- Retinal Diseases and Treatments
- Retinal and Macular Surgery
- Intraocular Surgery and Lenses
- Retinal and Optic Conditions
- Retinal Imaging and Analysis
- Vascular Malformations Diagnosis and Treatment
- Glaucoma and retinal disorders
- Anesthesia and Pain Management
- Central Venous Catheters and Hemodialysis
- Antifungal resistance and susceptibility
- Ocular Infections and Treatments
- Veterinary Pharmacology and Anesthesia
- Child Abuse and Related Trauma
- Drug-Induced Ocular Toxicity
- Ocular Diseases and Behçet’s Syndrome
- Cerebral Venous Sinus Thrombosis
- Traumatic Brain Injury and Neurovascular Disturbances
- Restraint-Related Deaths
- Ophthalmology and Eye Disorders
- Ocular Oncology and Treatments
Retina Consultants of Houston
2016-2023
The University of Texas Health Science Center at San Antonio
1998-2021
The University of Texas Health Science Center at Houston
2018
Brooke Army Medical Center
1989-1991
Wilford Hall Ambulatory Surgical Center
1991
Joint Base San Antonio
1989-1990
Objective: This study evaluated the clinical features and treatment outcomes in patients with endogenous Aspergillus endophthalmitis.Design:The design was a multicenter retrospective chart review.Participants: Ten (12 eyes) culture-proven endophthalrnitis treated by 1 of authors were studied.Intervention: Intravitreous amphotericin B injection, pars plana vitrectomy, systemic amphotedcin therapy, oral anti-fungal therapy performed.Main Outcome Measures: Elimination endophthalmitis Snellen...
ABSTRACT We describe a new technique in which ocular anesthesia is obtained by dissection of the superior quadrants, as strabismus or retinal surgery, followed direct infusion retrobulbar space with local anesthetic agent, using blunt 19-gauge cannula. In 112 cases cataract surgery we used this sub-Tenon's approach, found rt to be safe, simple, and effective method achieving rapid anesthesia.
A new technique for retrobulbar anesthesia use during vitreoretinal surgery is described. blunt 19-gauge cannula used to directly inject the anesthetic agent into space via a sub-Tenon's approach. The method reported herein virtually eliminates possibility of complications from administration standard block and allows prolonged be performed under local anesthesia. We report results our first fifty-eight cases using this technique.
To evaluate the outcome of perfluoropropane (C3F8) gas injection for symptomatic vitreomacular traction (VMT) with or without Stage 2 macular hole (MH).A retrospective review eyes VMT treated 0.3 mL C3F8 was performed. Patients avoided supine position until resolution. small MH maintained partial face-down positioning.Forty-nine consecutive patients (50 eyes) underwent pneumatic vitreolysis between 2010 and 2016. A posterior vitreous detachment developed in 43 (86.0%) after a single...
Because the effect of local anesthesia from a retrobulbar injection diminishes with time, during prolonged retinal surgery may be difficult. A simple, safe, and effective technique for administration supplemental intraoperative detachment is described. After limbal peritomy performed quadrants are dissected bluntly, 19-guage irrigating cannula passed posterior to globe irrigate recti muscles space 4% lidocaine hydrochloride. Using this technique, even vitreoretinal can using minimal patient...
Vitreoretinal surgery for impending macular hole includes recognition and removal of the posterior cortical vitreous. Previously described surgical techniques vitreous used either rigid instruments (a tapered extrusion needle or a barbed microvitreoretinal blade) short fenestrated soft-tipped suction needle. We technique with cannulated that detects presence facilitates safe this layer from retina. Although is most useful when performing vitrectomy hole, it may also be during other...
Purpose: To evaluate patient-reported visual function after ocriplasmin through the 25-item National Eye Institute Visual Function Questionnaire (VFQ-25) in patients with symptomatic vitreomacular adhesion/vitreomacular traction including macular hole. Methods: This was a prespecified analysis of secondary endpoint from OASIS trial. Patients received single intravitreal injection (0.125 mg) or sham and completed VFQ-25 questionnaire at baseline Months 6, 12, 24. Clinically meaningful...
To describe the clinical and multimodal imaging features of stellate multiform amelanotic choroidopathy (SMACH; also known as serous maculopathy due to aspecific choroidopathy).Retrospective observational case series eyes presenting with SMACH. Multimodal including fundus photography, optical coherence tomography (OCT), OCT angiography (OCTA), indocyanine green (ICGA) was analyzed.Eighteen from 18 patients (mean age: 28 ± 19 years) were included. The mean follow-up duration 9 years....
To present, to the authors' knowledge, first reported case of loculated subretinal fluid associated with pneumatic vitreolysis (PVL). A 74 year old female was followed for 9 months vitreomacular traction (VMT) and 20/20 visual acuity in her right eye. Her decreased at 20/50 she treated PVL. VMT release successful on day 7. An isolated shallow pocket developed inferotemporal fovea one month after PVL persisted 14 months. The eventually resolved PVL, improved 20/30, there were no...