Purpose: To investigate the ability of a portable pupillometer, capable of 20-second binocular recordings of the swinging flashlight test (SFT), to detect relative afferent pupillary defects (rAPDs).
Methods: Pupillary response curves were recorded from both eyes in healthy volunteers (n = 22) with and without simulated rAPDs (using neutral density filters (NDFs)) and in abnormal patients (n = 24) with clinically graded rAPDs. The light stimulus (0.
J Cataract Refract Surg
October 2007
A 53-year-old woman developed pupillary block glaucoma associated with iris capture of a piggyback intraocular lens (IOL) that was treated with laser peripheral iridotomy. The piggyback IOL was repositioned by dilating the iris pharmacologically and reclining the patient. The IOL maintained its proper position behind the iris with the use of low-concentration pilocarpine eyedrops.
View Article and Find Full Text PDFA 76-year-old man developed a sudden painless superior field defect in the right eye, retinal whitening along the inferior temporal arcade, and fluorescein angiographic evidence of lobular choroidal non-perfusion. One week later, ophthalmoscopy revealed inferior optic nerve edema with splinter hemorrhages consistent with an anterior ischemic optic neuropathy (AION) and a new cholesterol plaque near the macula. There was no clinical, serologic, or pathologic evidence of giant cell arteritis.
View Article and Find Full Text PDFPurpose: To report the management of a patient with the longest reported interval between intraocular surgery and the development of epithelial downgrowth.
Methods: A 53-year-old man who underwent right eye penetrating keratoplasty in 1970 for keratoconus and removal of an iris cyst in 1977 developed epithelial downgrowth 25 years after cyst removal.
Results: The area of epithelial downgrowth was initially treated with cryotherapy.