Clinical and instrumental monitoring in assessing the natural history of non-full thickness macular holes (preliminary results)

Author(s):  
K.S. Zhogolev ◽  
◽  
Y.V. Bayborodov ◽  
I.E. Panova ◽  
D.R. Mirsaitova ◽  
...  
2020 ◽  
pp. 112067212097623
Author(s):  
Ruminder Kaur ◽  
Prateek Koul

Macular holes are common. Lightening, direct electric shock induced and laser beam induced macular holes are though rare. Reporting a case of spark flashlight (Arc Flash) induced macular hole in an electrician, which has never been reported. A 19 year old male electrician by profession presented to our clinic with a history of exposure to a bright flash light from spark of wires while at work that led to decrease of vision in his both eyes. Examination revealed a full thickness macular hole in his right eye and loss of foveal photoreceptors in the left eye. Arc flash light exposure in electricians can lead to macular holes too adding a new entity to the already existing types of macular holes.


2005 ◽  
Vol 33 (9) ◽  
pp. 1405-1417 ◽  
Author(s):  
Matthew J. Matava ◽  
Derek B. Purcell ◽  
Jonas R. Rudzki

Partial-thickness tears of the rotator cuff have been diagnosed with increased frequency because of a heightened awareness of the condition by clinicians and improved diagnostic methods. Research into the causes, natural history, and optimal treatment of this condition lags behind that of full-thickness tears. However, despite the limitations in the existing literature, there has emerged a consensus among shoulder experts that partial-thickness rotator cuff tears should be aggressively treated in the active athlete because of the unfavorable natural history of these lesions and success of accepted surgical algorithms. This review will provide an overview of the theories regarding the origins of partial-thickness rotator cuff tears, discuss the relative accuracy of accepted diagnostic techniques, and summarize the indications and methods of operative repair with an emphasis on the results of various treatment approaches.


2012 ◽  
Vol 251 (2) ◽  
pp. 467-475 ◽  
Author(s):  
Ferdinando Bottoni ◽  
Antonio Peroglio Deiro ◽  
Andrea Giani ◽  
Claudia Orini ◽  
Mario Cigada ◽  
...  

2011 ◽  
Vol 152 (1) ◽  
pp. 96-99.e1 ◽  
Author(s):  
Yuichiro Tanaka ◽  
Noriaki Shimada ◽  
Muka Moriyama ◽  
Kengo Hayashi ◽  
Takeshi Yoshida ◽  
...  

2018 ◽  
Vol 47 (7) ◽  
pp. 1734-1743 ◽  
Author(s):  
Chetan Khatri ◽  
Imran Ahmed ◽  
Helen Parsons ◽  
Nicholas A. Smith ◽  
Thomas M. Lawrence ◽  
...  

Background: Rotator cuff tears are the most common tendon injury in the adult population, resulting in substantial morbidity. The optimum management for these patients is not known. Purpose: To assess the overall treatment response to all interventions in full-thickness rotator cuff tears among patients enrolled in randomized clinical trials. Study Design: Systematic review and meta-analysis. Methods: Randomized controlled trials (RCTs) were identified from a systematic search of Medline, Embase, CINHAL, and the Cochrane Central Register of Controlled Trials. Patients were aged ≥18 years with a full-thickness rotator cuff tear. The primary outcome measure was change in Constant shoulder score from baseline to 52 weeks. A meta-analysis to assess treatment response was calculated via the standardized mean change in scores. Results: A total of 57 RCTs were included. The pooled standardized mean change as compared with baseline was 1.42 (95% CI, 0.80-2.04) at 3 months, 2.73 (95% CI, 1.06-4.40) at 6 months, and 3.18 (95% CI, 1.64-4.71) at 12 months. Graphic plots of treatment response demonstrated a sustained improvement in outcomes in nonoperative trial arms and all operative subgroup arms. Conclusion: Patients with full-thickness rotator cuff tears demonstrated a consistent pattern of improvement in Constant score with nonoperative and operative care. The natural history of patients with rotator cuff tears included in RCTs is to improve over time, whether treated operatively or nonoperatively.


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