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  • Book
    edited by Roderic G. Eckenhoff, Niccolò Terrando.
    Summary: "The occurrence of personality, sensory and cognitive disturbances after anesthesia and surgery has been recognized for many decades, although the magnitude, duration and causes have remained a matter of debate. Certainly the transient occurrence of delirium after surgery is well known, and the various forms are reviewed here by Drs. Proekt, Gabbard, Sieber and Oh. The more durable forms of cognitive impairment after surgery have been more enigmatic. In the past two decades, the application of strict neurocognitive testing by research groups have definitively documented impairments lasting from weeks to months, and thus a term was coined; post-operative cognitive dysfunction" or POCD, a "syndrome" reviewed in depth here by Drs. Nelli, Culley and Crosby. Complicating the analysis of POCD has been the fact that a large number of patients may actually have cognitive improvement as a result of enhanced mobility after orthopedic surgery or reduced pain perhaps following cancer resection. Thus, post-operative cognitive improvement (POCI) is reviewed here by Drs. Arias, Sibille and Price Completing the first section of this book is the more contentious, but critically important topic of whether anesthesia and surgery result in a persistent cognitive disorder, such as mild cognitive impairment or dementia, an area discussed in detail by Drs. Schenning and Hogan"--Provided by publisher.
    Digital Access Cambridge 2019
  • Article
    Spaeth GL.
    Ophthalmology. 1978 Mar;85(3):222-32.
    The goniolens has become increasingly important in the practice of ophthalmology, For example, the treatment of angle closure and neovascular glaucoma is most effective in the earliest stages of the diseases, even prior to the onset of symptoms. Routine gonioscopy is essential if patients are to be provided optimum care. The critical nature of pressure gonioscopy is reviewed. The use of the goniolens to examine the corneal endothelium is described and recommended. Characterization of the configuration of the angle recess demands description of at least three aspects: (1) the angular approach to the recess, (2) the peripheral curvature of the iris, and (3) the point of insertion of the iris onto the ciliary body or endothelial surface. The nature of these three considerations is reviewed, as is their frequency in a normal population, in a group of ten people with definite 1 degree angle-closure glaucoma, and in 95 relatives of the subjects with angle-closure glaucoma. Marked anterior convexity of the peripheral iris appears to be highly correlated with the development of 1 degree angle closure. The three aspects of the angle configuration appear to be independently inherited. Gonioscopy of relatives of cases with 1 degree angle-closure glaucoma is highly recommended.
    Digital Access Access Options