Current opinion in ophthalmology
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There is significant morbidity associated with diabetes- and thyroid-related eye diseases. Many different ocular changes are associated with these endocrine disorders. ⋯ However, in addition, other research examined aspects of diabetic visual loss that are not blinding, and the prevention of such impairment became significant this past year. During this same interval, specific diagnostic criteria for thyroid ophthalmopathy were established and are included in this review; these findings will aid in future research and patient care.
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Curr Opin Ophthalmol · Feb 1996
ReviewLensectomy, vitrectomy indications, and techniques in cataract surgery.
Removal of a cataract during a vitrectomy can be performed to improve visualization for the surgeon or to facilitate visual rehabilitation for the patient. Because aphakic eyeglasses or contact lenses are often poor options to correct aphakia, placement of an intraocular lens during or after a vitrectomy is becoming increasingly common. ⋯ Options for intraocular lens placement include no intraocular lens, anterior chamber lens or sutured posterior capsular lens in the absence of capsular support, "in-the-bag" posterior capsular lens, or sulcus-fixated posterior capsular lens. This article reviews the current indications and techniques for cataract removal with or without intraocular lens placement in patients undergoing vitrectomy.
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During the past year, the results of the Diabetes Control and Complications Trial became available. This event is expected to influence all future diabetes eye disease research. For this reason, this article starts with a discussion of these results.
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Curr Opin Ophthalmol · Dec 1994
ReviewRecent advances in neuro-imaging and the impact on neuro-ophthalmology.
Neuro-imaging is an essential part of the evaluation in patients with neuro-ophthalmologic disorders. Over the last two decades enormous advances in this area have been made allowing noninvasive evaluation of the orbit and brain. The idea of using nuclear magnetic resonance technology to produce images rather than the ionizing radiation of computed tomography (CT) began to emerge clinically in the late 1970s and early 1980s. ⋯ Recent advances in CT scanning (spiral and three-dimensional CT) and MRI (functional MRI and cine MRI) continue to affect significant changes in the discipline of neuro-ophthalmology. Furthermore, advances in MR angiography promise to allow excellent and noninvasive analysis of the cerebral vasculature. This review highlights the recent advances in neuro-imaging.
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Diabetes and thyroid-related eye disease cause significant morbidity. Although these are endocrine disorders, they cause different ocular manifestations. Previously unexamined epidemiologic factors offer new insight to diabetic eye disease. ⋯ Thyroid-related eye disease, as seen in Graves' ophthalmopathy, is an autoimmune process. This is reexamined and new ultrasound techniques to measure disease activity are described. The advantage of therapies directed against these features is reported.