Lynda Charters

Articles by Lynda Charters

Use of imaging in clinical practice offers clinicians a number of advantages for following patients with glaucoma, perhaps most importantly the ability sometimes to detect damage before it is apparent on fundus photographs, objective rates of glaucoma progression, and the ability to predict the patients who are at high risk of functional impairment. Robert N. Weinreb, MD, talked about how imaging and clinical practice are a good fit.

The use of intravenous thrombolysis for treating patients with central retinal artery occlusion (CRAO) may be beneficial within a narrow clinical scenario, according to Valerie Biousse, MD, who pointed out the importance of very early intervention in patients with acute vision loss.

The jury is still out on the effects of anesthesia in children who undergo surgery at a young age, according to Constance S. Houck, MD. Multiple animal studies have demonstrated neuroapoptosis and long-term learning deficits in young animals after administration of general anesthesia, but population-based studies in humans have been far less clear.

When confronted with acute hypertensive uveitis associated with elevated IOP, physicians should consider an infection, such as herpes simplex virus (HSV), cytomegalovirus (CMV), varicella zoster virus (VZV), toxoplasmosis, or rubella. Posner-Schlossman syndrome and Fuchs' hetrerochromic cyclitis are syndromes that probably are caused by these same infectious agents. Trabeculitis has been considered a possible mechanism.

The corrections following phacoemulsification and IOL implantation that are achievable today are a far cry from those commanded in the 1970s when 20/40 corrected bilaterally was considered an accomplishment following implantation of the early IOLs.

Epimacular brachytherapy was described as "interesting and encouraging" at the 2-year time point for treating exudative age-related macular degeneration that had been previously treated with anti-vascular endothelial growth factor injections.

Though advances have been made in achieving better functional vision in some patients with ocular injuries, the overall rates of improvements in visual acuity have remained static for three decades.

Nationally publicized outbreaks of Streptococcus endophthalmitis following intravitreal injection of bevacizumab resulted in a close look at the procedures used to prepare the drug.

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