediate or delayed implants in patients with culture-proven endophthalmitis. To compare postevisceration and postenucleation pain. ⋯ Both immediate and delayed implant techniques appear safe in patients with endophthalmitis, with the former being simpler, more cost-effective, and perhaps less painful. Prolonged antibiotic therapy and smaller implants may render a false sense of security against implant extrusion; good surgical technique and meticulous postoperative wound care are essential. Postenucleation pain appears more severe than postevisceration pain.
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Trans Am Ophthalmol Soc · Jan 2005
The burden of age-related macular degeneration: a value-based medicine analysis.
To assess the quality-of-life loss and the macroeconomic financial consequences associated with age-related macular degeneration (ARMD). ⋯ ARMD is a major public health problem that has a devastating effect upon patients and marked adverse financial consequences for the economy.