76
|
Bottoni FG, Deutman AF, Aandekerk AL. Presumed ocular histoplasmosis syndrome and linear streak lesions. Br J Ophthalmol 1989; 73:528-35. [PMID: 2757993 PMCID: PMC1041794 DOI: 10.1136/bjo.73.7.528] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
Five cases of subretinal neovascular membranes in the macula associated with punched out chorioretinal scars and linear streaks were seen in five Dutch patients. Clinically the fundus lesions are consistent with those of presumed ocular histoplasmosis syndrome (POHS) seen in the United States of America. Cutaneous serological testing for histoplasmin reactivity was negative in the three patients tested. Of special interest is the presence of linear streaks in association with POHS. They have not been previously described in patients from Europe with this syndrome.
Collapse
|
77
|
Broekhuyse RM, van Herck M, Pinckers AJ, Winkens HJ, van Vugt AH, Ryckaert S, Deutman AF. Immune responsiveness to retinal S-antigen and opsin in serpiginous choroiditis and other retinal diseases. Doc Ophthalmol 1988; 69:83-93. [PMID: 2971518 DOI: 10.1007/bf00154420] [Citation(s) in RCA: 23] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
The immune responsiveness to bovine retinal S-antigen and opsin has been investigated in some retinal disorders by means of in vitro lymphocyte proliferation, leukocyte migration inhibition and enzyme linked immune sorbent assays (ELISA). Sensitisation to S-antigen was observed in serpiginous choroiditis, but not in acute posterior multifocal placoid pigment epitheliopathy (APMPPE) or retinitis pigmentosa. No significant immune responsiveness was detected to opsin in any of the three diseases. Elevated antibody titers to S-antigen were observed in some individual patients and healthy subjects. However, none of the patient groups exhibited an elevated antibody titer as compared to the control group. Although serpiginous choroiditis and APMPPE share some prominent clinical characteristics, the sensitisation in the former disease may perhaps be attributed to more severe and prolonged damage of the photoreceptor cells and blood-retina barrier. A combination of previous and present results suggests that in immunological investigations of retinitis pigmentosa patients it is more effective to use human than bovine S-antigen as test antigen because a species specific epitope seems to be involved.
Collapse
|
78
|
Gelisken O, Hendrikse F, Deutman AF. A long-term follow-up study of laser coagulation of neovascular membranes in angioid streaks. Am J Ophthalmol 1988; 105:299-303. [PMID: 2449820 DOI: 10.1016/0002-9394(88)90014-1] [Citation(s) in RCA: 45] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
We treated 30 eyes (24 patients) with angioid streaks and neovascular membranes using light coagulation. Of 30 eyes, 16 showed either ameliorated or unchanged visual acuity. Twelve of the remaining 14 eyes retained a visual acuity of 20/200 or better. In 11 patients, the fellow untreated eye showed central macular degeneration with loss of central vision. The follow-up period ranged from two months to 16 years (mean, 3.4 years).
Collapse
|
79
|
Abstract
We evaluated the clinical use of the Topcon CT10 non-contact tonometer in our outpatient clinic. Compared to the Goldmann applanation it is useful and reliable in screening glaucoma patients.
Collapse
|
80
|
Hendrikse F, Deutman AF. [Intra-photocoagulation during vitrectomy]. OPHTALMOLOGIE : ORGANE DE LA SOCIETE FRANCAISE D'OPHTALMOLOGIE 1988; 2:17-8. [PMID: 3247129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
|
81
|
Abstract
The cone dystrophies can be subdivided into 3 functional stages: central cone disease, peripheral cone disease and diffuse cone disease, respectively. In the patient material of our clinic the sex distribution of patients presenting with te diffuse cone disease stage was abnormal: 22 males and 3 females. The authors suggest that the diagnosis X-linked cone dystrophy often is overlooked.
Collapse
|
82
|
Bottoni FG, Deutman AF. Idiopathic sub-retinal neovascular membranes in the macula (hemorrhagic macular choroidopathy of young adults). Clinical report and effectiveness of laser treatment. Doc Ophthalmol 1987; 64:311-43. [PMID: 2441940 DOI: 10.1007/bf00161734] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Twenty-six patients with idiopathic sub-retinal neovascular membranes (INVMs) located within the posterior pole were examined. Clinical and fluorescein angiographic features of these patients are described. Follow-up ranged from 2 to 96 months (mean 16.5 months). Laser treatment was performed according to the location of the neovascular membrane: 7 out of 9 eyes (77%) increased their final visual acuity or stabilized after Argon blue-green laser photocoagulation (INVMs further than 200 microns from the center of the fovea). Krypton red light laser treatment was performed in 13 eyes with juxta-foveal and sub-foveal INVMs: following treatment 10 eyes (77%) improved by 2 or more Snellen lines or maintained their pre-treatment visual acuity. Because of the fact that the Krypton laser was not yet available, 5 patients were not treated: all of them had sub-foveal (3) or juxta-foveal INVMs (2). The natural history of 4 cases (80%) showed an increase in the final visual acuity in 3 eyes and a steady state in one eye. Pathogenesis and treatment outcome of the disease are finally discussed.
Collapse
|
83
|
Abstract
The case history is given of a woman of 65 (in 1973) with a granulomatous conjunctival inflammation in the right eye and chronic recurrent polyps on the vocal cords. Several times, granulomatous tissue was removed from the conjunctiva of the right eye but the result was recurrences at shorter intervals. Seven years after the onset in the right eye the left eye became affected. Various treatments, both systemic and local, were tried without success. The histological diagnosis of ligneous conjunctivitis was not made until 1981. Treatment with the known remedies for ligneous conjunctivitis was not successful. At the end of 1984 treatment with Imuran (azathioprine) was started. Since that time the patient has been practically free of recurrent granulomatous tissue on the conjunctiva and vocal cords. The treatment of ligneous conjunctivitis with Imuran has not previously been reported in the literature.
Collapse
|
84
|
Deutman AF. Subretinal neovascularization. ARCHIVES OF OPHTHALMOLOGY (CHICAGO, ILL. : 1960) 1986; 104:1588. [PMID: 2430557 DOI: 10.1001/archopht.1986.01050230026019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
|
85
|
Wit JM, Donckerwolcke RA, Schulpen TW, Deutman AF. Documented vasopressin deficiency in a child with Wolfram syndrome. J Pediatr 1986; 109:493-4. [PMID: 3746539 DOI: 10.1016/s0022-3476(86)80125-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
|
86
|
Pinckers A, Greydanus J, Deutman AF, Duinkerke-Eerola KU. Atypical sector pigmentary dystrophy. Int Ophthalmol 1986; 9:143-9. [PMID: 3721715 DOI: 10.1007/bf00159843] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
The authors describe a family with atypical sector shaped pigmentary dystrophy in two generations with transmission from father to son. A review of the literature is given.
Collapse
|
87
|
van den Biesen PR, Deutman AF, Pinckers AJ. Evolution of benign concentric annular macular dystrophy. Am J Ophthalmol 1985; 100:73-8. [PMID: 4014382 DOI: 10.1016/s0002-9394(14)74986-4] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
In 1974, Deutman described a family with an autosomal dominantly inherited macular dystrophy that he termed "benign concentric annular macular (bull's-eye) dystrophy." Ten years later, we performed a follow-up examination. Some patients complained of deterioration of visual acuity, night vision, and color vision. The macular dystrophy had progressed. The fundus periphery was more involved and in two patients there were bone corpuscle-like pigmentations. Electrophysiologic examination showed increased photoreceptor dysfunction with equal involvement of the rod and cone system. The patients had an acquired type III blue-yellow color vision defect with pseudoprotanomaly.
Collapse
|
88
|
Abstract
A rip or rupture of the detached retinal pigment epithelium (RPE) with subsequent retraction of that layer is an often misdiagnosed affection of the posterior pole of the eye. The histologic appearance of this entity has to our knowledge not yet been published, but the fundus aspect and fluorescein angiography show that the focal absence of the pigmentepithelial layer is very likely. A rip is only seen in older age and it always appears in a detached RPE that often exists in combination with other features of a senile macular degeneration. Mostly the rip arises spontaneously but it may develop sometimes directly after laser coagulation of the detached RPE.
Collapse
|
89
|
Tan KE, Deutman AF, Cats BP. [An international classification for retinopathies of premature infants]. TIJDSCHRIFT VOOR KINDERGENEESKUNDE 1985; 53:67-9. [PMID: 4002207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
|
90
|
Croonen-Dvoracek A, Cruysberg JR, Verbeek AM, Hendrikse F, Deutman AF, Schoonderwaldt HC. [Terson's syndrome]. NEDERLANDS TIJDSCHRIFT VOOR GENEESKUNDE 1984; 128:1556-9. [PMID: 6483023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
|
91
|
Hendrikse F, Tutein Nolthenius PA, Deutman AF. [Laser treatment in ophthalmology]. NEDERLANDS TIJDSCHRIFT VOOR GENEESKUNDE 1984; 128:218-22. [PMID: 6538263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
|
92
|
Yamaaki H, Hendrikse F, Deutman AF. Iris angiography after cataract extraction and the effect of indomethacin eyedrops. Ophthalmologica 1984; 188:82-6. [PMID: 6709307 DOI: 10.1159/000309346] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
To test the efficacy of topical indomethacin eye drops in preventing cystoid macular edema (CME) postcataract extraction, iris fluorescein and fundus fluorescein angiography were performed in two series of eyes that underwent intracapsular cataract extraction; 25 control eyes and another 25 eyes receiving indomethacin eye drops. In the latter group, 1% indomethacin eye drops were given three times a day, from 1 day preoperatively to 4 weeks postoperatively. In these two groups, there was a statistically significant difference in the findings on iris fluorescein angiography in the early and late period. There appeared to be a correlation between the degree of dye leakage on iris fluorescein angiography and the occurrence of CME. Fundus examination showed 6-9 weeks postoperatively perifoveal vascular leakage in 28% of the control group and in 8% of the indomethacin group. The results show from this study support the theory that prostaglandin form an etiological factor of CME.
Collapse
|
93
|
Chew EY, Deutman AF. Pigment dispersion syndrome and pigmented pattern dystrophy of retinal pigment epithelium. Br J Ophthalmol 1983; 67:538-41. [PMID: 6871146 PMCID: PMC1040115 DOI: 10.1136/bjo.67.8.538] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
The 2 rare entities, pigmentary dispersion syndrome and pigmented pattern dystrophy of the retinal pigment epithelium, were found in a young male patient. Visual function was undisturbed.
Collapse
|
94
|
Hardus P, Deutman AF. [One drop; bleeding in the macula retinae]. NEDERLANDS TIJDSCHRIFT VOOR GENEESKUNDE 1983; 127:1081-4. [PMID: 6877414] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
|
95
|
Abstract
Acute multifocal ischaemic choroidopathy (AMIC) seems to be a better name than acute posterior multifocal placoid pigment epitheliopathy (A.P.M.P.P.E.). Fluorescein angiography indicates obstruction of the precapillary choroidal arterioles leading to non perfused choriocapillaris lobules and focal swelling of the retinal pigment epithelium at the site of the lesions. Furthermore in many fluorescein angiograms of human patients the specific mosaic pattern of the choriocapillaris can be observed, which was described in monkeys by Hayreh & Baines (7). The choroid has, indeed, an endarterial system. The special conditions in which a well-defined appearance of the choriocapillaris occurs are listed.
Collapse
|
96
|
Nolthenius PA, Deutman AF. Surgical treatment of the complications of chronic uveitis. Ophthalmologica 1983; 186:11-6. [PMID: 6823409 DOI: 10.1159/000309254] [Citation(s) in RCA: 28] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
|
97
|
Cruysberg JR, Deutman AF. Visual disturbances during pregnancy caused by central serous choroidopathy. Br J Ophthalmol 1982; 66:240-1. [PMID: 7066278 PMCID: PMC1039764 DOI: 10.1136/bjo.66.4.240] [Citation(s) in RCA: 23] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
Three patients had during pregnancy visual disturbances caused by central serous choroidopathy. One of them had a central scotoma in her first and second pregnancy. The 2 other patients had a central scotoma in their first pregnancy. Symptoms disappeared spontaneously after delivery. Except for the ocular abnormalities the pregnancies were without complications. The complaints can be misinterpreted as pregnancy-related optic neuritis or compressive optic neuropathy, but careful biomicroscopy of the ocular fundus should avoid superfluous diagnostic and therapeutic measures.
Collapse
|
98
|
Abstract
A 57-year-old Dutch woman, who had lived and worked in Tanzania for 26 years, developed serious, progressive bilateral retinitis after suffering from a fever of unknown origin. Fundus abnormalities in both eyes suggested that the woman had been infected with Rift Valley fever virus. Serologic studies confirmed this suspicion. White macular lesions accompanied to extensive vasculitis appear to be specific for Rift Valley fever retinitis.
Collapse
|
99
|
|
100
|
|