当前位置： SCI文献检索 > OPHTHALMOLOGY期刊下所有文献 > The management of corneal perforations associated with rheumatoid arthritis. An analysis of 32 eyes.

The management of corneal perforations associated with rheumatoid arthritis. An analysis of 32 eyes.

Abstract：

BACKGROUND:Sterile corneal ulceration is a rare complication of rheumatoid arthritis and may lead to corneal perforation. Surgical management for visual restoration frequently is unsuccessful. The authors analyze the factors that may determine the failure of corneal surgery in perforations associated with rheumatoid arthritis. METHOD:The management of 29 patients with rheumatoid arthritis with corneal perforations requiring surgical intervention was reviewed. The corneal lesions were classified either as necrotizing keratitis (n = 20) or as ulcers secondary to surface disease (n = 12), depending on the most evident primary pathology. The outcome of different methods for primary repair (i.e., application of tissue adhesive, lamellar graft, or penetrating keratoplasty) and graft survival in penetrating keratoplasties were analyzed. RESULTS:Fifty-seven corneal procedures were performed in 32 eyes. Primary repair was successful (i.e., no further corneal surgery within 6 months was required) in five eyes (25%) with necrotizing keratitis and in eight eyes (67%) with perforations secondary to surface disease. The application of tissue adhesive, when planned as long-term treatment, was unsuccessful in all five eyes. Immunosuppression significantly improved the survival of first penetrating grafts (42% graft survival after 1 year versus 11% without immunosuppression, P = 0.02). Of 25 graft failures, 20 (80%) were caused by recurrent melts up to 6 months after penetrating keratoplasty. Ocular surface infection was responsible for failure in six of ten grafts after that time. CONCLUSION:Complications of corneal surgery in rheumatoid corneal perforations are frequent. The type of surgical procedure, the predominant pathogenic mechanism, and the perioperative immune status influence the outcome. The control of corneal melting and the prevention of surface infection are critical for graft survival.

journal_name

Ophthalmology

journal_title

Ophthalmology

authors

Bernauer W,Ficker LA,Watson PG,Dart JK

doi

10.1016/s0161-6420(95)30867-6

subject

Has Abstract

pub_date

1995-09-01 00:00:00

pages

1325-37

issue

9

eissn

0161-6420

issn

1549-4713

pii

S0161-6420(95)30867-6

journal_volume

102

pub_type

杂志文章

相关文献

OPHTHALMOLOGY文献大全
  • Molteno implantation for secondary glaucomas associated with advanced epithelial ingrowth.

    abstract：:Nine patients with advanced epithelial ingrowth underwent Molteno implantation for medically uncontrollable secondary glaucomas. Substantial reductions in intraocular pressures (IOPs) were observed in most patients (preoperative IOPs ranged from 5 to 48 mmHg [mean +/- standard deviation, 33.6 +/- 14.6 mmHg]; postopera...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/s0161-6420(90)32541-1

    authors： Fish LA,Heuer DK,Baerveldt G,Minckler DS,McDonnell PJ

    更新日期：1990-05-01 00:00:00

  • Prognostic accuracy of the mean of the largest nucleoli, vascular patterns, and PC-10 in posterior uveal melanoma.

    abstract：OBJECTIVE:This study aimed to compare the prognostic value and the predictive accuracy of the PC-10 cell cycling marker with the largest tumor diameter, the mean of the largest nucleoli, and vascular patterns in posterior uveal melanoma. DESIGN:The study design was a case-control study. PARTICIPANTS:Eyes enucleated f...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/S0161-6420(98)93032-9

    authors： Seregard S,Spångberg B,Juul C,Oskarsson M

    更新日期：1998-03-01 00:00:00

  • Objective measurement of corneal light scattering after excimer laser keratectomy.

    abstract：PURPOSE:To obtain objective measurements of corneal light scattering after excimer laser keratectomy, and to evaluate the relation of light scattering to clinical haze grading and visual acuity. METHODS:The authors measured best-corrected visual acuity, subjective clinical haze grade, and corneal light-scattering inde...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/s0161-6420(96)30674-x

    authors： Braunstein RE,Jain S,McCally RL,Stark WJ,Connolly PJ,Azar DT

    更新日期：1996-03-01 00:00:00

  • Serous Retinopathy Associated with Mitogen-Activated Protein Kinase Kinase Inhibition (Binimetinib) for Metastatic Cutaneous and Uveal Melanoma.

    abstract：PURPOSE:To analyze the clinical characteristics of a serous retinopathy associated with mitogen-activated protein kinase kinase (MEK) inhibition with binimetinib treatment for metastatic cutaneous melanoma (CM) and uveal melanoma (UM), and to determine possible pathogenetic mechanisms that may lead to this retinopathy....

    journal_title：Ophthalmology

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.ophtha.2015.05.027

    authors： van Dijk EH,van Herpen CM,Marinkovic M,Haanen JB,Amundson D,Luyten GP,Jager MJ,Kapiteijn EH,Keunen JE,Adamus G,Boon CJ

    更新日期：2015-09-01 00:00:00

  • Factors prompting sneezing in intravenously sedated patients receiving local anesthetic injections to the eyelids.

    abstract：PURPOSE:To investigate the frequency of sneezing among patients receiving intravenous sedation and periocular local anesthetic for oculoplastic procedures in a single center. To identify potential risk factors involved. DESIGN:Prospective, consecutive, interventional case series in a single tertiary-referral oculoplas...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/j.ophtha.2009.09.007

    authors： Morley AM,Jazayeri F,Ali S,Malhotra R

    更新日期：2010-05-01 00:00:00

  • Genetic polymorphisms in DNA repair genes OGG1, APE1, XRCC1, and XPD and the risk of age-related cataract.

    abstract：PURPOSE:To analyze the association of the polymorphisms in 8-oxoguanine glycosylase-1 (OGG1), X-ray repair cross-complementing-1 (XRCC1), and AP endonuclease-1 (APE1) genes in the base excision repair pathway and xeroderma pigmentosum complementation group D (XPD) in the nucleotide excision repair pathway with the risk...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/j.ophtha.2011.11.004

    authors： Zhang Y,Zhang L,Song Z,Sun DL,Liu HR,Fu SB,Liu DR,Liu P

    更新日期：2012-05-01 00:00:00

  • Monthly versus as-needed ranibizumab injections in patients with retinal vein occlusion: the SHORE study.

    abstract：OBJECTIVE:To compare pro re nata (PRN) and monthly injections of 0.5 mg ranibizumab in retinal vein occlusion (RVO) patients stabilized by monthly injections. DESIGN:Randomized, open-label, vision-examiner masked, 15-month study. PARTICIPANTS:Subjects with macular edema secondary to branch or central RVO. METHODS:Su...

    journal_title：Ophthalmology

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.ophtha.2014.06.011

    authors： Campochiaro PA,Wykoff CC,Singer M,Johnson R,Marcus D,Yau L,Sternberg G

    更新日期：2014-12-01 00:00:00

  • Is there a racial difference in physiologic cup size?

    abstract：:Although many clinicians believe that there is a racial difference in the size of the physiologic cup, this premise has not been studied. To evaluate this, we prospectively examined 100 black and 100 white volunteers. Stereoscopic optic disc photographs taken of each subject were masked to block out the fundus pigment...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/s0161-6420(85)33942-8

    authors： Beck RW,Messner DK,Musch DC,Martonyi CL,Lichter PR

    更新日期：1985-07-01 00:00:00

  • Outcomes of changing immunosuppressive therapy after treatment failure in patients with noninfectious uveitis.

    abstract：PURPOSE:To evaluate the outcomes of changing immunosuppressive therapy for noninfectious uveitis after failure. DESIGN:Retrospective cohort study. PARTICIPANTS:Patients with noninfectious uveitis managed at 2 tertiary uveitis clinics in the United Kingdom and Australia. METHODS:Participants with a history of using i...

    journal_title：Ophthalmology

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.ophtha.2013.11.032

    authors： Joshi L,Talat L,Yaganti S,Sandhu S,Taylor SR,Wakefield D,McCluskey P,Lightman S

    更新日期：2014-05-01 00:00:00

  • Topical mitomycin-C for partially excised conjunctival squamous cell carcinoma.

    abstract：PURPOSE:To evaluate the efficacy of topical mitomycin-C (MMC) for treatment of postoperative residual conjunctival squamous cell carcinoma (SCC). DESIGN:Retrospective noncomparative case series. PARTICIPANTS:Five patients, two males and three females, with conjunctival and histologically proven incompletely excised c...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/s0161-6420(01)00967-8

    authors： Frucht-Pery J,Rozenman Y,Pe'er J

    更新日期：2002-03-01 00:00:00

  • Three-year results of the Prospective Evaluation of Radial Keratotomy (PERK) Study.

    abstract：:The Prospective Evaluation of Radial Keratotomy (PERK) study is a nine-center clinical trial of a standardized technique of radial keratotomy in 435 patients who had simple myopia with a preoperative refractive error between -2.00 and -8.00 diopters (D). The authors report results for one eye of each patient. The surg...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/s0161-6420(87)80021-0

    authors： Waring GO 3rd,Lynn MJ,Culbertson W,Laibson PR,Lindstrom RD,McDonald MB,Myers WD,Obstbaum SA,Rowsey JJ,Schanzlin DJ

    更新日期：1987-10-01 00:00:00

  • Systemic soluble tumor necrosis factor receptors 1 and 2 are associated with severity of diabetic retinopathy in Hispanics.

    abstract：PURPOSE:To investigate the associations of serum amyloid A (SAA) protein and soluble tumor necrosis factor receptors 1 and 2 (sTNF-R1 and sTNF-R2) with diabetic retinopathy (DR) in Hispanics. DESIGN:Prospective, nonrandomized, cross-sectional, family-based observational cohort study. PARTICIPANTS:A total of 473 Hispa...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/j.ophtha.2011.10.040

    authors： Kuo JZ,Guo X,Klein R,Klein BE,Cui J,Rotter JI,Ipp E,Chen YD

    更新日期：2012-05-01 00:00:00

  • Purtscher's-like retinopathy in chronic renal failure.

    abstract：PURPOSE:The authors describe the clinical findings of three young women with the previously unreported association of Purtscher's-like retinopathy and chronic renal failure. METHODS:The authors reviewed the clinical records of three women with chronic renal failure who had been seen at the Oregon Health Sciences Unive...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/s0161-6420(92)31716-6

    authors： Stoumbos VD,Klein ML,Goodman S

    更新日期：1992-12-01 00:00:00

  • A fluorescein angiographic study of patients with pars planitis and peripheral exudation (snowbanking) before and after cryopexy.

    abstract：BACKGROUND:Transconjunctival cryopexy of the vitreous base is clinically effective in patients with steroid nonresponsive pars planitis who have peripheral neovascularization. Cryoablation of the region previously has been thought to eliminate the areas of permeable neovascular tissue, thus removing the focus of exudat...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/s0161-6420(13)31726-6

    authors： Josephberg RG,Kanter ED,Jaffee RM

    更新日期：1994-07-01 00:00:00

  • Surgical management of subfoveal neovascularization in children.

    abstract：OBJECTIVE:To report the authors' clinical experience with submacular surgery for subfoveal membranes in children and to evaluate the histopathologic findings of membranes in children with various etiologies of choroidal neovascularization. DESIGN:Retrospective, noncomparative, interventional case series. PARTICIPANTS...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/S0161-6420(99)00510-2

    authors： Sears J,Capone A Jr,Aaberg T Sr,Lewis H,Grossniklaus H,Sternberg P Jr,DeJuan E

    更新日期：1999-05-01 00:00:00

  • The Boston type I keratoprosthesis: improving outcomes and expanding indications.

    abstract：PURPOSE:To report the usefulness of the Boston type I keratoprosthesis (Massachusetts Eye and Ear Infirmary, Boston, MA) in the management of corneal opacification, corneal limbal stem cell failure, or both in a large single-surgeon series. DESIGN:Retrospective review of consecutive clinical case series. PARTICIPANTS...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/j.ophtha.2008.12.058

    authors： Aldave AJ,Kamal KM,Vo RC,Yu F

    更新日期：2009-04-01 00:00:00

  • The use of slow-release artificial tears in the long-term management of keratitis sicca.

    abstract：:Fifty-eight patients with keratitis sicca were enrolled in a long-term study to test the effectiveness of slow-release artificial tears (SRAT). The average follow up period of 39 weeks, with a range of 9 to 136 weeks. Forty-six (79%) are still being followed. Almost all of these patients have had marked relief from th...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/s0161-6420(81)35074-x

    authors： Werblin TP,Rheinstrom SD,Kaufman HE

    更新日期：1981-01-01 00:00:00

  • Anterior clear spaces in keratoconus.

    abstract：:Anterior clear spaces were observed prospectively at slit-lamp examination in 26 of 69 consecutive eyes (38%) with keratoconus. Two corneal buttons with this finding were examined by light and electron microscopy and revealed breaks in Bowman's layer. Anterior clear spaces should be considered in the spectrum of clini...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/s0161-6420(86)33571-1

    authors： Shapiro MB,Rodrigues MM,Mandel MR,Krachmer JH

    更新日期：1986-10-01 00:00:00

  • Changes in retinal nerve fiber layer thickness after reduction of intraocular pressure in chronic open-angle glaucoma.

    abstract：PURPOSE:The authors evaluated the relative nerve fiber layer height changes in glaucomatous eyes after reduction of intraocular pressure (IOP) after trabeculectomy using image analysis techniques. METHODS:Optic disc topography and relative nerve fiber layer height of 12 eyes of 12 patients with chronic open-angle glau...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/s0161-6420(93)31497-1

    authors： Sogano S,Tomita G,Kitazawa Y

    更新日期：1993-08-01 00:00:00

  • Prevalence of lens opacities in Latinos: the Los Angeles Latino Eye Study.

    abstract：OBJECTIVE:To estimate the age- and gender-specific prevalence of posterior subcapsular (PSC), nuclear, cortical, and mixed lens opacities in a population-based sample of Latinos 40 years and older. DESIGN:Population-based, cross-sectional study. PARTICIPANTS:Six thousand three hundred fifty-seven Latinos 40 years and...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/j.ophtha.2004.01.024

    authors： Varma R,Torres M,Los Angeles Latino Eye Study Group.

    更新日期：2004-08-01 00:00:00

  • Association of single nucleotide polymorphisms of interleukins-1β, -6, and -12B with contact lens keratitis susceptibility and severity.

    abstract：PURPOSE:To investigate whether single nucleotide polymorphisms (SNPs) in interleukin (IL)-1β, IL-6, and IL-12β are associated with the susceptibility and severity of contact lens-related keratitis. DESIGN:Retrospective, case control study. PARTICIPANTS:One hundred twelve cases of keratitis and 225 controls were recru...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/j.ophtha.2012.01.031

    authors： Carnt NA,Willcox MD,Hau S,Garthwaite LL,Evans VE,Radford CF,Dart JK,Chakrabarti S,Stapleton F

    更新日期：2012-07-01 00:00:00

  • Relaxing retinotomies. Analysis of anatomic and visual results.

    abstract：:The authors analyzed 100 consecutive eyes undergoing relaxing retinotomies to determine the anatomic and visual results associated with the use of this procedure. With a minimum follow-up of 6 months, 58 eyes were completely attached, 8 were partially attached (macula on), and 34 were detached. Thirty-four percent of ...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：

    authors： Morse LS,McCuen BW 2nd,Machemer R

    更新日期：1990-05-01 00:00:00

  • Migraine and Risk of Ocular Motor Cranial Nerve Palsies: A Nationwide Cohort Study.

    abstract：PURPOSE:To determine whether migraine is associated with an increased risk of developing ocular motor cranial nerve palsies (OMCNP). DESIGN:Nationwide retrospective cohort study. PARTICIPANTS:Medical records of patients with migraine who were entered in the National Health Insurance Research Database (NHIRD) between ...

    journal_title：Ophthalmology

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.ophtha.2015.09.003

    authors： Yang CP,Chen YT,Fuh JL,Wang SJ

    更新日期：2016-01-01 00:00:00

  • Clinical and electroretinographic findings of female carriers and affected males in a progressive X-linked cone-rod dystrophy (COD-1) pedigree.

    abstract：OBJECTIVE:To study the clinical and electroretinographic findings of affected males and female carriers in a family with X-linked cone-rod dystrophy (COD-1). DESIGN:Observational case series. PARTICIPANTS:Twenty-five members of a five-generation pedigree were examined. METHODS:A history of visual impairment includin...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/s0161-6420(00)00086-5

    authors： Brown J Jr,Kimura AE,Gorin MB

    更新日期：2000-06-01 00:00:00

  • Hidradenoma papilliferum of the upper eyelid arising from the apocrine gland of Moll.

    abstract：:Hidradenoma papilliferum is derived from apocrine sweat glands and was originally described as a tumor located in the anogenital area. The authors recently examined a 78-year-old man with a hidradenoma papilliferum at the margin of the upper eyelid. While the tumor was located in the dermis, serial sections showed a c...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/s0161-6420(90)32373-4

    authors： Netland PA,Townsend DJ,Albert DM,Jakobiec FA

    更新日期：1990-12-01 00:00:00

  • Evidence-based Criteria for Assessment of Visual Field Reliability.

    abstract：PURPOSE:Assess the impact of false-positives (FP), false-negatives (FN), fixation losses (FL), and test duration (TD) on visual field (VF) reliability at different stages of glaucoma severity. DESIGN:Retrospective. PARTICIPANTS:A total of 10 262 VFs from 1538 eyes of 909 subjects with suspect or manifest glaucoma and...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/j.ophtha.2017.04.035

    authors： Yohannan J,Wang J,Brown J,Chauhan BC,Boland MV,Friedman DS,Ramulu PY

    更新日期：2017-11-01 00:00:00

  • Intraocular lens exchange for anterior chamber intraocular lens-induced corneal endothelial damage.

    abstract：BACKGROUND:Anterior chamber and iris-plane intraocular lenses (IOLs) have been implicated in causing corneal endothelial damage and progression to pseudophakic bullous keratopathy. METHODS:The authors performed IOL exchanges on 102 eyes with signs of early corneal decompensation or progressive endothelial cell loss as...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/s0161-6420(93)31637-4

    authors： Coli AF,Price FW Jr,Whitson WE

    更新日期：1993-03-01 00:00:00

  • Progression of Geographic Atrophy in Age-related Macular Degeneration: AREDS2 Report Number 16.

    abstract：PURPOSE:To analyze the prevalence, incidence, and clinical characteristics of eyes with geographic atrophy (GA) in age-related macular degeneration (AMD), including clinical and genetic factors affecting enlargement. DESIGN:Prospective cohort study within a controlled clinical trial. PARTICIPANTS:Age-Related Eye Dise...

    journal_title：Ophthalmology

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1016/j.ophtha.2018.05.028

    authors： Keenan TD,Agrón E,Domalpally A,Clemons TE,van Asten F,Wong WT,Danis RG,Sadda S,Rosenfeld PJ,Klein ML,Ratnapriya R,Swaroop A,Ferris FL 3rd,Chew EY,AREDS2 Research Group.

    更新日期：2018-12-01 00:00:00

  • Evaluation of the t test as a method of detecting visual field changes.

    abstract：:Automated perimetry is used to monitor changes associated with many ocular conditions such as glaucoma, neuro-ophthalmologic disorders, and retinal diseases. Comparisons among sequential visual fields are crucial to the determination of progression or regression of ocular anomalies, and to evaluate the efficacy of var...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/s0161-6420(88)33203-3

    authors： Hills JF,Johnson CA

    更新日期：1988-02-01 00:00:00

  • Myopia over the lifecourse: prevalence and early life influences in the 1958 British birth cohort.

    abstract：PURPOSE:To investigate the hypothesis that the excessive growth of the eye in myopia is associated with general growth and thus influenced by early life biological and social factors, and that these associations underlie recent secular trends of increasing prevalence and severity of myopia. DESIGN:Cohort study. PARTI...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/j.ophtha.2010.09.025

    authors： Rahi JS,Cumberland PM,Peckham CS

    更新日期：2011-05-01 00:00:00