Archives of Ophthalmology

1983 Archives of Ophthalmology

doi: 10.1001/archopht.1983.01040010330001

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Johnson, Chris A.;Keltner, John L.

1983 Archives of Ophthalmology

doi: 10.1001/archopht.1983.01040010371002pmid: 6830485

Abstract • Automated visual field screening of 10,000 volunteers (20,000 eyes) showed the incidence of visual field loss was 3.0% to 3.5% for persons aged 16 to 60 years but was approximately 13.0% for those older than 65 years. Approximately half of the persons with abnormal visual fields were previously unaware of any problem with peripheral vision. Follow-up results suggested that the most common causes of visual field loss were glaucoma, retinal disorders, and cataracts. Drivers with binocular visual field loss had accident and conviction rates twice as high as those with normal visual fields. Drivers with monocular visual field loss had accident and conviction rates equivalent to those of a control group. Our results have important implications for mass visual field screening to detect eye diseases and for vision-related factors in traffic safety. References 1. Harrington DO, Flocks M: Visual field examination by a new tachystoscopic multiple pattern method . Am J Ophthalmol 1954;37:719-723. 2. Robertson LT: Use of the Harrington multiple-pattern field screener in industry . Trans Am Acad Ophthalmol Otolaryngol 1956;60:806-808. 3. Kuhn HS: Glaucoma detection in industry: Multiple field pattern test . Ind Med Surg 1957; 26:327-330. 4. Roberts W: The multiple-pattern tachystoscopic visual field screener in glaucoma . Arch Ophthalmol 1957;58:244-245.Crossref 5. Hilton GF: The multiple-pattern visual field screener: An evaluation . Am J Optom Physiol Opt 1958;35:314-320.Crossref 6. Harrington DO, Flocks M: The multiple-pattern method of visual field examination: A five-year evaluation of its effectiveness as a visual field screening technique . Arch Ophthalmol 1959;61:755-765.Crossref 7. Cassidy V, Havener WH: Evaluation of a screening procedure in the detection of eye disease . Arch Ophthalmol 1959;61:589-598.Crossref 8. Greve EL, Verduin WM: Mass visual field investigation in 1,834 persons with supposedly normal eyes . Albrecht Von Graefes Arch Klin Exp Ophthalmol 1972;183:286-293.Crossref 9. Futenma M: A screening of the visual field on 13,357 school children . Acta Soc Ophthalmol Jpn 1973;77:516-519. 10. Flocks M, Rosenthal AR, Hopkins JL: Mass visual field screening via television . Ophthalmology 1978;85:1141-1149.Crossref 11. Keltner JL, Johnson CA, Balestrery FG: Suprathreshold static perimetry: Initial clinical trials with the Fieldmaster automated perimeter . Arch Ophthalmol 1979;97:260-272.Crossref 12. Johnson CA, Keltner JL: Automated suprathreshold static perimetry . Am J Ophthalmol 1980;89:731-741. 13. Johnson CA, Keltner JL: Comparative evaluation of the Autofield I, CFA-120 and Field master Model 101-PR automated perimeters . Ophthalmology 1980;87:777-784.Crossref 14. Fankhauser F, Spahr J, Bebie H: Three years of experience with the Octopus automatic perimeter . Doc Ophthalmol 1977;14:7-15. 15. Heijl A, Drance SM: A clinical comparison of three computerized automatic perimeters in the detection of glaucoma defects . Doc Ophthalmol 1981;26:43-48. 16. Keltner JL, Johnson CA: Mass visual field screening in a driving population . Ophthalmology 1980;87:785-790.Crossref 17. Bengtsson B, Krakau CET: Automatic perimetry in a population survey . Acta Ophthalmol 1979;57:929-937.Crossref 18. Burg A: The Relationship Between Vision Test Scores and Driving Record: General Findings , report 67-24. Los Angeles, UCLA Department of Engineering, 1967. 19. Burg A: The Relationship Between Vision Test Scores and Driving Record: Additional Findings , report 68-27. Los Angeles, UCLA Department of Engineering, 1968. 20. Burg A: Relationship between vision quality and driving record. Read before the Symposium on Visibility in the Driving Task, College Station, Tex, May 13, 1968. 21. Burg A: An Investigation of Some Relationships Between Dynamic Visual Acuity, Static Visual Acuity and Driving Record , report 64-18. Los Angeles, UCLA Department of Engineering, 1964. 22. Burg A: Lateral visual field as related to age and sex . J Appl Psychol 1968;52:10-15.Crossref 23. Burg A, Hulbert SF: Dynamic visual acuity and other measures of vision . Percept Mot Skills 1959;9:334-337.Crossref 24. Henderson RL, Burg A: Vision and Audition in Driving , US Dept of Transportation report DOT-HS-801-265. Washington, DC, National Highway Administration, 1974. 25. Shinar D, Mayer RM, Treat JR: Reliability and validity assessments of a newly developed battery of driving related vision tests. Read before the 19th annual meeting of the American Association for Automotive Medicine, San Diego, Nov 10, 1975. 26. Council FM, Allen JA: A Study of the Visual Fields of North Carolina Drivers and Their Relationship to Accidents . Chapel Hill, University of North Carolina, Highway Safety Research Center, 1974. 27. Booher H: NHTSA studies new vision tests for state licensing exams . Traffic Safety 1977; 77:26-27. 28. Shinar D: Driving Visual Limitations: Diagnosis and Treatment , US Dept of Transportation report DOT-HS-5-01275. Washington, DC, National Highway Traffic Safety Administration, 1977. 29. Allen MJ: Vision and Highway Safety . Radnor, Pa, Chilton Book Co, 1970. 30. Keeney AH, Garvey J: The dilemma of the monocular driver . Am J Ophthalmol 1981;91:801-803. 31. Fishman GA, Anderson RJ, Stinson L, et al: Driving performance of retinitis pigmentosa patients . Br J Ophthalmol 1981;65:122-126.Crossref 32. Operational Research Report . New York, National Society to Prevent Blindness, Aug 27, 1981.

Fraunfelder, Frederick T.;Kalina, Robert E.;Buist, A. Sonia;Bernstein, Robert S.;Johnson, David S.

1983 Archives of Ophthalmology

doi: 10.1001/archopht.1983.01040010376003pmid: 6830486

Abstract • Three hundred thirty-two ophthalmologists examined 1,523 patients with immediate ocular complaints following the 1980 eruptions of Mount St Helens. Loggers working up to 18 months in environments with high concentrations of volcanic ash were compared with a control group of loggers without volcanic ash contact. Although the ash particles acted as ocular foreign bodies, the small particles were apparently well tolerated for the most part, except for acute irritation. Patients with contact lenses or sicca syndrome had the most frequent ocular complaints. To date, no long-term ocular effects have been noted secondary to volcanic ash exposure. References 1. Leus X, Kintaner C, Bowman W: Asthmatic bronchitis associated with a volcanic eruption in St Vincent, West Indies . Disasters 1981;5:67-69.Crossref 2. The health effects of the August, 1980, eruptions of Mount Usu volcano, Hokkaido, Japan, in Seki K (ed): Usu Eruption and Its Impact on the Environment, cited in Mount St Helens Volcano Health Report 18. Atlanta, Centers for Disease Control, Aug 15, 1980. 3. Mount St Helens Volcano Health Report 18. Atlanta, Centers for Disease Control, Aug 15, 1980. 4. Mount St Helens Volcano Health Report 3. Atlanta, Centers for Disease Control, June 3, 1980. 5. Allison AC: Lysosomes and the toxicity of particulate pollutants . Arch Intern Med 1971;128:131-139.Crossref

Fu, Yao-An

1983 Archives of Ophthalmology

doi: 10.1001/archopht.1983.01040010379004pmid: 6403003

Abstract • One hundred seventeen patients had polychlorinated biphenyl (PCB) poisoning. Thirty-nine patients were male; 78 were female. The primary ocular manifestations were profuse discharge from the eyes (80.5%), swelling and pigmentation of the upper lids (58.9%), abnormal pigmentation of conjunctivae (66.6%), and hypersecretion and swelling of the meibomian glands (70.1%). The severity of these changes were directly related to the PCB concentration in the blood. Particularly, heavy pigmentation of conjunctivae, abnormal cystic formation, and hypersecretion of the meibomian glands occurred in those patients whose blood PCB concentration was greater than 41 parts per billion. Ocular signs not only provide early signs for diagnosis, but also serve to indicate the severity of PCB poisoning. References 1. Ouw KG, Simpson GR, Siyali DS: The use and health effects of Arochor 1242, a polychlorinated biphenyl in an electric industry . Arch Environ Health 1976;31:189-194.Crossref 2. Jensen S, Johnels AG, Olsson M, et al: DDT and PCB in marine animals from Swedish waters . Nature 1969;224:247-250.Crossref 3. Fischbein A, Wolf SM, Lilis R, et al: Clinical findings among PCB exposed capacitor manufacturing workers . Ann NY Acad Sci 1979;320:703-715.Crossref 4. Higuchi K (ed): PCB Poisoning and Pollution . New York, Academic Press Inc, 1976. 5. Kuratsune M, Masuda Y, Nagayama J: Some of the recent findings concerning Yusho , in Proceedings of a National Conference on Polychlorinated Biphenyls, Chicago, 1975 , Publication EPA-560/6-75-004. US Environmental Protection Agency, 1976, pp 14-29. 6. Ikeda Y: Toxicity of PCBs . J Food Hyg Soc Jpn 1972;13:339-267. 7. Nagayama J, Kuratsune M, Masuda Y: Determination of chlorinated dibenzofurnas in Kanechlors and Yusho oil . Bull Environ Contam Toxicol 1976;15:9-13.Crossref 8. Kuratsune M: Epidemiologic studies on Yusho , in Higuchi K (ed): PCB Poisoning and Pollution . Tokyo, Kodansha Ltd, 1976, pp 9-23. 9. Ikui H, Sigi K, Uga S: Ocular signs of chronic chlorobiphenyls poisoning . Fukuoka Igaku Zasshi 1969;60:432-439. 10. Ohnishi Y, Yoshimura T: Relationship between PCB concentrations or pattern in blood and ocular signs among people examined for Yusho . Fukuoka Igaku Zasshi 1977;68:123-127.

Robin, Alan L.;Pollack, Irvin P.

1983 Archives of Ophthalmology

doi: 10.1001/archopht.1983.01040010382005pmid: 6830487

Abstract • A pilot study evaluated both the safety and the effect on intraocular pressure control of argon laser trabeculoplasty (ALT) in eyes with secondary forms of open-angle glaucoma. All patients included in this study had poor IOP control and were considered surgical candidates. The ALT was considered successful if IOP control was sufficient to avoid conventional filtration surgery. Fifty-five eyes of 46 patients were treated. The mean follow-up was 8 ± 4 months. The mean IOP decrease was 13 ± 9 mm Hg. The ALT caused serious complications in none of the 55 eyes and seemed most effective in treating pigmentary, pseudoexfoliation, and angle-closure glaucoma present after iridotomy. The ALT had minimal therapeutic effect in eyes with uveitic, angle-recession, and congenital glaucoma. References 1. Wise JB, Witter SL: Argon laser therapy for open-angle glaucoma: A pilot study . Arch Ophthalmol 1979;97:319-322.Crossref 2. Wise JB: Long-term control of adult open-angle glaucoma by argon laser treatment . Ophthalmology 1981;88:197-202.Crossref 3. Wickham MG, Worthen DM: Argon laser trabeculectomy: Long-term follow-up . Ophthalmology 1979;86:495-503.Crossref 4. Schwartz AL, Whitten ME, Bleiman B, et al: Argon laser trabecular surgery in uncontrolled phakic open-angle glaucoma . Ophthalmology 1981;88:203-213.Crossref 5. Wilensky JT, Jampol LM: Laser therapy for open-angle glaucoma . Ophthalmology 1981;88:213-217.Crossref 6. Pollack IP, Robin AL: Argon laser trabeculoplasty: Its effect on medical control of open-angle glaucoma . Ophthalmic Surg 1982;13:637-643. 7. Worthen DM, Wickham MG: Argon laser trabeculotomy . Trans Am Acad Ophthalmol Otolaryngol 1974;78:371-375. 8. Wise JB: Status of laser treatment of open-angle glaucoma . Ann Ophthalmol 1981;13:149-150. 9. Gross BR, McCole CE: Argon laser trabecular photocoagulation in the treatment of chronic open-angle glaucoma: A preliminary report . Glaucoma 1981;3:283-286.

Soong, H. Kaz;Quigley, Harry A.

1983 Archives of Ophthalmology

doi: 10.1001/archopht.1983.01040010385006pmid: 6830488

Abstract • Dellen may occur in the corneas of eyes with filtering blebs. Nine cases of such dellen were encountered in a series of 97 consecutive trabeculectomies. In two such patients, the dell progressed to a deep corneal ulcer, although in most cases it healed uneventfully with minor changes in therapy. The use of topical prednisolone acetate during the postoperative period may also contribute to dellen formation by inhibiting corneal epithelial wound healing. However, the most important factor predisposing to dellen formation was poor tear-film integrity adjacent to the bleb. The secretion of the aqueous tears seemed to have little or no effect on dellen formation. Almost all dellen occurred in eyes with large filtering blebs. References 1. Baum JL, Mishima S, Boruchoff SA: On the nature of dellen . Arch Ophthalmol 1968;79:657-662.Crossref 2. Nauheim JS: Dellen , in Fraunfelder FT, Roy FH (eds): Current Ocular Therapy . Philadelphia, WB Saunders Co, 1980, p 358. 3. Barraquer JI: La discontinuité localisée du film lacrymal précornéen; cause des excavations marginales de la cornée Fuchs, de la progression du ptérygion et de certaines necroses de la cornée au voisinage des kératoprosthèses et kératoplasties . Ophthalmologica 1965;150:111-122.Crossref 4. Nauheim JS: Marginal keratitis and corneal ulceration after surgery on the extraocular muscles . Arch Ophthalmol 1962;67:708-711.Crossref 5. Lemp MA, Hamill JR Jr: Factors affecting tear film breakup in normal eyes . Arch Ophthalmol 1973;89:103-105.Crossref 6. Brown SI, Mishima S: The effect of intralamellar water-impermeable membranes on corneal hydration . Arch Ophthalmol 1966;76:702-708.Crossref 7. McDonald TO, Borgmann AR, Roberts MD, et al: Corneal wound healing: Inhibition of stromal healing by three dexamethasone derivatives . Invest Ophthalmol Vis Sci 1970;9:703-709.

Brownstein, Seymour;Nicolle, David A.;Codère, François

1983 Archives of Ophthalmology

doi: 10.1001/archopht.1983.01040010388007pmid: 6830489

Abstract • A 73-year-old woman received systemic corticosteroids for suspected temporal arteritis after blindness developed in the right eye during the previous day. Because a right temporal artery biopsy specimen was reported as normal, a diagnosis of arteriosclerotic ischemic optic neuropathy was made and the corticosteroid therapy was discontinued. Two weeks later the patient rapidly lost vision in her left eye. A left temporal artery biopsy specimen showed granulomatous arteritis adjacent to normal artery (skip area). Deeper sections of the original right temporal artery biopsy specimen also demonstrated a small focus of granulomatous arteritis adjacent to normal artery. In patients with suspected temporal arteritis, numerous step sections of a long segment of temporal artery should be examined; if the results are normal, the contralateral temporal artery should be studied. A nonspecific inflammatory reaction within or adjacent to the artery should alert the pathologist to the possible presence of a nearby focus of granulomatous arteritis. References 1. Whitfield AGW, Bateman M, Trevor Cooke W: Temporal arteritis . Br J Ophthalmol 1963;47:555-556.Crossref 2. Goodman BW: Temporal arteritis . Am J Med 1979;67:839-852.Crossref 3. Birkhead NC, Wagener HP, Shick RM: Treatment of temporal arteritis with adrenal corticosteroids . JAMA 1957;163:821-827.Crossref 4. Cohen DN: Temporal arteritis: improvement in visual prognosis and management with repeat biopsies . Trans Am Acad Ophthalmol Otolaryngol 1973;77:74-85. 5. Model DG: Reversal of blindness in temporal arteritis with methylprednisolone . Lancet 1978;1:340.Crossref 6. Brownstein S, Vine AK: Complications of corticosteroid therapy in presumptive temporal arteritis . Can J Ophthalmol 1976;11:115-121. 7. Senelick RC, van Dyk HJL: Chromophobe adenoma masquerading as corticosteroid-responsive optic neuritis . Am J Ophthalmol 1974;78:485-488. 8. Wang FM, Henkind P: Visual system involvement in giant cell (temporal) arteritis . Surv Ophthalmol 1979;23:264-271.Crossref 9. Gillanders LA: Temporal arteriography . Clin Radiol 1969;20:149-156.Crossref 10. Cohen DN, Smith TR: Skip areas in temporal arteritis: Myth versus fact . Trans Am Acad Ophthalmol Otolaryngol 1974;78:772-783. 11. Albert DM, Ruchman MC, Keltner JL: Skip areas in temporal arteritis . Arch Ophthalmol 1976;94:2072-2077.Crossref 12. Klein RG, Campbell RJ, Hunder GG, et al: Skip lesions in temporal arteritis . Mayo Clin Proc 1976;51:504-510. 13. Kulvin SM: Erythrocyte sedimentation rates in the elderly . Arch Ophthalmol 1972;88:617-618.Crossref 14. Hayes GS, Stinson IN: Erythrocyte sedimentation rate and age . Arch Ophthalmol 1976;94:939-940.Crossref 15. Kansu T, Corbett JJ, Savino P, et al: Giant cell arteritis with normal sedimentation rate . Arch Neurol 1977;34:624-625.Crossref 16. Wadman B, Werner I: Thromboembolic complications during corticosteroid treatment of temporal arteritis . Lancet 1972;1:907.Crossref 17. Uriu SA, Reinecke RD: Temporal arteritis, steroid therapy, and pulmonary emboli . Arch Ophthalmol 1973;90:355-357.Crossref

Buxton, Jorge N.;Fox, Martin L.

1983 Archives of Ophthalmology

doi: 10.1001/archopht.1983.01040010392008pmid: 6600925

Abstract • Thirteen eyes with symptomatic basement membrane dystrophy were treated with total superficial keratectomy and soft bandage lenses. During a follow-up of six weeks to 48 months, 84.7% (11/13) were relieved of symptoms. A low incidence of recurrent basement membrane abnormalities was observed. References 1. Waring GO, Rodrigues MM, Laibson PR: Corneal dystrophies: I. Dystrophies of the epithelium, Bowman's layer and stroma . Surv Ophthalmol 1978;23:74-82. 2. Cogan D, Donaldson D, Kuwabara T, et al: Microcystic dystrophy of the corneal epithelium . Trans Am Ophthalmol Soc 1964;62:213-225. 3. Tripathi R, Bron A: Cystic disorders of the corneal epithelium: I . Br J Ophthalmol 1973; 57:376-390.Crossref 4. Laibson P, Waring G; corneal dystrophies , in Symposium on Medical and Surgical Diseases of the Cornea: Transactions of the New Orleans Academy of Ophthalmol . St Louis, CV Mosby Co. 1980; Chap 24. 5. Laibson PR: Microcystic corneal dystrophy . Trans Am Ophthalmol Soc 1976;74:488-531. 6. Rodrigues MM, Fine B, Laibson P, et al: Disorders of the corneal epithelium . Arch Ophthalmol 1974;92:475-482.Crossref 7. Brodrick J, Dark A, Peace G: Fingerprint dystrophy of the cornea: A histological study . Arch Ophthalmol 1974;92:483-489.Crossref 8. Dark A: Bleb dystrophy of the cornea: Histochemistry and ultrastructure . Br J Ophthalmol 1977;61:65-69.Crossref 9. Guerry D: Observations in Cogan's microcystic dystrophy of the corneal epithelium . Trans Am Ophthalmol Soc 1965;63:320-332. 10. Cogan D, Kuwabara T, Donaldson D, et al: Microcystic dystrophy of the cornea . Arch Ophthalmol 1974;92:470-474.Crossref 11. Wolter JR, Frahick FB: Microcystic dystrophy of corneal epithelium . Arch Ophthalmol 1966; 75:380-383.Crossref

Newman, Nancy M.;Mandel, Mark R.;Gullett, John;Fujikawa, Leslie

1983 Archives of Ophthalmology

doi: 10.1001/archopht.1983.01040010396009pmid: 6299255

Abstract • White retinal opacities and ocular inflammation may be two of the early signs of a new syndrome of acquired immunodeficiency. This syndrome primarily affects young homosexual men and is characterized by acquired cellular immunodeficiency in infections with multiple opportunistic microorganisms in addition to Kaposi's sarcoma. The apparently innocent ocular findings may be the first harbingers of this devastating syndrome. References 1. Friedman-Kien A, Laubenstein L, Marmor M, et al: Kaposi's sarcoma and Pneumocystis pneumonia among homosexual men—New York City and California . MMWR 1981;30:305-307. 2. Hymes KB, Greene JB, Marcus A, et al: Kaposi's sarcoma in homosexual men: Report of eight cases . Lancet 1981;2:598-600.Crossref 3. Gottlieb MS, Schroff R, Schanker HM, et al: Pneumocystis carinii pneumonia and mucosal candidiasis in previously healthy homosexual men . N Engl J Med 1981;305:1425-1430.Crossref 4. Masur H, Michelis MA, Greene JB, et al: An outbreak of community-acquired Pneumocystis carinii pneumonia: Initial manifestation of cellular immune dysfunction . N Engl J Med 1981; 305:1431-1438.Crossref 5. Siegal FP, Lopez C, Hammer GS, et al: Severe acquired immunodeficiency in male homosexuals, manifested by chronic perianal ulcerative herpes simplex lesions . N Engl J Med 1981;305:1439-1444.Crossref 6. Follansbee SE, Bush DF, Gullett J: An outbreak of Pneumocystis carinii pneumonia in homosexual men . Ann Intern Med 1982;96:705-713.Crossref 7. Egbert PR, Pollard RB, Gallagher JG, et al: Cytomegalovirus retinitis in immunosuppressed hosts: II. Ocular manifestations . Ann Intern Med 1980:93:664-670.Crossref 8. De Venecia G, Zu Rhein GM, Pratt MV, et al: Cytomegalic inclusion retinitis: A clinical, histopathological and ultrastructural study . Arch Ophthalmol 1971;86:44-57.Crossref 9. Schwartz JN, Daniels CA, Shivers JC, et al: Experimental cytomegalovirus infection . Am J Pathol 1974;77:477-492. 10. Durack DT: Opportunistic infections and Kaposi's sarcoma in homosexual men . N Engl J Med 1981;305:1465-1467.Crossref 11. Safai B, Good RA: Kaposi's sarcoma: A review and recent developments . CA 1981;31:2-12. 12. Sacks J: Kaposi's disease manifesting in the eye . Br J Ophthalmol 1956;40:574.Crossref 13. Mortada A: Conjunctival regressing Kaposi's sarcoma . Br J Ophthalmol 1967;51:275-280.Crossref 14. Leiberman PH, Llovera IN: Kaposi's sarcoma of the bulbar conjunctiva . Arch Ophthalmol 1972;88:44-45.Crossref 15. Howard GM, Jakobiec FA, DeVoe AG: Kaposi's sarcoma of the conjunctiva . Am J Ophthalmol 1975;79:420-423. 16. Nicholson DH, Lane L: Epibulbar Kaposi's sarcoma . Arch Ophthalmol 1978;96:95-96.Crossref 17. Weiter JJ, Jakobiec FA, Iwamoto T: The clinical and morphologic characteristics of Kaposi's sarcoma of the conjunctiva . Am J Ophthalmol 1980;89:546-552. 18. Bedrick JJ, Savino PJ, Schatz NJ: Conjunctival Kaposi's sarcoma in a patient with myasthenia gravis . Arch Ophthalmol 1981;99:1604-1609.Crossref 19. Oettle AG: Geographical and racial differences in the frequency of Kaposi's sarcoma as evidence of environmental or genetic causes . Acta Unio Int Contra Cancer 1962;18:330-363. 20. Rothman S: Remarks on sex, age, and racial distribution of Kaposi's sarcoma and on possible pathogenetic factors . Acta Unio Int Cancer 1962;18:326-329. 21. Dutz W, Stout AP: Kaposi's sarcoma in infants and children . Cancer 1960;13:684-694.Crossref 22. Slavin G, Cameron HM, Forbes C, et al: Kaposi's sarcoma in East African children: A report of 51 cases . J Pathol 1970;100:187-199.Crossref 23. Editorial . Lancet 1981;2:1325-1326. 24. Harwood AR, Osoba D, Hofstader SL, et al: Kaposi's sarcoma in recipients of renal transplants . Am J Med 1979;67:759-765.Crossref 25. Myers BD, Kessler E, Levi J, et al: Kaposi's sarcoma in renal transplant recipients . Arch Intern Med 1974;133:307-311.Crossref 26. Drew WL, Mintz L, Miner RC, et al: Prevalence of cytomegalovirus infection in homosexual men . J Infect Dis 1981;143:188-192.Crossref 27. Hamilton JR, Overall JC Jr, Glasgow LA: Synergistic effect on mortality in mice with murine cytomegalovirus and Pseudomonas aeruginosa, Staphylococcus aureus, or Candida albicans infections . Infect Immun 1976;14:982-989. 28. Carney WP, Rubin RH, Hoffman RA, et al: Analysis of T lymphocyte subsets in cytomegalovirus mononucleosis . J Immunol 1981;126:2114-2116. 29. Rubin RH, Cosimi AB, Tokoff-Rubin NE, et al: Infectious disease syndromes attributable to cytomegalovirus and their significance among renal transplant recipients . Transplantation 1977;24:458-464.Crossref 30. Goode E, Troiden RR: Amyl nitrite use among homosexual men . Am J Psychiatry 1979;136:1067-1069. 31. McDonough RJ, Madden JJ, Falek A, et al: Alteration of T and null lymphocyte frequencies in the peripheral blood of human opiate addicts: In vivo evidence for opiate receptor sites on T lymphocytes . J Immunol 1980;125:2539-2543. 32. Brown SM, Simmel B, Taub RN, et al: Immunological dysfunction in heroin addicts . Arch Intern Med 1974;134:1001-1006.Crossref 33. Sugar HS, Mandell GH, Shalev JS: Metastatic endophthalmitis associated with injection of addictive drugs . Am J Ophthalmol 1971;71:1055-1058. 34. Getnick RA, Rodrigues MM: Endogenous fungal endophthalmitis in a drug addict . Am J Ophthalmol 1974;77:680-683. 35. Vastine DW, Horsley W, Guth SB, et al: Endogenous Candida endophthalmitis associated with heroin use . Arch Ophthalmol 1976;94:1805.Crossref 36. Elliott JH, O'Day DM, Gutow GS, et al: Mycotic endophthalmitis in drug abusers . Am J Ophthalmol 1979;88:66-72. 37. Okun E, Butle WT: Ophthalmologic complications of cryptococcal meningitis . Arch Ophthalmol 1964;71:86-91.Crossref 38. Kupfer C, McCrane E: A possible cause of decreased vision in cryptococcal meningitis . Invest Ophthalmol 1974;13:801-804. 39. Murrey HW, Knox DL, Green WL, et al: Cytomegalovirus retinitis in adults: A manifestation of disseminated viral infection . Am J Med 1977;63:574-584.Crossref 40. Emmons CW, Binford CH, Utz JP, et al, (eds): Medical Mycology , ed 3. Philadelphia, Lea & Febiger, 1977. 41. Meredith TA, Aaberg TM, Reeser FH: Rhegmatogenous retinal detachment complicating cytomegalovirus retinitis . Am J Ophthalmol 1979;87:793-796.

Stenson, Susan

1983 Archives of Ophthalmology

doi: 10.1001/archopht.1983.01040010402010pmid: 6830490

Abstract • Four cosmetic soft contact lens wearers experienced lens intolerance and mild irritative symptoms. All four displayed changes suggestive of those seen in superior limbic keratoconjunctivitis with papillary hypertrophy and inflammation of the upper tarsus, superior tarsal and bulbar conjunctival fluorescein staining, superior limbal hypertrophy, and upper corneal punctate staining. Three of the four conditions resolved with discontinuance of lens wear alone; the fourth improved, but there was persistence of mild upper bulbar conjunctival and corneal staining for two years. No common causative contact lens-related factors were obvious in the four. Three of the patients were subsequently able to resume lens wear on a modified basis. References 1. Brown SI, Bloomfield S, Pearce DB, et al: Infections with the therapeutic soft lens . Arch Ophthalmol 1974;91:275-277.Crossref 2. Berger RO, Streeten BW: Fungal growth in aphakic soft contact lenses . Am J Ophthalmol 1981;91:630-633. 3. Dohlman CH, Boruchoff SA, Mobilia EF: Complications in use of soft contact lenses in corneal diseases . Arch Ophthalmol 1973;90:367-371.Crossref 4. Mandelbaum J: Corneal vascularization in aphakic eyes following the use of contact lenses . Arch Ophthalmol 1964;71:633-635.Crossref 5. Dixon JM, Lawaczick E: Corneal vascularization due to contact lenses . Arch Ophthalmol 1963;69:72-75.Crossref 6. Weinberg RJ: Deep corneal vascularization caused by aphakic soft contact lens wear . Am J Ophthalmol 1977;82:121-122. 7. Binder PS, Rasmussen DM, Gordon M: Keratoconjunctivitis and soft contact lens solutions . Arch Ophthalmol 1981;99:87-90.Crossref 8. Mondino BJ, Groden LR: Conjunctival hyperemia and corneal infiltrates with chemically disinfected soft contact lenses . Arch Ophthalmol 1980;98:1767-1770.Crossref 9. Spring TF: Reaction to hydrophilic lenses . Med J Aust 1974;1:499-503. 10. Allansmith MR, Korb DR, Greiner JV et al: Giant papillary conjunctivitis in contact lens wearers . Am J Ophthalmol 1977;83:697-708. 11. Meisler DM, Zaret CR, Stock EL: Trantas dots and limbal inflammation associated with soft contact lens wear . Am J Ophthalmol 1980; 89:66-69. 12. Theodore FH: Superior limbic keratoconjunctivitis . Ear Nose Throat J 1963;42:25-28. 13. Theodore FH: Further observations on superior limbic keratoconjunctivitis . Trans Am Acad Ophthalmol Otolaryngol 1967;71:341-350. 14. Tenzel RR: Resistant superior limbic keratoconjunctivitis . Arch Ophthalmol 1973;89:439. 15. Donshik PC, Collin HB, Foster CS, et al: Conjunctival resection treatment and ultrastructural histopathology of superior limbic keratoconjunctivitis . Am J Ophthalmol 1978;85:101-110. 16. Cher I: Clinical features of superior limbic keratoconjunctivitis in Australia . Arch Ophthalmol 1969;82:580-586. 17. Wright P: Superior limbic keratoconjunctivitis . Trans Ophthalmol Soc UK 1972;92:555-558. 18. Theodore FH: Superior limbic keratoconjunctivitis: Further studies , in XXI Concilium Ophthalmologicum Acta, Mexico DF, March 8-4, 1970 . Amsterdam, Excerpta Medica, 1971, p 666.