Regional anesthesia with monitored anesthesia care for surgical repair of selected open globe injuries.

Background And Objective: To investigate clinical features and visual acuity outcomes associated with the use of regional anesthesia with monitored anesthesia care (RA/MAC) versus general anesthesia for open globe injuries in adult reparable eyes.

Patients And Methods: Retrospective, consecutive case series including all adults with open globe injuries repaired at Bascom Palmer Eye Institute between 2000 and 2003.

Results: The study included 238 eyes of 238 patients with a median age of 41 years.

Clinical applications of optical coherence tomography for the diagnosis and management of macular diseases.

Optical coherence tomography provides high-resolution cross-sectional images of macular pathology in vivo. Owing to its noninvasive noncontact nature and use of near-infrared illumination of the fundus, it is well tolerated by patients. The images can be obtained without dilation and are highly reproducible,quantifying retinal thickness with an axial resolution of 10 microm.

Hereditary motor and sensory neuropathy type VI with optic atrophy.

Purpose: To present the detailed clinical findings of a large family with hereditary motor and sensory neuropathy type VI (HMSN VI), a syndrome featuring optic atrophy.

Design: Observational case series.

Methods: A detailed history was obtained and physical examination was made of the extended family of the proband for evidence of neurologic dysfunction.

North Carolina macular dystrophy: clinicopathologic correlation.

Purpose: To describe the clinical and histopathologic findings in a 72-year-old woman with North Carolina macular dystrophy.

Methods: Clinical examination was performed by slit-lamp biomicroscopy, indirect ophthalmoscopy, color fundus photography, and focal electroretinography. Histopathologic examination of the enucleated left eye consisted of light microscopy.