Document Detail


Subjective visual sensation during vitrectomy under retrobulbar anesthesia.
MedLine Citation:
PMID:  16458714     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To report a precise illustrated image of patient's view during vitrectomy. DESIGN: Interventional case report. METHODS: A 56-year-old male with cystoid macular edema (CME) associated with epiretinal membrane underwent vitrectomy. The patient seemed to find gratification in being operated on because he was able to see what was going on. He was a professional artist in computer graphics, and he drew three different pictures depending on the surgical procedures. RESULTS: These pictures depicted the moving of pasty, whirling fluid during core vitrectomy, numerous black or gray spots like snowflakes by intravitrealy injected crystals of triamcinolone acetonide, and a sharp tapered instrument coming into the center and membrane-like material being peeled off. CONCLUSIONS: Patients may see a precise shape in a constant size, scale, and detailed movement as well, focused on the retina without described optics. Further investigation will be required to determine this mechanism.
Authors:
Nanae Kawaguchi; Makoto Inoue; Eiko Sugisaka; Eiko Sugimura; Kei Shinoda; Kazuo Tsubota
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of ophthalmology     Volume:  141     ISSN:  0002-9394     ISO Abbreviation:  Am. J. Ophthalmol.     Publication Date:  2006 Feb 
Date Detail:
Created Date:  2006-02-06     Completed Date:  2006-02-28     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0370500     Medline TA:  Am J Ophthalmol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  407-9     Citation Subset:  AIM; IM    
Affiliation:
Department of Ophthalmology, Keio University School of Medicine, Tokyo, Japan.
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MeSH Terms
Descriptor/Qualifier:
Anesthesia, Local / methods*
Epiretinal Membrane / surgery
Humans
Macular Edema / surgery
Male
Medical Illustration
Middle Aged
Orbit
Triamcinolone Acetonide / administration & dosage
Vision, Entoptic / physiology*
Visual Perception / physiology*
Vitrectomy* / instrumentation
Chemical
Reg. No./Substance:
76-25-5/Triamcinolone Acetonide
Comments/Corrections
Comment In:
Am J Ophthalmol. 2006 Aug;142(2):357-8; author reply 358-9   [PMID:  16876540 ]
Erratum In:
Am J Ophthalmol. 2006 Apr;141(4):797
Note: Sugimura, Eiko [corrected to Sugisaka, Eiko]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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