Background: When being informed preoperatively about the risks and prospects of ptosis and squint surgery patients may wish to see pictures of the possible outcome. In most cases pre-and postoperative prints of patien...Background: When being informed preoperatively about the risks and prospects of ptosis and squint surgery patients may wish to see pictures of the possible outcome. In most cases pre-and postoperative prints of patients with similar problems will be sufficient. But,to come to a decision,some patients need portrait prints of their own face modified to show the changes that could be produced by the surgery proposed. Such photo prints can be rather easily produced with modern computer and software equipment. Materials and Methods: Portrait photos have been shot with a digital camera and have been modified in a personal computer with image processing software. Results: Technique and outcome are shown with two case studies. One patient had a slight asymmetry of the upper lids after a bilateral anterior fat resection for dysthyroid exophthalmus. The second patient suffered from a considerable pseudoexotropia caused by retinopathy of prematurity. In both cases the probable result could be simulated photographically to an extent that decision making became rather easy. Conclusions: Phototechnical simulation of surgical outcome may be useful to produce better information for some patients.展开更多
A 65-year-old man presented to our cardiovascular department due to fatigue and palpation on exertion during the previous three weeks. He had a medical history of diabetes mellitus and hyperlipemia without hypertensio...A 65-year-old man presented to our cardiovascular department due to fatigue and palpation on exertion during the previous three weeks. He had a medical history of diabetes mellitus and hyperlipemia without hypertension or myocarditis. However, he mentioned that his son had dilated cardiomyopathy （DCM） and ankylosing spondylitis （AS）. Examination at admission revealed a blood pressure of 115/69 mmHg and pulse of 82 beats/min. The results of routine blood tests for creatine kinase （CK）, CK muscle and brain （CK-MB）, troponin T, and thyroid function were all within normal limits. ECG revealed I, aVL, and V4--6 T wave inversion （Figure 1）. Ultrasonic cardiography showed that the left ventricular ejection fraction （EF） was 32%, in- dicating ventricular wall dysfunction. Angiography showed no coronary stenosis. Radionuclide imaging demonstrated myopathy of the anterior, part of the inferior, the posterior,and the lateral apical segments based on reduced radioactivity with a patchy pattern, consistent with DCM （Figure 2A）.展开更多
文摘Background: When being informed preoperatively about the risks and prospects of ptosis and squint surgery patients may wish to see pictures of the possible outcome. In most cases pre-and postoperative prints of patients with similar problems will be sufficient. But,to come to a decision,some patients need portrait prints of their own face modified to show the changes that could be produced by the surgery proposed. Such photo prints can be rather easily produced with modern computer and software equipment. Materials and Methods: Portrait photos have been shot with a digital camera and have been modified in a personal computer with image processing software. Results: Technique and outcome are shown with two case studies. One patient had a slight asymmetry of the upper lids after a bilateral anterior fat resection for dysthyroid exophthalmus. The second patient suffered from a considerable pseudoexotropia caused by retinopathy of prematurity. In both cases the probable result could be simulated photographically to an extent that decision making became rather easy. Conclusions: Phototechnical simulation of surgical outcome may be useful to produce better information for some patients.
文摘A 65-year-old man presented to our cardiovascular department due to fatigue and palpation on exertion during the previous three weeks. He had a medical history of diabetes mellitus and hyperlipemia without hypertension or myocarditis. However, he mentioned that his son had dilated cardiomyopathy （DCM） and ankylosing spondylitis （AS）. Examination at admission revealed a blood pressure of 115/69 mmHg and pulse of 82 beats/min. The results of routine blood tests for creatine kinase （CK）, CK muscle and brain （CK-MB）, troponin T, and thyroid function were all within normal limits. ECG revealed I, aVL, and V4--6 T wave inversion （Figure 1）. Ultrasonic cardiography showed that the left ventricular ejection fraction （EF） was 32%, in- dicating ventricular wall dysfunction. Angiography showed no coronary stenosis. Radionuclide imaging demonstrated myopathy of the anterior, part of the inferior, the posterior,and the lateral apical segments based on reduced radioactivity with a patchy pattern, consistent with DCM （Figure 2A）.
