A prospective study of the longitudinal effects of an embedded specialty curriculum on physical examination skills using an ophthalmology model.

Purpose: To prospectively evaluate effects of a longitudinal specialty curriculum on acquisition and retention of ophthalmic screening examination skills in a single class across three years of medical school (2004-2007).

Method: Immediately after initial Year 2 skills training, preceptors evaluated students' (N=84) acquisition of basic eye screening examination skills. Similarly, the students self-assessed their skills.

.008% timolol ophthalmic solution. A minimal-effect dose in a normal volunteer model.

A double-masked, randomized, placebo-controlled, rising-dose, single-dose study was undertaken to assess the effect of low concentrations of timolol maleate ophthalmic solution (0.008%, 0.025%, 0.

Conjunctival myxoma. A clinicopathologic study.

A 54-year-old white man had a slowly growing painless epibulbar mass that clinically mimicked a lymphangioma. Morphologically, the paucicellular tumor contained stellate and spindly cells, mast cells, and dilated lymphatic channels embedded in a loose collagenous matrix. The clinical differential diagnosis included lymphangioma, amelanotic nevus, lymphoma, reactive lymphoid hyperplasia, dermoid, lipoma, and botryoid rhabdomyosarcoma.

Treatment of large von Hippel tumors by eye wall resection.

Two large angiomas (greater than 3 disc diameters) in two patients with von Hippel disease were removed successfully by eye wall resection. The resection of angioma in the first case resulted in improved visual acuity from counting fingers to 20/140, decreased exudates, and cessation of preoperative diffuse retinal capillary leakage observed by fluorescein angiography. The resection in the second case with pre-existing local tractional retinal detachment was tolerated well.