[Local anesthesia with accidental perforation of the eye--an acute emergency?].

Abstract:

:A report on 3 instances of accidental injection of lidocaine into the eye. Among the immediate reactions were (1) development of corneal edema due to an abrupt rise in intraocular pressure, (2) dilatation and paralysis of the pupil, (3) decrease of visual acuity to light perception. In 2 of the patients pupillary reaction and retinal function recovered completely; the third developed a permanent field defect. The effects of intraocular injection of lidocaine, epinephrine and hyaluronidase were subsequently studied in an animal model. The corneal and pupillary reactions of the animals correlated with those of the 3 patients. The b-wave of the electroretinogram, representing the function of the internal retinal layers, was temporarily extinguished but recovered completely after 4 hours. Subsequent light and electron microscopic study of the animal retinas did not reveal any drug induced damage. Following intraocular injection of lidocaine, epinephrine, or hyaluronidase permanent damage to the retina or irreversible reduction in visual acuity was observed neither in the first 2 patients nor in the animals.

journal_name

Klin Monbl Augenheilkd

authors

Lincoff H,Kreissig I

doi

10.1055/s-2008-1050595

subject

Has Abstract

pub_date

1986-02-01 00:00:00

pages

128-32

issue

2

eissn

0023-2165

issn

1439-3999

journal_volume

188

pub_type

杂志文章
  • [Simulation of anterior ischemic optic neuropathy by optic nerve sheath meningioma].

    abstract:BACKGROUND:The optic nerve sheath meningioma usually presents with a diffuse atrophy of the disc and a diffuse depression of the visual field. Applying this rule too rigidly can lead to a false diagnosis. PATIENT:A 45y-old-woman presented with atrophy of the upper disc and a corresponding altitudinal field defect in h...

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    pub_type: 杂志文章

    doi:10.1055/s-2008-1035368

    authors: Guhlmann M,Kommerell G

    更新日期:1995-09-01 00:00:00

  • Late postoperative opacification of hydrogel intraocular lenses: analysis of 13 explanted lenses.

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    journal_title:Klinische Monatsblatter fur Augenheilkunde

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    doi:10.1055/s-0028-1109319

    authors: Katsimpris JM,Theoulakis PE,Kouzi-Koliakos K,Pavlidou E,Petropoulos IK,Koliakos G,Vouroutzis N,Konstas AG

    更新日期:2009-04-01 00:00:00

  • [Biphakia congenita].

    abstract::Two separate lenses were found in the right eye of a 9-year-old boy who underwent surgery for bilateral cataracta congenita perinuclearis. No other ocular anomalies were observed. ...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

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    doi:10.1055/s-2008-1054890

    authors: Gerkowicz K,Toczolowski J

    更新日期:1983-08-01 00:00:00

  • [Posterior segment involvement in HIV-related eye disease after commencement of highly-active antiretroviral therapy (HAART)].

    abstract::The panel of therapeutic options available for the treatment of retroviral disorders has expanded explosively in recent years with the result that it has now become possible to reconstitute the immune function of individuals with advanced HIV-disease to a remarkable degree. The ophthalmologist is thus confronted with ...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章,评审

    doi:10.1055/s-2000-10520

    authors: Garweg JG

    更新日期:2000-02-01 00:00:00

  • [Prognostic significance of histopathologic findings in malignant melanoma of the choroid and ciliary body with special reference to regressive changes].

    abstract::Three hundred twenty-three eyes enucleated because of intraocular tumor were studied. The microscopic features were compared with survival data from 6 to 21 years after surgery, thus permitting the prognostic value of certain findings to be determined. Of the tumors, 299 were malignant melanomas of the choroid (262 ey...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2008-1055271

    authors: Faber W,Kock E

    更新日期:1982-12-01 00:00:00

  • [A training device for intraocular surgery (author's transl)].

    abstract::Description of a new holder for experimental intraocular surgery on human autopsy eyes. Stability of shape and position of the experimental eyes is achieved by a vacuum surrounding the posterior segment. ...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:

    authors: Spitznas M

    更新日期:1976-03-01 00:00:00

  • [Trabeculotomy and trabeculectomy (author's transl)].

    abstract::After recalling the aim of trabeculotomy and trabeculectomy, the author mentions similar techniques, which were in use before the microsurgical era. Some details of the two techniques, performed at Zurich University Eye Clinic exclusively under the operating microscope, are presented, as well as their indications and ...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

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    doi:10.1055/s-2008-1057206

    authors: Martenet AC

    更新日期:1981-04-01 00:00:00

  • [Basic in vitro studies on VEGF inhibition with aflibercept: similarities and differences to other VEGF-binding therapeutic proteins].

    abstract::Patients suffering from various retinal diseases benefit from therapies directed against the vascular endothelial growth factor (VEGF). Aflibercept (Eylea) is another VEGF-binding protein available for intravitreal injection, in addition to the antibody bevacizumab (Avastin) and the F(ab) fragment ranibizumab (Lucenti...

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    doi:10.1055/s-0034-1383142

    authors: Lang GE,Lang GK,Deissler HL

    更新日期:2015-03-01 00:00:00

  • [Silent sinus syndrome: an unusual cause of vertical diplopia].

    abstract:BACKGROUND:Causes of transient vertical diplopia include myasthenia, dysthyroid orbitopathy, multiple sclerosis, decompensation of a pre-existing state. PURPOSE:To describe an unusual cause of transient diplopia, silent sinus syndrome. METHODS:Clinical, radiological and pathology findings from a 55-year-old man with ...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

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    doi:10.1055/s-2008-1034917

    authors: Durig J,Borruat FX,Jaques B

    更新日期:1998-05-01 00:00:00

  • [Tear film diagnosis in contact lens wearers].

    abstract::Contact lenses have an intimate relationship with the precorneal tear film and it is important to attempt to prognosticate the likelihood of successful contact lens wear by evaluating, both quantitative and qualitative aspects of the precorneal tear film. Aspects of history diagnostic methods and general aspects which...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

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    doi:10.1055/s-2008-1046269

    authors: Lemp MA,Gold JB

    更新日期:1990-09-01 00:00:00

  • [Mid- and Longterm Experiences with the Boston-Keratoprosthesis. The Cologne and Salzburg Perspective].

    abstract::Background Eyes with severe corneal opacifications and insufficient prognosis for high-risk corneal transplantation can be considered for the implantation of a Boston-keratoprosthesis. Since 2013, this technique of "artificial" corneal replacement is provided to high-risk eyes at the Department of Ophthalmology, Unive...

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    pub_type: 杂志文章

    doi:10.1055/s-0043-110572

    authors: Schaub F,Bachmann BO,Seyeddain O,Moussa S,Reitsamer HA,Cursiefen C

    更新日期:2017-06-01 00:00:00

  • [Ocular pulse amplitude during manipulation of systemic perfusion parameters].

    abstract:BACKGROUND:The mechanism for the control of choroidal perfusion is unclear. The present study was designed to investigate for the effect of standardized alteration of systemic perfusion parameters on choroidal hemodynamics in healthy volunteers. METHODS:Intraocular pressure (IOP; German abbreviation: IOD), Ocular Puls...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2008-1034980

    authors: Schmidt KG,von Rückmann A,Klingmüller V,Becker R,Pillunat LE,Mittag TW

    更新日期:1998-10-01 00:00:00

  • Follicular conjunctivitis caused by a mantle cell lymphoma.

    abstract:BACKGROUND:Lymphoma of the conjunctiva as part of a systemic disease is rare. The follicular appearance of the lymphocyte hyperplasia may mimic the clinical picture of infectious or allergic conjunctivitis. We report on a case of marked chronic follicular conjunctivitis, finally diagnosed as mantle cell lymphoma. HIST...

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    更新日期:2004-05-01 00:00:00

  • [Tumor regression in malignant choroidal melanomas after transpupillary thermotherapy (TTT) versus ruthenium brachytherapy and sandwich therapy - a comparative analysis].

    abstract:PURPOSE:The aim of this study was to evaluate tumour regression in a large series of choroidal melanomas, which were treated with three different eye-sparing treatment modalities. PATIENTS AND METHODS:Retrospective review of the treatment results in all eyes with malignant choroidal melanoma, which were treated in the...

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    authors: Stoffelns BM,Schoepfer K,Jochem T,Faldum A

    更新日期:2010-04-01 00:00:00

  • [Prognostic relevance of histopathologic parameters in malignant melanoma of the choroid using the pTNM classification].

    abstract::On the basis of data collected over a period of 22 years from 376 patients enucleated at the Eye Clinic of Karl Marx University, Leipzig because of malignant choroidal melanoma, the prognostic significance and reliability of various histopathological characteristics was investigated. The most significant characteristi...

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    pub_type: 杂志文章

    doi:10.1055/s-2008-1050116

    authors: Göllnitz R,Lommatzsch PK

    更新日期:1988-04-01 00:00:00

  • [Post-surgical treatment after non-penetrating glaucoma surgery: the goniopuncture].

    abstract::Non-penetrating glaucoma surgery was primarily developed as an alternative to the widely applied trabeculectomy. Since the anterior chamber in non-penetrating surgery is not directly opened, common postoperative complications such as hypotony are rare. The most frequently applied technique in this group is the deep sc...

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    pub_type: 杂志文章,随机对照试验

    doi:10.1055/s-0033-1351060

    authors: Gesser C,Klemm M

    更新日期:2014-06-01 00:00:00

  • [Modified moisture chamber].

    abstract:BACKGROUND:Moisture chambers can protect the eye in corneal lubrication or eyelid closure disorders. However, in cases with protrusio bulbi or pronounced chemosis conjunctivae direct damaging contact of the cornea or conjunctiva on the one hand and the inside of the moisture-chamber-bandage on the other hand are possib...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2008-1034745

    authors: Winter M,Kandzia C

    更新日期:1999-01-01 00:00:00

  • [Effect of pupil size on longitudinal focal distribution after photorefractive keratectomy ].

    abstract:BACKGROUND:Optical aberrations induced by the transition zone of a myopic photorefractive keratectomy (PRK) may degrade the image quality. The subjectively evaluated visual acuity and contrast sensitivity may be reduced significantly especially with mydriasis. The purpose of this study was to calculate the image formin...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

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    doi:10.1055/s-2001-16297

    authors: Viestenz A,Seitz B,Langenbucher A

    更新日期:2001-07-01 00:00:00

  • [Intravitreal anti-VEGF treatment of choroidal neovascularization (CNV) in pathological myopia (PM): a review].

    abstract::Anti-VEGF injections are widely used "off-label" for the treatment of choroidal neovascularization secondary to pathological myopia based on data generated by multiple case series with small sample sizes. In this review we have analyzed the results of case series with at least 20 patients and a follow-up of ≥ 12 month...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章,meta分析,评审

    doi:10.1055/s-0034-1368289

    authors: Hefner L,Gerding H

    更新日期:2014-04-01 00:00:00

  • Reattachment of Descemet's membrane using C3F8 gas in an eye with a Baerveldt aqueous shunt.

    abstract::Descemetʼs membrane detachment (DMD) is a rare complication following cataract and glaucoma surgery as well as lamellar graft procedures. DMD can lead to blurry vision, halos and severe visual loss. Clinically, when there is a large central detachment, a double anterior chamber is seen to form. In this scenario, surgi...

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    pub_type: 杂志文章

    doi:10.1055/s-0032-1328333

    authors: Wimmersberger Y,Bergin C,Sharkawi E

    更新日期:2013-04-01 00:00:00

  • [Experiences with anterior chamber lens implantation following intracapsular cataract extraction].

    abstract::The present paper reports on experience gathered with the first 140 implantations of the Kelman II anterior chamber lens following intracapsular cataract extraction (ICCE). The technique of ICCE combined with lens implantation is described; the possible complications and the advantages of this new lens type are pointe...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2008-1054555

    authors: Clemente P

    更新日期:1984-06-01 00:00:00

  • [The iridociliary suture (author's transl)].

    abstract::During a trabeculectomy it is possible to interfere with the boundary between the iris and the ciliary body-that is with the iridociliary suture. The author describes some special features of this region which can be recognized through the operating microscope, with allusions to some aspects of optical microscopy. ...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:

    authors: Moro F

    更新日期:1977-12-01 00:00:00

  • [Bilateral congenital microblepharon with ectropion and microphthalmus (author's transl)].

    abstract::A very rare combination of congenital malformations of the eyelids and eyes in a 6-month-old boy is reported. The main symptoms are a bilateral microblepharon associated with ectropion and bilateral aphakic microphthalmus. The pathogenesis of these changes is discussed. ...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2008-1057334

    authors: Klauss V,Mnyalla ND,Dechant W,Riedel K

    更新日期:1981-11-01 00:00:00

  • [The slit-lamp as operating microscope a personal device (author's transl)].

    abstract::Instead of the operating doublemicroscope described by Harms the Zeiss slit-lamp was suspended on the microscope stand by means of two special couplings in form of two stairs, so that the biomicroscopy in the optic section can be performed also when operating, especially in surgery of the retina when using contact gla...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:

    authors: Kleberger E

    更新日期:1977-05-01 00:00:00

  • Treating Fungal Keratitis with Oral Voriconazole Only: A Case Series.

    abstract:BACKGROUND:To report the clinical effect of oral voriconazole only as a treatment for fungal keratitis. HISTORY AND SIGNS:Three patients (1 female and 2 males) with culture-proven fungal keratitis (1 Mucoraceae, 1 Aspergillus, 1 Fusarium) were included in this study. The patients were treated with oral voriconazole 20...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/a-1268-9168

    authors: Chen D,Tan S,Zou W

    更新日期:2021-01-01 00:00:00

  • [Retinopathy of prematurity].

    abstract::This review summarizes the knowledge and highlights recent advances in clinical research of retinopathy of prematurity (ROP). This disease is still important, because improvements in neonatal intensive care during the last years have increased the survival of the most immature newborns, but did not diminish the ROP fr...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章,评审

    doi:10.1055/s-2004-812886

    authors: Jandeck C,Kellner U,Foerster MH

    更新日期:2004-03-01 00:00:00

  • [Intrastromal keratorhexis with the Nd:YAG laser--a possible method of refractive surgery?].

    abstract::A new method of refractive corneal surgery is presented. With the q-switched Nd:YAG-laser Visulas (Zeiss-Oberkochen) we succeed in altering the optical power of the cornea of rabbits, pigs and humans. The number of applied laser spots and the distribution pattern influence the way and the amount of change of refractio...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2008-1046315

    authors: Höh H,Becker KW

    更新日期:1990-12-01 00:00:00

  • [A long-term study of morphological and functional developments after central serous chorioretinitis].

    abstract::Of 163 patients suffering from central serous chorioretinopathy, 40 who had been treated by light coagulation and 40 who had been treated conservatively were selected at random. They were examined at intervals averaging 5.7 and 4.6 years respectively after the initial treatment. Central visual acuity, central visual f...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2008-1054851

    authors: Fuhrmeister H

    更新日期:1983-06-01 00:00:00

  • [Pressure lowering effect and side effects of 0.5% and 1.0% levobunolol eyedrops, compared with 0.5% timolol eyedrops in patients with open-angle glaucoma].

    abstract::Fifty patients with open-angle glaucoma were treated twice daily for one year with topical 0.5% levobunolol, 1% levobunolol, or 0.5% timolol. Both concentrations of levobunolol were as effective as timolol in reducing intraocular pressure over the one-year period. At the concentrations tested, levobunolol and timolol ...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1055/s-2008-1054395

    authors: Stryz JR,Merté HJ

    更新日期:1985-12-01 00:00:00

  • [Enhancements after Refractive Corneal Surgery].

    abstract::This review article focusses on the management of enhancements after corneal refractive laser surgery. Fundamental issues regarding enhancement embrace identification of the underlying reason for postoperative ametropia, assurance of stability of refraction, type of primary refractive laser treatment and thorough eval...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章,评审

    doi:10.1055/a-1148-2744

    authors: Kook D,Mayer WJ,Shajari M,Steinwender G,Kohnen T

    更新日期:2020-07-01 00:00:00