Ophthalmology
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To understand the association between provider gender and ophthalmologists' annual incomes. ⋯ During the 1990s, female gender was associated with lower annual incomes among ophthalmologists. Observed differences may be attributable to factors that we were not able to measure, such as whether the clinician practice was predominantly medical or surgical. However, just as policymakers are exploring gender differences in access to and outcomes of health care, they should further explore gender-based income differences among physicians.
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To determine the radiographic signs present on computed tomography (CT) most suggestive of occult open-globe injury. ⋯ Although CT scanning may provide valuable information in patients in whom an occult open-globe injury is suspected, its sensitivity and specificity are inadequate to be relied on fully, and such patients generally should be taken to the operating room for formal surgical evaluation. Significant changes in globe contour or obvious volume loss are strong predictors of globe rupture, and any vitreous hemorrhage should be a concern for occult injury.
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To report the long-term follow-up results of intraocular foreign body (IOFB) removal at Walter Reed Army Medical Center during Operation Iraqi Freedom and Operation Enduring Freedom from February 2003 through November 2005 and to determine the prognostic factors for visual outcome in this patient population. ⋯ Poor visual outcome and postoperative complication rates are related to extensive intraocular injury. Delayed IOFB removal with a combination of systemic and topical antibiotic coverage can result in good visual outcome without an apparent increased risk of endophthalmitis or other deleterious side effects.