PURPOSE To present a case series on the use of dexmedetomidine (Precedex) sedation in painful posterior segment surgery performed under topical anesthesia, similar to its use in cataract surgery. METHODS A prospective review of cases that had posterior segment surgery under topical anesthesia and that needed sedation. Dexmedetomidine-loading infusion was 1 mcg/kg over 10 minutes, followed by ...

The use ofintravitreal air, first mentioned by Arruga (I 936), is not popular in the treatment ofaphakic retinal detachments for two basic reasons: (I) The air may move the iris diaphragm forwards-causing an angle-block glaucoma. (2) The air itselfmay escape into the anterior chamber and remain there. The injection of air in cases of phakic retinal detachment is well known (Rosengren, I938), bu...

PURPOSE To investigate factors that may influence successful correction of hypotony in a consecutive series of patients with cyclodialysis clefts repaired surgically over a 10-year period. DESIGN Retrospective interventional case series. METHODS Interventional case series of consecutive patients with cyclodialysis clefts and hypotony treated surgically after failure of conservative treatmen...

Accepted for publication 24 November 1993 Case report A 55-year-old white man presented with an 8 month history of poor vision in the left eye. He had a history of mild asthma and 2 years previously had suffered a subarachnoid haemorrhage caused by a left middle cerebral artery aneurysm which was subsequently clipped. There was no visual disturbance associated with the subarachnoid haemorrhage....

J Gonin changed the entire concept of pathogenesis of retinal detachment and identified retinal breaks as the cause of retinal detachments1. He developed the surgical technique of drainage of subretinal fluid beneath the retinal break combined with direct treatment of the break by transscleral cautery (ignipuncture) with a success rate of 40%2. The invention of binocular indirect ophthalmoscope...

Retinal detachment with a break at the pars plicata associated with congenital malformation of lens-zonule-ciliary body complex is rare; most reports are of young Japanese male patients with atopic dermatitis. The present case report is the first to describe the condition in a Chinese patient with no atopic dermatitis or trauma history. A 22-year-old male presented with blurred vision in the le...

lesponses of the cells involved in &is process tue no, mmpletiy cleared. lk main goal of lhis study was to determine lipid pemxldation pmducu in tis fluid and uy IO establish any possible correlation with the differen, climcal feamres of the patients. spe&lly regarding myopia. since myopc patients sulk rctiml detachment 8.lold mat frequently lhan mm miopic pa&r&. MEIHODS: 38 patients (,9 men an...