American journal of ophthalmology
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To call attention to the myths that surround physician-industry conflicts of interest, to refute their validity, and to propose ways to address them so as to insure that physicians make medical practice decisions in the best interest of their patients. ⋯ Medical organizations and academic institutions are the ones to take the lead in recognizing that these voluntary financial conflicts of interest are unacceptable and should be stopped. Such conflicts mainly relate to the acceptance of gifts and money that are designed to influence behavior and are a form of financial coercion.
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Comparative Study
Sneezing reflex associated with intravenous sedation and periocular anesthetic injection.
To assess and compare the frequency of reflex sneezing occurring during periocular anesthetic injections with and without intravenous sedation. ⋯ Surgeons, anesthesia staff, and other operating room personnel should be aware of this unusual and potentially dangerous sneeze phenomenon when periocular anesthetic injections are delivered under intravenous sedation to reduce potential ocular complications.
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To review the current knowledge of persistent visual loss after nonocular surgeries under general anesthesia. ⋯ If, when an ophthalmologist is consulted for a patient with perioperative visual loss, an obvious ocular cause is not apparent, urgent neuroimaging should be obtained to rule out intracranial pathology. Anterior and posterior ION should be considered and careful documentation is essential. Currently, the pathogenesis of perioperative ION remains unclear, and preventive and therapeutic measures remain elusive.
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Comparative Study Clinical Trial
Oral gabapentin for the treatment of postoperative pain after photorefractive keratectomy.
To evaluate oral gabapentin for postoperative pain after photorefractive keratectomy (PRK). ⋯ We found no difference in overall subjective pain management ratings between gabapentin and oxycodone/acetaminophen for postoperative PRK pain, although gabapentin was associated with significantly more frequent use of anesthetic eye drops as required.
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To evaluate the effect of subconjunctival injection of bevacizumab on experimentally induced corneal neovascularization. ⋯ Subconjunctival administration of bevacizumab inhibits corneal neovascularization effectively in the rabbit experimental model, especially if administered early.