Neovascular glaucoma. Current management

Neovascular glaucoma is one the most difficult forms of glaucoma to treat successfully. Recent advances modifying filtration surgery can result in up to 77% success. Utilization of anterior and posterior segment photocoagulation can maintain an open angle in up to 80% of eyes when they are treated prior to angle closure by peripheral anterior synechiae. Destruction of the ciliary body can be performed more selectively utilizing argon and ruby lasers. This paper presents a rational approach to the management of neovascular glaucoma incorporating these recent advances.     

Long-term treatment with Pilogel/β-blocker in glaucoma patients

In a multicentre clinical trial thirteen patients with primary open angle glaucoma or ocular hypertension were followed during at least six months while selfinstilling Pilogel (once daily) and topical -blocker (twice daily). After six months of combination therapy there was an average decrease in intra-ocular pressure (IOP) of 33.6% 9.5 hours after Pilogel administration and an IOP decrease of 23.4% 22.5 hours after Pilogel administration. With topical -blocker alone, an average IOP decrease of 15% was measured. Throughout the study we observed in six patients (46.1%) a superficial punctate keratitis which mostly spontaneously cleared. We did not see any serious side-effects after six months of combination therapy.     

Abnormal length of cilia—a cause of primary ciliary dyskinesia—a case report

A 7-year-old Turkish boy had suffered from chronic coughing from early childhood. Severe bronchiectasis in the right lung was confirmed by bronchography. Ciliary beat frequency determined in a bronchial mucosal biopsy was markedly decreased (5.7 Hz). Electron microscopy revealed cilia with a length of 15 m. No structural abnormality was found. A possible link between the abnormally long, slow beating cilia and the clinical symptoms is discussed.     

激光治疗闭角型青光眼

目的：评价激光虹膜切除治疗闭角型青光眼临床疗效。方法：应用Nd：YAG激光于上方或下方作周边虹膜切除。结果：107例122眼闭角型青光眼术后经过2—106月随访观察，成功115眼，失败7眼。结论：激光虹膜切除术治疗闭角型青光眼安全、有效。     

针灸治疗青光眼的临床及实验研究进展

综述了近10年针灸治疗青光眼的临床及实验研究进展。     

青光眼小梁切除手术并发症及预防

目的 探讨青光眼小梁切除引起并发症的相关因素及其预防措施。方法 回顾性分析我院１９９４的９月 ￣１９９４年１２月住院行眼小梁切除术的连续病人５０例共６４只眼,其中３２只眼进行了较长期随访,观察眼压,视力、晶状体和滤枕形态,平均随访期为３５．５７月。结果 近期手术成功率９３．７５％,随着随访时间延长,不加经物控制眼压的有效率降低至４６．８７％,加用眼药后有效率为９６．８８％,术后前房延缓形成的发生率     

Primary Mitral Valve Sarcoma in Infancy

Primary cardiac sarcoma is a rare tumor, found especially in children, particularly in the left side of the heart. This report describes a rare case of primary mitral valve sarcoma in a 7-month-old male infant with hemiparesis and heart murmur who underwent mitral valve replacement because of excessive invasion of the mitral valve by the tumor. The patient remains well, free of recurrence and cerebral metastasis, and without adjuvant therapy 18 months after the operation.     

脾脏原发性恶性肿瘤

报告原发性脾脏恶性肿瘤7例。临床以左上腹不适，左上腹肿块及体重下降、发热、贫血、白细胞减少及血小板减少为主要特点。病理以淋巴系统及血管源性恶性肿瘤多见。治疗以手术和化疗等手段为主。早期发现、早期手术对提高疗效是非常重要的。     

脑疝复位天幕切开与常规手术治疗重型脑外伤脑疝的临床对照研究

目的　比较脑疝复位天幕裂孔切开与常规去骨瓣手术治疗重型脑外伤引起脑挫裂伤脑水肿、颅内血肿出现脑疝晚期患者的手术效果。方法　共收治重型脑外伤脑疝晚期患者5 6例,分为2组:脑疝复位组31例;常规手术组2 5例。患者术前GCS计分均为3～5分、双瞳孔散大或有不同程度散大,所有患者都经头颅CT扫描确定脑损伤情况。结果　患者术后存活者随访1a ,脑疝复位组:恢复良好/中残1 0例、重残/长期昏迷7例、死亡1 4例(45 %) ;常规手术组:恢复良好/中残1例、重残/长期昏迷3例、死亡2 1例(84 %) (P <0 .0 5 )。脑疝复位组术后大脑后动脉梗死、应激性溃疡、脑积水发生率明显低于常规手术组(P均<0 .0 5 )。结论　脑疝复位天幕裂孔切开治疗重型脑外伤引起脑挫裂伤脑水肿、颅内血肿出现脑疝晚期患者疗效明显优于常规去骨瓣手术。