Hypertelorism and orbital dystopia

2021 ◽  
pp. 721-728
Author(s):  
Aina V.H. Greig ◽  
David J. Dunaway
Keyword(s):  
Multidisciplinary Team ◽  
Physical Finding ◽  
Abnormal Position ◽  
Loss Of Vision ◽  
Visual Problems

Orbital hypertelorism is defined as an abnormally wide distance between the orbits. It is a physical finding often associated with other cranial and facial malformations. Orbital dystopia refers to an abnormal position or shape of the orbits. These orbital abnormalities can be associated with visual problems including amblyopia, astigmatism, squints, and loss of vision. Patients are managed by a multidisciplinary team.

Emergency Orbital Decompression: A Reprieve from Blindness

1981 ◽  
Vol 89 (2) ◽  
pp. 252-256 ◽  
Author(s):  
Anthony S. Krausen ◽  
Joseph H. Ogura ◽  
Ronald M. Burde ◽  
David E. Ostrow
Keyword(s):  
Orbital Decompression ◽  
Light Perception ◽  
Loss Of Vision ◽  
The Past ◽  
Progressive Loss ◽  
Visual Problems

Orbital decompression to treat progressive loss of vision owing to long-term hormonal disease is a well-documented curative procedure. Over the past four years, two patients suffering from acute visual problems, owing to trauma and infection, have rapidly deteriorated to a no light perception visual level. In these two instances, vision was restored by timely orbital decompression.

Emotional Response and Management of Visually Handicapped Patients

1970 ◽  
Vol 1 (3) ◽  
pp. 233-240 ◽  
Author(s):  
George L. Adams ◽  
Jerome T. Pearlman
Keyword(s):  
Emotional Stress ◽  
Visual Loss ◽  
Severe Depression ◽  
Previous Response ◽  
Loss Of Vision ◽  
Patient Will ◽  
Visual Problems ◽  
Visually Handicapped ◽  
Qualitative Characteristics

Emotional stress is known to accompany visual problems. This fact is apparent in patients with real or threatened acute loss of vision. Patients usually respond to a loss of vision in one of three ways: by acceptance, by denial, or by depression—with or without concomitant anxiety. A progression through these three patterns of response which varies in its pace and qualitative characteristics can be—but is rarely—seen by the physician. The response of any given patient can almost be predicted by the patient's previous response pattern to emotional stress. Acceptance and denial are the two most frequently encountered patterns of response. Fortunately, they are the healthiest responses and require the least attention, usually only by the ophthalmologist and his ancillary personnel. Depression, although the least common response to partial visual loss, may be lethal. A patient who responds to visual loss with depression requires at least a psychiatric consultation to aid the ophthalmologist in the management of the patient. In severe depression, the patient will probably require some type of psychiatric therapy, such as short- or long-term psychotherapy, chemotherapy, or some combination thereof.

Much Ado About Fried Chicken: Abetting Aspiration or Respecting Autonomy?

2019 ◽  
Vol 28 (3) ◽  
pp. 1356-1362
Author(s):  
Laurence Tan Lean Chin ◽  
Yu Jun Lim ◽  
Wan Ling Choo
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
Multidisciplinary Team ◽  
Biopsychosocial Model ◽  
Family Members ◽  
Clinical Decisions ◽  
Goals Of Care ◽  
Complex Needs ◽  
Aspiration Risk ◽  
Patient Centric

Purpose Palliative care is a philosophy of care that encompasses holistic, patient-centric care involving patients and their family members and loved ones. Palliative care patients often have complex needs. A common challenge in managing patients near their end of life is the complexity of navigating clinical decisions and finding achievable and realistic goals of care that are in line with the values and wishes of patients. This often results in differing opinions and conflicts within the multidisciplinary team. Conclusion This article describes a tool derived from the biopsychosocial model and the 4-quadrant ethical model. The authors describe the use of this tool in managing a patient who wishes to have fried chicken despite aspiration risk and how this tool was used to encourage discussions and reduce conflict and distress within the multidisciplinary team.

Food for Thought

2012 ◽  
Vol 21 (2) ◽  
pp. 68-72 ◽  
Author(s):  
Caryn Easterling
Keyword(s):  
Multidisciplinary Team ◽  
Clinical History ◽  
Team Members ◽  
Speech Language Pathologist ◽  
Expected Outcome

Our professional American Speech-Language-Hearing Association (ASHA) guidelines state, if a speech-language pathologist suspects on the basis of the clinical history that there may be an esophageal disorder contributing to the patient's dysphagia, then “An esophageal screening can be incorporated into most [videofluoroscopic swallowing studies, or] VFSS” (ASHA, 2004). However, the esophageal screen has not been defined by ASHA or by the American College of Radiology. This “Food for Thought” column suggests deglutologists work together to determine the procedure and expected outcome for the esophageal screen so that there is acceptance and consensus among the multidisciplinary team members who evaluate patients with dysphagia.

The effect of multidisciplinary team integration on treatment completion disparities in women undergoing treatment for cervical cancer

2020 ◽  
Vol 159 ◽  
pp. 179-180
Author(s):  
A.L. Beavis ◽  
A.F. Rositch ◽  
A. Romero-Sackey ◽  
A. Viswanathan ◽  
A.N. Fader ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Multidisciplinary Team ◽  
Treatment Completion ◽  
Team Integration

Multidisciplinary team decision is rare and decreasing in percutaneous vascular interventions despite positive impact on in-hospital outcomes

VASA ◽  
2019 ◽  
Vol 48 (3) ◽  
pp. 262-269 ◽  
Author(s):  
Christian-Alexander Behrendt ◽  
Tilo Kölbel ◽  
Thea Schwaneberg ◽  
Holger Diener ◽  
Ralf Hohnhold ◽  
...  
Keyword(s):  
Multidisciplinary Team ◽  
Positive Impact ◽  
Cross Sectional Study ◽  
Invasive Treatment ◽  
Cross Sectional ◽  
Hospital Outcomes ◽  
Vascular Intervention ◽  
Medical Specialties ◽  
Team Decision ◽  
The Impact

Abstract. Background: Worldwide prevalence of peripheral artery disease (PAD) is increasing and peripheral vascular intervention (PVI) has become the primary invasive treatment. There is evidence that multidisciplinary team decision-making (MTD) has an impact on in-hospital outcomes. This study aims to depict practice patterns and time changes regarding MTD of different medical specialties. Methods: This is a retrospective cross-sectional study design. 20,748 invasive, percutaneous PVI of PAD conducted in the metropolitan area of Hamburg (Germany) were consecutively collected between January 2004 and December 2014. Results: MTD prior to PVI was associated with lower odds of early unsuccessful termination of the procedures (Odds Ratio 0.662, p < 0.001). The proportion of MTD decreased over the study period (30.9 % until 2009 vs. 16.6 % from 2010, p < 0.001) while rates of critical limb-threatening ischemia (34.5 % vs. 42.1 %), patients´ age (70 vs. 72 years), PVI below-the-knee (BTK) (13.2 % vs. 22.4 %), and rates of severe TASC C/D lesions BTK (43.2 % vs. 54.2 %) increased (all p < 0.001). Utilization of MTD was different between medical specialties with lowest frequency in procedures performed by internists when compared to other medical specialties (7.1 % vs. 25.7 %, p < 0.001). Conclusions: MTD prior to PVI is associated with technical success of the procedure. Nonetheless, rates of MTD prior to PVI are decreasing during the study period. Future studies should address the impact of multidisciplinary vascular teams on long-term outcomes.

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