Impact of the Affordable Health Care Act on No-Show Rates and Demographics of Patients Presenting for Eye Care in an Underserved Inner City Population - a 2-year Update [Meeting Abstract]
Impact of the Affordable Health Care Act on No-Show Rates and Demographics of Patients Presenting for Eye Care in an Underserved Inner City Population [Meeting Abstract]
Impact of the Affordable Health Care Act on Demographics and Visual Acuities of Patients Presenting For Cataract Extraction in an Underserved Urban Population [Meeting Abstract]
Accuracy of Prediction of Steep Axis and Cylinder Power Using IOL Master versus Pentacam in Patients Undergoing Toric IOL Implantation [Meeting Abstract]
Impact of Ultrasound Biomicroscopy (UBM) versus White-to-White (WTW) measurement on sizing of Visian Implantable Collamer Lens (ICL) and Residual Postoperative Refraction [Meeting Abstract]
Rectus muscle flap tear as an independent cause of restricted motility [Case Report]
Most published cases of rectus muscle flap tear have been associated with orbital trauma of various degrees of severity. When they accompany an orbital fracture, however, it is difficult to determine whether the flap tear is merely an incidental additional finding or a major contributing cause of the resulting restriction. How to treat the flap itself remains an open question. We report a 24-year-old man with an inferior rectus muscle flap tear caused by direct laceration of the muscle. The major finding was a "reverse leash" vertical restriction. Discarding the flap instead of reattaching it did not prevent a successful result. Our case supports the proposition that rectus muscle flap tear can be a restriction-producing entity.
Ophthalmic plastic surgery : a history in the making
New York : Springer, 2012
Effect of Repeat Selective Laser Trabeculoplasty After Prior Argon Laser Trabeculoplasty in Glaucoma Patients [Meeting Abstract]
Evaluation of patients with dry eye for presence of underlying Sjogren syndrome
PURPOSE: To evaluate the rate of Sjogren syndrome (SS) in a cohort of patients with dry eye syndrome. METHODS: Medical records of patients with a primary diagnosis of dry eye syndrome (International Classification of Diseases [ICD] code 375.15 or 370.33) were reviewed retrospectively. Patients who had 2 or more visits to a single dry eye center during a 2-year period (January 2004 to January 2006) were considered. RESULTS: Two hundred twenty patients with dry eye syndrome were identified. A total of 57 patients (25.9%) had an underlying rheumatic condition: 25 patients (11.4%) had rheumatoid arthritis and 24 (10.9%) had primary Sjogren syndrome (PSS). Majority of the patients with rheumatoid arthritis (96%) carried the diagnosis at the time of presentation. Of all patients with PSS, only 33.3% (8/24) carried the diagnosis at the time of presentation. Fifty percent (12/24) were diagnosed as a result of the initial evaluation. Among those, only 66.6% (8/12) tested SSA (anti-Ro antibodies) or SSB (anti-La antibodies) positive. One third of patients (4/12) tested only antinuclear antibody positive at a titer of <1/320 and required minor salivary gland biopsy for definitive diagnosis. Additional 16.7% (4/24), who were initially serologically negative, eventually underwent minor salivary gland biopsy and became diagnosed with SS. CONCLUSIONS: PSS seems to be underdiagnosed in patients with dry eye syndrome and should be the focus of diagnostic evaluations. A minor salivary gland biopsy might be required for a definitive diagnosis in a significant proportion of the patients with SS.
Nasolacrimal duct obstruction with Urbach-Wiethe syndrome [Case Report]
An 80-year-old woman presented with signs and symptoms consistent with bilateral nasolacrimal duct obstruction. She also was noted to have multiple eyelid margin lesions. She underwent bilateral dacryocystorhinostomy with biopsy of the nasolacrimal ducts and eyelid lesions. Her tearing resolved. Histopathology of the eyelid lesions was consistent with lipoid proteinosis. Nasolacrimal duct obstruction may occur in patients with lipoid proteinosis (Urbach-Wiethe syndrome).