Sample records for ilmr
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CLOSING MACULAR HOLES WITH "MACULAR PLUG" WITHOUT GAS TAMPONADE AND POSTOPERATIVE POSTURING.
Chakrabarti, Meena; Benjamin, Preethi; Chakrabarti, Keya; Chakrabarti, Arup
2017-03-01
To investigate the surgical results of macular hole surgery without gas tamponade or postoperative posturing in patients with Stage 3 and Stage 4 macular holes with ≥500 μm mean base diameter. Retrospective interventional case series. Twenty-six patients with Stage 3 and Stage 4 macular holes. Twenty-six eyes of 26 patients with Stage 3 and Stage 4 macular holes and a mean base diameter of 892.8 ± 349 μm underwent pars plana 23-gauge vitrectomy with broad internal limiting membrane peel (ILM peel), inverted ILM flap repositioning (ILMR), and use of autologous gluconated blood clumps as a macular plug to close the macular hole. No fluid-air exchange, endotamponade, or postoperative posturing was used. The subjects were followed up for 12 months. The anatomical outcome of the procedure was evaluated by fundus examination and optical coherence tomography. Spectral domain optical coherence tomography was used to study the restoration of the outer retinal layer integrity in the postoperative period. The preoperative and postoperative best-corrected visual acuities in logMAR units were compared to evaluate functional outcome. Macular hole closure and best-corrected visual acuity before and after surgery. Twenty-six patients with mean age 62.8 ± 7.3 years, preoperative median best-corrected visual acuity 6/60 (1.0 logMAR units), and a mean base diameter of 892.8 ± 349 μm underwent surgery to close macular holes without gas tamponade or postoperative posturing. Twenty patients (76.9%) were phakic. Twenty eyes (76.92%) had Stage 3 macular holes and 6 eyes (23.10%) had Stage 4 macular holes. After a single surgery, hole closure was achieved in 100% of eyes. The median best-corrected visual acuity improved from 6/60 (1.0 logMAR units) to 6/18 (0.50 logMAR units) (P < 0.001). Three patients needed cataract surgery at 12-month follow-up. No major intraoperative or postoperative complications were observed. Twenty-three-gauge pars plana vitrectomy combined with broad ILM peeling, use of ILMR and autologous gluconated blood clumps as a macular plug is effective in achieving satisfactory hole closure with statically significant functional improvement for large Stage 3 and Stage 4 macular holes.
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NASA Astrophysics Data System (ADS)
Ballestra, S.; Gastaud, J.; Lopez, J. J.
The Chernobyl accident which occurred on 26 April 1986 resulted in relatively high levels of radioactive fallout over the major part of Europe. Air filter and precipitation samples enabled us to follow the contamination from the accident. In addition contamination was also monitored in selected environmental samples such as seaweeds, sea water, sediment, soil, suspended matter and biological material from the Mediterranean. All samples were counted on Ge(Li) or Ge(HP) detectors to determine the type and quantity of gamma emitting radionuclides and plutonium, americium and curium isotopes were separated and measured using radiochemical techniques and alpha counting. Increased atmospheric radioactivity from the Chernobyl accident was first detected by observing increased activity levels on air filters taken on April 30, 1986, with maximum activities occurring during 1-3 May. Most of the radionuclides initially measured were short-lived fission products. Cs-137 was one of the predominant isotope in the fallout debris and its deposition at Monaco due to Chernobyl was estimated to be around 1400 Bq m-2, which represents 25-40% of the integrated fallout at this latitude. The deposition of Pu-239+240 was much smaller and was estimated to be around 10 mBq m-2 or only 0.1% of the total deposition from nuclear weapon testing.