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Ectopic Retinal Pseudocysts: A Clinicopathologic Correlation

Rowlands, Megan A; Patel, Priya; Dubovy, Sander R; Chiu, Bing; Tsui, Edmund; Solomon, Joel; Modi, Yasha S
PMID: 31277803
ISSN: 2468-7219
CID: 3968392

Distracted pedestrian sustains orbital fracture while on cell phone

Edell, Aimee R; Jung, Jesse J; Solomon, Joel M; Palu, Richard N
Use of cell phones in the general population has become increasingly commonplace. The distracting effects of cell phones among automobile drivers are well established, and legislation prohibits the use of handheld cell phones while driving in several states. Recent research has focused on the similar distracting effects of cell phones in the pedestrian population. In this report, an older gentleman suffered extensive facial trauma requiring surgery as a direct effect of cell phone use at the time the trauma occurred. This case highlights the role that portable electronic devices can play as a cause of ocular trauma.
PMID: 23579597
ISSN: 1177-5467
CID: 301322

Bungee cord-induced corneal lacerations correcting for myopic astigmatism [Case Report]

Reddy, Shantan; Myung, Jane; Solomon, Joel M; Young, Joshua
We present a patient with a refractive error of -3.00 -0.25x150 in the right eye and -3.50 -1.50x170 in the left eye who experienced bungee-cord-related corneal lacerations in the left eye. Slitlamp examination revealed a large radial corneal laceration in the vertical meridian and several smaller lacerations in the periphery. Corneal topography showed more central flattening in the left eye than in the right eye. Posttraumatic visual acuity in the left eye was 20/20 with a -1.50 diopter corrective lens. Myopic correction was a surprising outcome of a traumatic corneal laceration that produced a radial-keratotomy-like effect
PMID: 17586399
ISSN: 0886-3350
CID: 73702

Evaluation of vision-related quality of life of patients wearing photochromic lenses

Stenson, Susan; Scherick, Kenneth; Baldy, Christopher J; Copeland, Karen A F; Solomon, Joel; Bratteig, Carol
PURPOSE: A two-period, crossover study was undertaken comparing next-generation gray photochromic Transitions Lenses (Transitions Optical, Inc., Pinellas Park, FL) with clear lenses and a study purple-colored photochromic lens to evaluate enhancement to vision-related quality of life (VRQOL). METHODS: Fifty-two patients were randomized into one of four lens crossover groups: gray-->clear; clear-->gray; gray-->purple; and purple-->gray. Each lens was worn for 30 days. VRQOL was measured using a previously administered questionnaire, the Transitions Vision Related Quality of Life' (TVRQOL) survey instrument (see Appendix to this article). Differences in responses related to each lens worn in the comparison were recorded. RESULTS: Overall, next-generation gray Transitions Lenses were associated with the greatest improvement in VRQOL compared to clear or purple lenses. The gray lens proved statistically superior to the clear lens, across four of the five subscales. When given the choice of which lens they would like to continue to wear, 85% (23 of 27) of the patients preferred the gray lens. No statistically significant difference was observed between the gray lens and the study purple lens. CONCLUSIONS: Next-generation gray Transitions Lenses offer patients significant and clinically meaningful improvements in VRQOL, and are superior to clear lenses. A patient's overall visual experience is best served by proper product selection to provide optimal visual acuity and VRQOL performance
PMID: 12144231
ISSN: 0733-8902
CID: 39418

Sympathetic and parasympathetic pupillary dysfunction in familial dysautonomia

Dutsch, M; Hilz, M J; Rauhut, U; Solomon, J; Neundorfer, B; Axelrod, F B
Objective assessment of autonomic dysfunction in familial dysautonomia (FD) is largely based on the analysis of cardiovascular responses to challenge maneuvers such as orthostatic stress. Infrared pupillometry (IPM) provides an additional reliable method for cranial autonomic evaluation and has the advantage of requiring minimal cooperation.This study was performe to determine whether IPM contributes to the assessment of autonomic function in FD patients.In 14 FD patients and 14 healthy controls, we studied absolute and relative light reflex amplitude, pupillary constriction velocity (v(constr)), pupillary diameter, early and late pupillary re-dilatation velocity (v(dil 1), v(dil 2)) after dark adaptation. Prior to IPM, all patients had an ophthamological examination to evaluate refraction and corneal integrity.In comparison to controls, patients had a significant reduction of the parameters reflecting parasympathetic pupillary function (absolute light reflex amplitude 1.34plus minus0.21 vs. l.86plus minus0.14 mm, relative light reflex amplitude 22.74plus minus7.11% vs. 30.76plus minus3.57%, v(constr) 3.75plus minus1.09 vs. 5.80plus minus0.59 mm/s) and of the parameters reflecting sympathetic pupillary function (diameter 5.69plus minus0.66 vs. 6.35plus minus0.60 mm, v(dil 1) 1.29plus minus0.23 vs. 1.95plus minus0.23 mm/s, v(dil 2) 0.64plus minus0.13 vs. 0.72plus minus0.l2 mm/s; Mann--Whitney U-test: p<0.05).The non-invasive technique of IPM demonstrates dysfunction not only of the cranial parasympathetic, but also of the cranial sympathetic nervous system and, thus, further characterizes autonomic dysfunction in FD
PMID: 11867078
ISSN: 0022-510x
CID: 25656

Solving age-related contact lens problems

Siegel, IM; Solomon, JM
The baby-boom generation is becoming middle-aged, adding to an already large population of seniors. This middle-aged generation has many established contact lens wearers, as well as new contact lens candidates. Characterized by good health, longevity, and vigorous recreational activities, an increasing number of older patients are demanding contact lenses. But age- related ocular changes are known to affect both visual function and lens tolerance. We discuss the most common optical and ocular problems associated with the aging eye and how they may affect lens wear. We suggest specific changes in lens design parameters to solve lens-tolerance problems
ISSN: 1181-6058
CID: 637482

Hypotonus cyclodialysis cleft following suture fixation of a posterior chamber intraocular lens [Case Report]

Small EA; Solomon JM; Prince AM
A 63-year-old man developed hypotony due to a cyclodialysis cleft after suture fixation of a posterior chamber intraocular lens. Since medical management and argon laser photocoagulation were unsuccessful, a direct cyclopexy was performed. The intraocular pressure returned to normal postoperatively, and gonioscopy confirmed closure of the cleft. To our knowledge, this is the first case report of cyclodialysis complicating ciliary sulcus fixation of a posterior chamber lens
PMID: 8183506
ISSN: 0022-023x
CID: 6521

Acanthamoeba keratitis masquerading as corneal homograft rejection. Case report [Case Report]

Solomon JM; Hyndiuk RA; Koenig SB; Gradus MS
PMID: 3310984
ISSN: 0003-9950
CID: 26015

Acanthamoeba keratitis associated with gas-permeable contact lens wear [Case Report]

Koenig SB; Solomon JM; Hyndiuk RA; Sucher RA; Gradus MS
PMID: 3591884
ISSN: 0002-9394
CID: 26016

Removal of closed-loop anterior chamber intraocular lenses during penetrating keratoplasty

Koenig SB; Solomon JM
PMID: 3315455
ISSN: 0277-3740
CID: 66227