American journal of ophthalmology
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To describe the intravitreal injection technique practice patterns of retinal specialists in the United States from April 8, 2010 to April 21, 2010. ⋯ Retinal specialists in the United States participate in a range of techniques for the care before, during, and after intravitreal injections. Further study is needed to elucidate best practice patterns.
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To report normal baseline thickness maps for 6 retinal layers generated by segmentation of spectral-domain optical coherence tomography (SD-OCT) images in normal subjects. Intersubject thickness variability and thickness variations in 9 macular sectors were established. ⋯ Normal thickness maps for 6 retinal layers were generated and thickness variations among subjects and macular areas were assessed. This technique is promising for investigating thickness changes attributable to disease in specific retinal layers and macular areas.
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To examine the public health implications of 2 recent outbreaks of atypical contact lens-related infectious keratitis. ⋯ The 2 recent outbreaks of atypical contact lens-related keratitis have reinforced the value of tertiary care eye care centers in detecting early rises in rare infections and the power of adaptable, well-designed epidemiologic investigations. Although Fusarium keratitis has declined significantly with the recall of Renu with MoistureLoc (Bausch & Lomb Inc.), the persistence of Acanthamoeba keratitis demands fundamental changes in contact lens hygiene practices, inclusion of Acanthamoeba as a test organism, and contact lens disinfectant test regimens for all contact lens-related pathogens that are verifiably reflective of end user contact lens wear complications.
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To evaluate the severity of ocular involvement of patients with Stevens-Johnson syndrome (SJS), toxic epidermal necrolysis (TEN), and SJS/TEN overlap, and to investigate the relationship of the SCORTEN (a severity-of-illness score for SJS and TEN based on a minimal set of well-defined variables calculated within 24 hours of admission) with eye disease in this patient population. ⋯ Ocular damage in the acute setting was more frequent in patients with epidermal detachment >10% of the total body surface area. The SCORTEN value did not correlate with the severity of eye involvement in the acute setting.