Try a new search

Format these results:

Searched for:

person:richar01

Total Results:

7


Adjustable sutures in pediatric ophthalmology and strabismus [Case Report]

Strominger MB; Richards R
PMID: 11249243
ISSN: 0744-7132
CID: 38627

Adjustable sutures in pediatric ophthalmology and strabismus [Case Report]

Strominger MB; Richards R
PMID: 10358813
ISSN: 0191-3913
CID: 38628

Diplopia following transconjunctival blepharoplasty [Case Report]

Ghabrial R; Lisman RD; Kane MA; Milite J; Richards R
The resurgence of popularity of the transconjunctival approach to lower eyelid fat removal as a component of cosmetic blepharoplasty has been highlighted by a number of publications in recent years. There has been, however, minimal discussion in the literature of the complications of this procedure. Although the mechanism of muscle injury is similar in transcutaneous and transconjunctival surgery, there is a much more direct route to the inferior extraocular musculature via the latter approach. Herein, we present a series of six patients with diplopia status post-transconjunctival lower eyelid blepharoplasty referred to the Manhattan Eye, Ear, and Throat Hospital for evaluation. Transconjunctival lower lid blepharoplasty was performed as a primary procedure in four patients and as a secondary procedure following transcutaneous blepharoplasty in two patients. Patients were evaluated with ocular examination and orthoptic measurements. Magnetic resonance imaging was obtained in two cases. The inferior rectus and inferior oblique muscles were found to be equally injured in these cases (4 of 6), and the lateral rectus was encountered in one case. Two patients required strabismus surgery to correct their diplopia, whereas four patients improved with observation alone. The possible etiologies of postoperative diplopia following transconjunctival lower lid blepharoplasty are manifold. Mechanisms of extraocular muscle injury may include intramuscular hemorrhage and edema, cicatricial changes within the muscle, and accidental incorporation of extraocular muscle in closure of orbital septum. Avoidance of these complications is probably best achieved through intimate understanding on the part of the surgeon of eyelid anatomy from the transconjunctival perspective
PMID: 9734448
ISSN: 0032-1052
CID: 12075

Vision research in departments of ophthalmology. An Association of University Professors of Ophthalmology perspective

Schanzlin DJ; Schultz R; Thoft R; Richards R; Chandler J; Ryan SJ
A research committee of the Association of University Professors of Ophthalmology disseminated a survey questionnaire to determine the state of research in departments of ophthalmology across the United States. The questionnaire contained 71 questions that were designed to assess attitudes and trends within members' departments and to solicit suggestions from the membership. Of the 145 members and affiliates queried, 140 responded. While the results of the survey indicate significant diversity among departments, departmental chairpersons view research as a major priority in the goals of their departments, and they envision maintenance or expansion of research over the next decade. The survey results have been collated and serve now as the basis for this Association of University Professors position article
PMID: 1987946
ISSN: 0003-9950
CID: 38629

"Which eye will you be straightening, doctor?" [Editorial]

Simon JW; Dannemann AF; Hampton GR; Richards R
PMID: 2709276
ISSN: 0191-3913
CID: 38630

Heat shrinkage of extraocular muscle tendon

Finger PT; Richards R; Iwamoto T; Myers DB; Jakobiec FA
We have designed and employed a bipolar heating device to shorten extraocular muscles. Treatment involves placing the unidirectional heating device on the sclera with the active surface beneath the tendinous portion of the extraocular-muscle. When power is applied, visible tissue shrinkage occurs. Heat-induced extraocular muscle shrinkage was performed on live rhesus monkeys. Two months later, thermal tendinoplasty-treated extraocular muscles were surgically isolated and evaluated for strength. Biopsies were then performed on these muscles. It was our clinical impression that treated tissues retained their strength, while histologic and electron-microscopic evaluation of heat-treated tendon revealed evidence of shrinkage and compaction of collagen bundles. Thermal tendinoplasty may offer a sutureless method of correcting strabismus by shortening and thereby strengthening extraocular muscles
PMID: 3619751
ISSN: 0003-9950
CID: 47982

Electrical stimulation of extraocular muscles

Chen Y; Richards R; Ko WH; Finger PT
ORIGINAL:0005106
ISSN: n/a
CID: 48024