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Auteur Joshua L. Robinson
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Ajouter le résultat dans votre panier Affiner la rechercheCase Report: Significant Complications of Cosmetic Iris Implantation / Jeremy B. Hatcher in OVS : Optometry & Vision Science, vol. 98, 08 (Aout 2021)
[article]
in OVS : Optometry & Vision Science > vol. 98, 08 (Aout 2021)
Titre : Case Report: Significant Complications of Cosmetic Iris Implantation Type de document : article de périodique Auteurs : Jeremy B. Hatcher ; Alexander De Castro-Abeger ; Joshua L. Robinson ; Christine Shieh Année de publication : 2021 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]:P:Prothèses et implants:Prothèses et implants / effets indésirables
[Thésaurus Mesh]Cécité
[Thésaurus Mesh]Cosmétiques
[Thésaurus Mesh]Iris
[Thésaurus Mesh]Prothèses et implants
[Thésaurus HELB]:Optique:iris artificielRésumé : SIGNIFICANCE: The complications of cosmetic iris implantation may result in irreversible vision loss. Patients who obtain these implants against general medical consensus may present to providers when sequelae develop. In symptomatic patients, providers must recognize the imminent risk to vision and mitigate further ocular damage. PURPOSE: This is an observational clinical case report of a patient with significant, progressive, vision-threatening ocular pathology from prior cosmetic iris implantation, despite medical and surgical efforts to preserve vision. CASE REPORT: A 35-year-old HIV-positive man with a history of cosmetic iris implants in India 16 months prior was referred to our center. He had a history of 4 months of steroid-refractory uveitis and secondary glaucoma, with IOP measurements of more than 50 mmHg in the outpatient setting. Slit-lamp examination revealed ciliary flush, pannus formation, corneal edema, and keratic precipitates. Optical coherence tomography suggested possible retinal nerve fiber layer loss in the left eye. He was diagnosed with uveitis and glaucoma, and after a short course of IOP-lowering medication, the implants were removed sequentially. Post-operatively, his course was complicated by IOP elevation, cataract development, and corneal decompensation. This led to bilateral Ahmed tube placement, Descemet's stripping endothelial keratoplasty of the right eye, and pending cataract surgery because of now-dense bilateral cataracts. CONCLUSIONS: This case emphasizes the vision-threatening dangers of cosmetic iris implantation. It also demonstrates that sequelae may persist and develop despite implant removal and anticipatory management. Providers managing similar patients should carefully monitor for disease progression and maintain a low threshold for referral and/or decisive surgical intervention. Note de contenu :
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Cote Support Localisation Section Disponibilité aucun exemplaire Licensure and Driving Status among Visually Impaired Persons / Joshua L. Robinson in OVS : Optometry & Vision Science, vol. 98,12 (Décembre 2021)
[article]
in OVS : Optometry & Vision Science > vol. 98,12 (Décembre 2021)
Titre : Licensure and Driving Status among Visually Impaired Persons Type de document : article de périodique Auteurs : Joshua L. Robinson ; Yuhan Liu ; Qingxia Chen Année de publication : 2021 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]Acuité visuelle
[Thésaurus Mesh]Collecte de données
[Thésaurus Mesh]Conduite automobile
[Thésaurus Mesh]Dépistage visuel
[Thésaurus Mesh]Sensibilité au contraste
[Thésaurus Mesh]Troubles de la vision
[Thésaurus Mesh]Vision oculaire
[Thésaurus HELB]:Paramédical:permis de conduireRésumé : SIGNIFICANCE
Many drivers with vision loss maintain licensure and continue to drive despite their vision falling short of legal criteria.
PURPOSE
This study aimed to determine what proportion of visually impaired patients continue driving despite falling short of the legal cutoffs described in state licensure laws.
METHODS
We created a driving habits survey and administered it to 335 consecutive adult low vision patients presenting for their initial evaluation at the Vanderbilt Eye Institute. We measured visual acuity and contrast sensitivity as part of the clinical evaluation and accounted for historic visual field results where indicated. We compared self-reported licensure and driving status against the vision criteria for licensure in each subject's home state.
RESULTS
Two hundred fifty-seven subjects (76.7%) possessed an unexpired license. One hundred forty-one (54.9%) of these demonstrated vision, which would meet their home state's licensure criteria. Ninety-five of 134 current drivers (70.9%) met their home state's licensure criteria. Thirty-nine current drivers (29.1%) were driving outside the bounds of licensure criteria in their state. Among licensed subjects, being a current driver was associated with younger age (P < .001), better visual acuity (P < .001), and better contrast sensitivity (P < .001).
CONCLUSIONS
Many drivers do not possess adequate vision for licensure based on their home state's current standards. Changes to licensure qualification and renewal procedures may be advisable.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
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