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Front Matter (PDF) - Investigative Ophthalmology & Visual Science

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MAY 1977 Vol. 16/5<br />

National Eye Institute<br />

Pathology Symposium—Part II<br />

Tso and Shin<br />

Buzneyet al.<br />

Rodrigues et al.<br />

Irvine et al.<br />

Hamming et al.<br />

Foos<br />

Anderson and Hendrickson<br />

Minckler et al.<br />

Henkind et al.<br />

Wallow and Engerman<br />

Cogan and Yee<br />

Hendrickson et al.<br />

investigative<br />

ophthalmology<br />

&.visual science<br />

A Journal of Clinical and Basic Research<br />

Official Publication of the Association for<br />

Research in Vision and <strong>Ophthalmology</strong><br />

Macular edema, lens extraction, 381<br />

AR in retinal mural cells, 392<br />

Biogenic amines, uveal melanomas, 396<br />

Retinal neoplasia and dysplasia. II, 403<br />

Hyaloid vasculature infrastructure, 408<br />

Vitreoretinal juncture, 416<br />

ICP, rapid axonal transport, 423<br />

Axoplasmic transport, elevated IOP, 426<br />

Optic nerve transection in cats. II, 442<br />

Retinal blood vessels in diabetes, 447<br />

Myelin intrusion in nerve head, 461<br />

<strong>Visual</strong> acuity, behavior of deprived monkeys, 469<br />

The C.V. Mosby Company<br />

IOVSDA 16 (5) 381-474 (1977)


Though it stands only 7.5 cen<br />

meters, Pred ForteJ" (prednisoloi<br />

acetate 1.0%) measures tall amor<br />

ocular steroids.<br />

In studies comparing Pred For1<br />

with dexamethasone phosphate<br />

dexamethasone alcohol and prec<br />

nisolone phosphate, Pred Fort1<br />

emerged the undisputed ruler ir<br />

terms of anti-inflammatory activity<br />

In these studies by Leibowitz<br />

et al. (using rabbit corneas with<br />

the epithelium intact) Pred Forte<br />

exhibited 25% more anti-inflammatory<br />

activity than the closest<br />

steroid, dexamethasone alcohol?<br />

Pred Forte achieved more than<br />

twice the corneal concentrations of<br />

the other steroids tested in the<br />

inflamed rabbit eyes with epithe- - ie<br />

1<br />

lium intact. And further, Pred Forte ; I<br />

achieved significant concentra- -5<br />

-/<br />

tions in the aqueous humor? 5 ' I<br />

Pred Wrte performs both in &<br />

the lab and, more important, 5<br />

on the real firing line: in your<br />

patient's eyes.<br />

Pred Forte, the ocular steroid<br />

with the clinical record. Perhaps<br />

that's why ophthalmologists<br />

believe in Pred Forte and pre-<br />

scribe it most.<br />

When you see severe ocular<br />

inflammation, remember the<br />

"ruler": Pred Forte.<br />

(prednisolone acetate) 1%<br />

the steroid others are<br />

measured against.<br />

I<br />

,<br />

Pred Fortex Iprednis~~lnne acetate) 1% Sterile Ophthalmic<br />

Suspension. INDICATIONS Fnr steroid responsive inflammation<br />

of the palpebral and bulbar conjunctiva, cornea and<br />

anterior segment of the globe. CONTRAINDICATIONS<br />

Acute untreated purulent wular infections. acute superficial<br />

herpes simplex (dendritic kerat~tis). vaccinia, varicella and<br />

most 11ther viral diseases of the cornea and conjunctiva. (~ular<br />

tuberculosis,and fungal diseasesof the eye,and sensitivity to<br />

any mnipments of the formulatron. WARNINGS 1. In th~se<br />

diseases causmg thinning of the cornea, perforation has been<br />

reported with the use of topical steroids. 2. Since PRED<br />

FORTEx contains no antimicrobial, if infection is present<br />

appropriate measures must be taken to a~unteract the orga.<br />

nisms ~nvolved. 3. Acute purulent infections of the eye<br />

may be masked or enhanced by the use of topical steroids.<br />

4. Use II~ sten~~d medication in the presence of stn~mal hews<br />

simplex requlres caution and should be followed by freqwnt<br />

mandatnry slit-lamp microscopy. 5. As fungal infections of<br />

, the a)rnea have been reported coincidentally with longterm<br />

I local stemid applications, fungal invasion may be suspected<br />

$ in any persistent ameal ulcelation where a stemid has been<br />

used. or is in use. 6. Use of topical a~rtjcnsteroids may cause<br />

increased intrawular pressure in certain individuals. This<br />

may result in damage to the optic nerve with defects in the<br />

3 visual fields. It is advisable that the intrawular pressure<br />

be checked frequently. 7. Use in Pregnancy -Safety of<br />

3 intensive or protracted use of topical steroids during<br />

pregnancy has mt been substantiated. PRECAUTIONS<br />

Pmtenor subapsular cataract formation has been rep~nd<br />

after heavy or protracted use of topical ophthalmic cnr.<br />

ticr~steroids. Patients with histories of herpes simplex<br />

keratitis sh~~uld be treated with caution. ADVERSE<br />

REACTIONS Increased intraocular pressure. with optic<br />

nerve damage, defects in the visual fields. A h ptiterior<br />

subcapsularcataract formation, secondary (rular mfections<br />

fnmi fungi or viruses Ilkrated fn~m ocular tissues.<br />

and perfi~rat~on of the globe when used in ctmdit~c~ns<br />

where there is thinnmg of the cornea or dera. Systeniic<br />

side effects niay mur with extenswe use of stero~ds.<br />

DOSAGE AND ADMINISTRATION 1 to 2<br />

drnps instilled into the conjunctival sac two tu four<br />

times daily. During the initial 24 to 48 hours the dosage<br />

may be safely increased t11 2 drops every hour. Care<br />

should be taken not 10 disamtinue therapy prematurely.<br />

REFERENCE NOTES: I. Lcihmitz. H. M, and Kupfcmfan.<br />

A. Bioorw~kbility and Iht~rapcallc. vfjfrrliruncss<br />

of l~~picallv ad~winistrn.d rartioatrn,iils. Trans<br />

An1 Acad Ophthalnlrd Ot~rla~ynpl N (11: 00 iH.@<br />

XX. 1.V7.5. b Ihiil 3. /hid<br />

A&WN Iruine. Caiifarnia


Improve your skills<br />

in the use of fluorescein angiography<br />

and photocoagulation<br />

with this<br />

superbly illustrated atlas<br />

j~+ New 2nd Edition! ^ ^<br />

Stereoscopic Atlas<br />

of<br />

Macular Diseases<br />

For pertinent, practical information on diagnosis and management of<br />

macular diseases, consult this magnificently illustrated new edition. Dr.<br />

Gass correlates appearance with fluorescein angiographic findings and,<br />

when available, histopathology. He makes use of black arid white photographs,<br />

stereo fundus photographs in full color (19 stereo reels—4 new<br />

to this edition); fluorescein angiograms, photomicrographs; and schematic<br />

drawings to elucidate all textual material. Virtually a new book, this edition<br />

has been revised and expanded to provide the most comprehensive<br />

treatise available on macular diseases.<br />

By J. Donald M. Gass, M.D. April, 1977. 412 pages plus FM I-XII,<br />

8'/2" x 11", 951 illustrations plus 121 views in 19 stereo reels in color;<br />

12 views in black and white. (Viewer not included) Price, $65.00.<br />

ORDER BY PHONE: Call (800) 325-4177 ext. 10. In Missouri call collect—(314)<br />

872-8370 ext. 10. 9 am to 5 pm (CDT), Monday through Friday.<br />

MO5BV<br />

TIMES MIRROR<br />

THE C. V MDSBY COMPANY<br />

11830 WESTUNE INDUSTRIAL DRIVE<br />

ST. LOUIS MISSOURI 63141


Now, Iris fluorescein photography. From the developers<br />

of fundus fluorescein photography. From Zeiss.<br />

Another Zeiss First. We were first to bring you an instrument<br />

for fluorescein angiography of the ocular fundus. Now<br />

we have developed a slit lamp accessory for fluorescein angiography<br />

of the iris. Easily attached to the Zeiss Slit Lamps<br />

100/16 or 125/16 or to the Photo Slit Lamp, this special illuminator<br />

with flash tube, ignition unit and power supply lets you<br />

utilize one of the newest diagnostic techniques in ophthalmology.<br />

Use one power supply for two instruments ... If you<br />

already have a Zeiss Slit Lamp or Photo Slit Lamp and a Zeiss<br />

Fundus Camera with Fundus Flash 2 or Power Supply 260, all<br />

you need to do both iris and fundus fluorescein photography are<br />

the illuminator and a switchbox. Simple. Easy to operate. And,<br />

since Zeiss Optics are the world's greatest optics, you are assured<br />

of excellent photographs.<br />

For photography of the anterior segment of the eye.<br />

Not only is iris fluorescein photography valuable for diagnosis<br />

of disorders of the iris, but it has been used to validate a confirmative<br />

diagnosis of diabetes, Iris fluorescein photography is<br />

expected to become one of the most sophisticated diagnostic<br />

techniques in medicine.<br />

Send for more information. Write: Carl Zeiss, Inc.,<br />

444 Fifth Avenue, New York, N. Y. 10018. Or call (212)<br />

730-4400. In Canada: Carl Zeiss Canada Ltd., 45 Valleybrook<br />

Drive, Don Mills, Canada M3B 2S6. Or call (416) 449-4660.<br />

Nationwide service.<br />

BRANCH OFFICES: BOSTON, CHICAGO, COLUMBUS, HOUSTON, LOS ANGELES, SAN FRANCISCO, WASHINGTON, D. C.<br />

Iris Fluorescein Study, photographed by the<br />

Ophthalmic Photo Unit, New York Medical College, New York City.<br />

Fiuorescein angiogram of a diabetic retinopathy,<br />

revealing a gross vasculopathy in micro and macro vessels.<br />

THE GREAT NAME IN OPTICS


prescribe<br />

PE OPHTHdLmiCS<br />

by color coded vials<br />

PINK YELLOW LAVENDER GREEN BLUE<br />

Rx, instructions and dosage are simplified<br />

to increase patient compliance.<br />

Vz % (free base) epinephrine with each<br />

strength of pilocarpine.<br />

15cc vials—dated to assure fresh potent<br />

medication —no refrigeration required.<br />

DCPERSON & COVEY ING<br />

CLENDALE, CALIFORNIA 91201 U.S.A.


3 you see abwe can<br />

rgk conjunctivitis.<br />

I you see below<br />

----- of it.<br />

NW AltlslOtEAm<br />

Formulated with your allergic conjunctivitis*<br />

patient in mind. AlbalonA clears the congestion<br />

with naphazoline HCI; calms the discomforting<br />

itch with antazoline. And AlbalonA is the only<br />

antihistamine-decongestant in an artificial tear<br />

vehicle: Liquifilm? (polyvinyl alcohol 1.4%). Unique<br />

Liquifilm protects against iatrogenic dry eye; in<br />

contrast, aqueous vehicles can cause dry eye.<br />

That's how Albalon-A does it all faster and<br />

more effectively than either active ingredient alone?<br />

*Tha drug has been evaluated as possrbly effectwe for ths mdicatron<br />

See full prescnbrng rnfonnahon<br />

The anti-drying, antihistamine<br />

DKCRPWN A stenle ophthalmic solubon having the following composltlon:<br />

naphazoline HCI . . .0.05%, antazoline phosphate .0.5%.<br />

with: LiqufilmO Ipd/vinyl akohol) 1.4%; benzalkonium chlonde .ON%;<br />

edetate dkodium: odwinvl mlidone: sodium chlonde: sodium ace<br />

tate, anhvdruus: ac&.ac~d and/orsodih hvdroxlde d needed to adjust<br />

the DH MTlON AlbalonA comb~nes the efkcts of Me antihlstamme.<br />

antazoline. and the decongestant naphazoline.<br />

and/or other informabon. FDA has classified me indications as fol-<br />

lows "PoaibK' effeXiw For rdief of ocular initation and/or con-<br />

gestion of for the treatment of allergic. inflammatow. y. inkcticus<br />

ocular conditions Final classification of the lea-thaneffective indi-<br />

cation requires further investigation.<br />

COlYrrUmDKllTlOlYS M/pwsensiWlW to one or more of the comw<br />

nenb of ths weparation WING Do not use in presence of nam angle glaucoma. The prmrahon should be vsed onlv<br />

wth caution In Me wesence of hvcettemlon, cardlac lrreeularities w<br />

hyDerg)ycemla (d~abetes) To prevent mntamlnabng the dm&?r bp and<br />

solution, care should be taken not to touch the evellds or surrounding<br />

area mth the dropper bp of Me bottle Keep bottle Ughtb closed when<br />

not In use Protect from hght ADVERSE REACTIONS The followng<br />

advene reactions mav occur: Puoilla~ dilation. increase in intaocular<br />

preaure. Nstemlc effects due to absorphon 11 e. hypertenuon, cardac<br />

~mulanbes hwfgkem~al DOSAGE One or two d w lnstrlled In each<br />

eve evecy 3 or 4 hwn or less frequentb as required to relieve mptorns<br />

W SUPPUED 15 ml droooerdo olasdc dro~m bdtles On orescnw<br />

tion only.<br />

REFERENCES<br />

Miller. J and \hMf. E H Antazolme phosphate and Wazollne hydrochloride.<br />

wnglv and In combmanon for the mtrnent of alergerpr coryunct~bs<br />

- a contmlled double- blind cl~nlcal ma1 Ann Albg 35 81-85.1975


For uninterrupted control of I.O.R<br />

...never more than one or two instillations<br />

Page 8<br />

Scanning electron microscopy of<br />

primate trabecular meshwork (X300):<br />

Viewed here is Schlemm's canal<br />

along with uveal and corneoscleral<br />

meshwork. (Photo courtesy<br />

Douglas R. Anderson, M.D.]<br />

This area is the site of the prime<br />

pathologic changes which are<br />

responsible for glaucoma and the<br />

focus of most of the medical<br />

procedures for treatment of the disease.


Because PHOSPHOLINE IODIDE is long-acting, it can help provide<br />

uninterrupted control of intraocular pressure in chronic sinnple (open-angle)<br />

glaucoma or glaucoma secondary to aphakia. Just one or, at most,<br />

two instillations of PHOSPHOLINE IODIDE [one at bedtime, and, if necessary,<br />

one in the morning) are generally needed.<br />

Although PHOSPHOLINE IODIDE is longer-acting than other miotics,<br />

it is not more potent. With four concentrations available, it offers a high degree of<br />

dosage flexibility for uninterrupted control of intraocular pressure... used alone<br />

or in combination with other medication.<br />

When starting PHOSPHOLINE IODIDE therapy, 0.03%-the lowest strength -<br />

is the logical choice. If strengths of 0.06%, 0.125%, or 0.25% are required,<br />

the initial use of the 0.03% will be helpful in smoothing the transition.<br />

PHOSPHOLINE IODIDE* EESKSft<br />

(echothiophate iodide for ophthalmic solution)<br />

See next page ol advertisement for prescribing mformatio<br />

Page 9


PHOSPHOLINE IODIDE<br />

®<br />

(echothiophate iodide)<br />

in the management of<br />

chronic simple (open-angle)<br />

glaucoma or glaucoma<br />

secondary to aphakia<br />

BRIEF SUMMARY<br />

(For lull prescribing information, see package circular.)<br />

PHOSPHOLINE IODIDE'<br />

(ECHOTHIOPHATE IODIDE FOR OPHTHALMIC SOLUTION)<br />

PHOSPHOLINE IODIDE is a long-acting cholinesterase inhibitor<br />

for topical use.<br />

Indications: Glaucoma-Chronic open-angle glaucoma. Subacute<br />

or chronic angle-closure glaucoma after iridectomy or<br />

where surgery is refused or contraindicated. Certain non-uveitic<br />

secondary types of glaucoma, especially glaucoma following<br />

cataract surgery.<br />

Accommodative esotropia-Concomitant esotropias with a<br />

significant accommodative component.<br />

Contraindications: 1. Active uveal inflammation.<br />

2. Most cases of angle-closure glaucoma, due to the possibility<br />

of increasing angle block.<br />

3. Hypersensitiyity to the active or inactive ingredients.<br />

Warnings: 1. Use in Pregnancy: Safe use of anticholinesterase<br />

medications during pregnancy has not been established, nor<br />

has the absence of adverse effects on the fetus or on the<br />

respiration of the neonate.<br />

2. Succinylcholine should be administered only with great<br />

caution, if at all, prior to or during general anesthesia to patients<br />

receiving anticholinesterase medication because of possible<br />

respiratory or cardiovascular collapse.<br />

3. Caution should be observed in treating glaucoma with<br />

PHOSPHOLINE IODIDE in patients who are at the same time<br />

undergoing treatment with systemic anticholinesterase medications<br />

for myasthenia gravis, because of possible adverse<br />

additive effects.<br />

Precautions: 1. Gonioscopy is recommended prior to initiation<br />

of therapy.<br />

2. Wh6re;there is a quiescent uveitis or a history of this condition,<br />

anticholinesterase therapy should be avoided or used<br />

cautiously because of the intense and persistent miosis and<br />

ciliary muscle contraction that may occur.<br />

3. While systemic effects are infrequent, proper use of the<br />

drug requires digital compression of the nasolacrimal ducts for<br />

a minute or two following instillation to minimize drainage into<br />

the nasal chamber with its extensive absorption area. The hands<br />

should be washed immediately following instillation.<br />

4. Temporary discontinuance of medication is necessary if<br />

salivation, urinary incontinence, diarrhea, profuse sweating,<br />

muscle weakness, respiratory difficulties, or cardiac irregularities<br />

occur.<br />

5. Patients receiving PHOSPHOLINE IODIDE who are exposed<br />

to carbamate or organophosphate type insecticides and<br />

pesticides (professional gardeners, farmers, workers in plants<br />

manufacturing or formulating such products, etc.) should be<br />

Page 10<br />

warned of the additive systemic effects possible from absorption<br />

of the pesticide through the respiratory tract or skin. During<br />

periods of exposure to such pesticides, the wearing of respiratory<br />

masks, and frequent washing and clothing changes<br />

may be advisable.<br />

6. Anticholinesterase drugs should be used with extreme caution,<br />

if at all, in patients with marked vagotonia, bronchial<br />

asthma, spastic gastrointestinal disturbances, peptic ulcer, pronounced<br />

bradycardia and hypotension, recent myocardial infarction,<br />

epilepsy, parkinsonism, and other disorders that may<br />

respond adversely to vagotonic effects.<br />

7. Anticholinesterase drugs should be employed prior to<br />

ophthalmic surgery only as a considered risk because of the<br />

possible occurrence of hyphema.<br />

8. PHOSPHOLINE IODIDE (echothiophate iodide) should be<br />

used with great caution, if at all, where there is a prior history of<br />

retinal detachment.<br />

Adverse Reactions: 1. Although the relationship, if any, of retinal<br />

detachment to the administration of PHOSPHOLINE IODIDE<br />

has not been established, retinal detachment has been reported<br />

in a few cases during the use of PHOSPHOLINE IODIDE in<br />

adult patients without a previous history of this disorder.<br />

2. Stinging, burning, lacrimation, lid muscle twitching, conjunctival<br />

and ciliary redness, browache, induced myopia with<br />

visual blurring may occur.<br />

3. Activation of latent iritis or uveitis may occur.<br />

4. Iris cysts may form, and if treatment is continued, may<br />

enlarge and obscure vision. This occurrence is more frequent<br />

in children. The cysts usually shrink upon discontinuance of<br />

the medication, reduction in strength of the drops or frequency<br />

of instillation. Rarely, they may rupture or break free into the<br />

aqueous. Regular examinations are advisable when the drug is<br />

being prescribed for the treatment of accommodative esotropia.<br />

5. Prolonged use may cause conjunctival thickening, obstruction<br />

of nasolacrimal canals.<br />

6. Lens opacities occurring in patients under anticholinesterase<br />

therapy have been reported; routine examinations should<br />

accompany prolonged use.<br />

7. Paradoxical increase in intraocular pressure may follow<br />

anticholinesterase instillation. This may be alleviated by prescribing<br />

a sympathomimetic mydriatic such as phenylephrine.<br />

Overdosage: Antidotes are atropine, 2 mg parenterally;<br />

PROTOPAM" CHLORIDE (pralidoxime chloride), 25 mg per kg<br />

intravenously; artificial respiration should be given if necessary.<br />

How Supplied: Four potencies are available. 1.5 mg package<br />

for dispensing 0.03% solution; 3.0 mg package for 0.06% solution;<br />

6.25 mg package for 0.125% solution; 12.5 mg package<br />

for 0.25% solution. Also contains potassium acetate (sodium<br />

hydroxide or acetic acid may have been incorporated to adjust<br />

pH during manufacturing), chlorobutanol (chloral derivative),<br />

mannitol, boric acid and exsiccated sodium phosphate.<br />

7630<br />

The Ophthalmos Division<br />

AYERST LABORATORIES<br />

NewYork, N.Y. 10017


Page 12<br />

, What<br />

you ve come to expect<br />

fromMosby<br />

Eye signs<br />

and symptoms<br />

in brain tumors<br />

references...<br />

A New Book!<br />

SYMPOSIUM ON RETINAL DISEASES<br />

Based on lectures by noted ophthalmologists and<br />

ophthalmic surgeons, this important new book is divided<br />

into three sections: vitreous surgery; diabetic retinopathy;<br />

and macular disease. Case presentations and round table<br />

exchanges, centered on questions from the audience,<br />

provide you with a comprehensive understanding of the<br />

latest advances in this increasingly significant area.<br />

By the New Orleans Academy of <strong>Ophthalmology</strong>; with 9 contributors.<br />

March, 1977. 354 pages plus FM I-XIV, 6%" x 9%", 411 illustrations.<br />

Price, $37.50.<br />

New Volume V!<br />

CURRENT CONCEPTS IN OPHTHALMOLOGY<br />

This authoritative new volume is an essential reading for<br />

every ophthalmologist interested in an up-to-date overview<br />

of the state of the art. It synthesizes recent<br />

developments in all areas of ophthalmology and carefully<br />

explains new diagnostic methods and treatment techniques.<br />

Outstanding discussions, written by prominent<br />

researchers and clinicians, examine: management of corneal<br />

graft complications; "exudative" senile macular<br />

degeneration; laser treatment for glaucoma; herpetic<br />

keratitis; and much more!<br />

Edited by Herbert E. Kaufman, M.D. and Thorn J. Zimmerman,<br />

M.D., Ph.D.; with 17 contributors. September, 1976. 297 pages<br />

plus FM l-XII, 6%" x 9%", 157 illustrations. Price, $34.50.<br />

New Volume V!<br />

ATLAS OF DISEASES OF THE ANTERIOR SEGMENT<br />

OF THE EYE:<br />

The Crystalline Lens<br />

This new volume offers you a precise, scholarly discussion<br />

of the crystalline lens. Each chapter includes a general introduction,<br />

details on various conditions, and a series of<br />

case histories. Clinical black-and-white photographs, as<br />

well as stereoscopic color views especially selected from<br />

Dr. Donaldson's outstanding collection, illustrate each<br />

case history. Two particularly noteworthy chapters discuss:<br />

radiation and toxic cataracts; and iatrogenic and surgical<br />

aspects of cataracts.<br />

By David D. Donaldson, M.D. October, 1976. 212 pages plus FM I-<br />

XIV, 8'/2" x 11", 129 illustrations, 112 stereoscopic views in full<br />

color on 16 View-Master® reels and a View-Master® compact<br />

viewer. Price, $54.50.


authoritative and up-to-date information for<br />

practical management of various ophthalmic<br />

disorders.<br />

New 3rd Edition!<br />

EYE SIGNS AND SYMPTOMS IN BRAIN TUMORS<br />

Thoroughly updated, the new edition of this classic work offers<br />

you definitive information on ocular signs and symptoms in<br />

brain tumors, and precisely explains the correlation of eye signs<br />

with the recognition and localization of tumors. You'll find new<br />

and revised material on: eye motility and its disorders; red-free<br />

funduscopy; electromyography and electro-oculography of the<br />

eye muscles; and computerized axial tomography with the EMIscanner;<br />

along with 35 new illustrations and updated references.<br />

By Alfred. Huber, M.D. and Frederick C. Blodi, M.D. November, 1976.<br />

3rd edition, 424 pages plus FM I-XVI, 6 3 /4" x 9%", 233 illustrations. Price,<br />

$37.50.<br />

CURRENT CONCEPTS OF THE VITREOUS<br />

INCLUDING VITRECTOMY<br />

Presenting the most current information on the vitreous, this<br />

pioneering new book records the results of a two-day seminar<br />

held to disseminate information and share techniques pertinent<br />

to managing vitreous disorders. Innovative surgeons and<br />

researchers offer in-depth examinations of: vitrectomy in<br />

diabetes; preoperative evaluation before surgery; ultrasonic<br />

evaluation; pars plana vitrectomy; and other topics. Stimulating<br />

round table discussion deals with specific questions raised by<br />

seminar participants (i.e., temporal versus nasal entry in vitrectomy,<br />

etc.).<br />

Edited by Kurt A. Gitter, M.D., F.A.C.S.; with 12 contributors. 1976, 290<br />

pages plus FM I-XIV, 6%" x 9%", 271 illustrations. Price, $31.50.<br />

New 4th Edition!<br />

Becker-Shaffer's DIAGNOSIS<br />

AND THERAPY OF THE GLAUCOMAS<br />

This superb new 4th edition provides you with contemporary,<br />

comprehensive information on the pathogenesis, diagnosis, and<br />

management of glaucomas. It includes new material on<br />

Tubinger perimeter; panretinal photocoagulation in the treatment<br />

of diabetic retinopathy; and red-free filter<br />

ophthalmoscopy of nerve fiber bundle defects. The book also<br />

details two new drug delivery systems: soft contact lenses and<br />

membrane controlled drugs. In addition, this revision provides<br />

you with a stereoscopic gonioscopy supplement consisting of<br />

three stereo reels (21 views).<br />

By Allan E. Kolker, M.D. and John Hetherington, Jr., M.D. September,<br />

1976. 4th edition, 526 pages plus FM I-X, 6%" x 9%", 448 illustrations and 8<br />

color plates, and 3 stereoscopic reels. Price, $37.50.<br />

ORDER BY PHONE!<br />

Call (800) 325-4177 ext. 10. In Missouri call collect—<br />

(314) 872-8370 ext. 10. 9 am to 5 pm (CDT), Monday through Friday.<br />

MO5BV<br />

TIMES MIRROR<br />

THE C. V MOSBY COMPANY<br />

1 1830 WESTLINE INDUSTRIAL DRIVE<br />

ST LOUIS. MISSOURI 63141<br />

A70476<br />

Page 13


if ri:j r v<br />

Classified<br />

Advertisements<br />

INVESTIGATIVE OPHTHALMOLOGY &<br />

VISUAL SCIENCE will offer a classified<br />

advertising section in each issue. It will list<br />

opportunities wanted or offered and fellowships,<br />

residencies, or internships wanted or<br />

available. There will be two rates for these<br />

ads, one for members of the Association for<br />

Research in Vision and <strong>Ophthalmology</strong> and<br />

one for other advertisers. Rates are as<br />

follows:<br />

ARVO members<br />

(30 words or less)<br />

Each additional word<br />

Other advertisers<br />

(30 words or less)<br />

Each additional word<br />

1 Time<br />

$ 5.00<br />

.40<br />

$12.00<br />

.40<br />

3 Times<br />

or more<br />

$ 4.00/ad<br />

.35<br />

$10.00/ad<br />

.35<br />

Count all words, including abbreviations.<br />

Initials and numbers count as one word<br />

(Box 000, INVESTIGATIVE OPHTHALMOLOGY<br />

& VISUAL SCIENCE)—counts as 7 words.<br />

Payment must accompany insertion order.<br />

Display ads. Set within a ruled border.<br />

One inch minimum, $25.00 per inch. Forms<br />

close 18th of each month preceding month<br />

of issue.<br />

INVESTIGATIVE OPHTHALMOLOGY<br />

& VISUAL SCIENCE<br />

Journal Advertising Department<br />

The C. V. Mosby Company<br />

11830 Westline Industrial Drive<br />

St. Louis, Missouri 63141<br />

Massachusetts—Crosseyed Domestic (non-<br />

Siamese) Cat. Notice of Availability. The frequency<br />

of Crosseyedness in the ordinary domestic<br />

cat is about 1/400. Over the years we have developed<br />

a strain of such cats, and now offer two<br />

male-female pairs for further research. Acceptance<br />

of these animals is contingent upon an<br />

agreement to continue breeding. For further details<br />

see Vis. Res. 17, 337 (1977) and contact<br />

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Page 14<br />

Editors!<br />

Reviewers!<br />

Authors!<br />

For you ... a new book that<br />

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THE SCIENTIFIC JOURNAL:<br />

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PRACTICES<br />

Guidelines for Editors, Reviewers,<br />

and Authors<br />

In 1665 the first scholarly journal was published<br />

in France. Since that time, there has<br />

been no one source of editorial guidelines for<br />

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YOU DECIDE<br />

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Presenting the advantages and disadvantages of<br />

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concerning the problems you may encounter.<br />

The book is divided into two general sections:<br />

editorial policies, which usually require major decisions;<br />

and editorial practices, which involve<br />

minor decisions, often about format or mechanical<br />

style. You'll find essays exploring: the manuscript<br />

reviewing system: special types of manuscripts<br />

(abstracts, transactions, solicited manuscripts,<br />

book reviews). You'll value chapters<br />

which cover: information for authors: copyright;<br />

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everything you want to know as editor,<br />

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Iff<br />

investigative ophthalmology<br />

& visual science<br />

A Journal of Clinical and Basic Research<br />

Official Publication of the Association for Research in Vision and <strong>Ophthalmology</strong><br />

EDITOR<br />

Herbert E. Kaufman, M.D.<br />

Professor of <strong>Ophthalmology</strong> and Pharmacology<br />

College of Medicine, University of Florida<br />

Gainesville, Florida 32610<br />

Manuscripts<br />

Address correspondence related to manuscripts<br />

to the Editor, Herbert E. Kaufman, M.D., Department<br />

of <strong>Ophthalmology</strong>, College of Medicine,<br />

University of Florida, Gainesville, Florida 32601.<br />

Scope and selection. <strong>Investigative</strong> <strong>Ophthalmology</strong><br />

& <strong>Visual</strong> <strong>Science</strong> is intended to convey information<br />

to those interested in all areas of visual research.<br />

We welcome the submission of manuscripts describing<br />

laboratory and clinical investigations ot<br />

the eye and the visual processes. Papers submitted<br />

for publication should be original and should not<br />

be submitted for publication elsewhere. Papers submitted<br />

by non-members of the Association for<br />

Research in Vision and <strong>Ophthalmology</strong> will be<br />

given equal consideration. Papers should be<br />

written in English and contributed solely to<br />

<strong>Investigative</strong> <strong>Ophthalmology</strong> & <strong>Visual</strong> <strong>Science</strong>.<br />

Preference will be given to timely reports, to<br />

manuscripts of 2,000 words or less (approximately<br />

eight double-spaced typewritten pages), and to<br />

reports of broadest general interest.<br />

Statements and opinions expressed in the articles<br />

and communications herein are those of the<br />

author(s) and not necessarily those of the Editors)<br />

or publisher and the Editor(s) and publisher<br />

disclaim any responsibility or liability for<br />

such material. Neither the Editor(s) nor the<br />

publisher guarantee, warrant, or endorse any<br />

product or service advertised in this publication,<br />

nor do they guarantee any claim made by the<br />

manufacturer of such product or service.<br />

Style and organization. Articles should be written<br />

so as to be easily understandable to vision researchers<br />

in many fields. Abstracts should be as<br />

free of jargon and specialized language as possible<br />

and should specifically state the conclusions of the<br />

study. All investigators should specify any direct<br />

or indirect financial interest involved in the outcome<br />

of any paper or study, and all sources of<br />

support.<br />

Submit the original and three (3) copies of<br />

the manuscript and illustrations. Type manuscript<br />

double-spaced on one side of the paper. The<br />

following organization is recommended: 1. Abstract<br />

(250 words or less orienting the problem,<br />

describing the major observations, and stating the<br />

principal conclusion). 2. Introduction and objective<br />

of study (omit extensive reviews of the<br />

literature). 3. Methods and experimental design<br />

Editorial communications<br />

PUBLISHER<br />

The C. V. Mosby Company<br />

11830 Westline Industrial Drive<br />

St. Louis, Missouri 63141, U. S. A.<br />

(brief but compatible with repetition of the work;<br />

refer to published procedures by reference only).<br />

4. Results (describe with minimum of discussion<br />

—use such tables, photographs, and charts as<br />

are necessary to clarify and document the text).<br />

5. Discussion (limit to the data presented, their<br />

significance, and their limitations; avoid unsupported<br />

hypotheses). Avoid unusual abbreviations;<br />

employ standard chemical or nonproprietary pharmaceutical<br />

nomenclature. (See Style Manual for<br />

Biological Journals, ed. 3, 1972, American Institute<br />

of Biological <strong>Science</strong>s, 3900 Wisconsin Ave., N.W.,<br />

Washington, D. C. 20016.)<br />

Key words. A list of 5 to 10 key words should<br />

be provided on a separate sheet. A selection will<br />

be made from these and printed at the head<br />

of the article to facilitate indexing and retrieval<br />

for the medical literature.<br />

References. Restrict the bibliography to pertinent<br />

references. Refer to them in the text by number<br />

only, and list and number them at the end of<br />

the manuscript in the order of their mention,<br />

using style found in the Cumulated Index Medicus<br />

and in the following order: 1. Journal references:<br />

authors, title, journal, volume, page, and<br />

year. 2. Book references: authors, title, edition,<br />

city, year, and publisher. It is the author's responsibility<br />

to verify each reference.<br />

Illustrations. Results may be presented in tables<br />

or figures, but only under exceptional circumstances<br />

should the same data be presented in<br />

both. Illustrations should be numbered consecutively<br />

in Arabic, and marked lightly on the<br />

back with figure number, author's name, and<br />

"top." Type legends on a separate sheet. Provide<br />

unmounted, glossy photographic prints in which<br />

the details are clearly evident, or original illustrations<br />

on good quality paper on which the lining<br />

and lettering are done with India ink. A reasonable<br />

number of halftone illustrations will be reproduced<br />

free of cost to the author, but special<br />

arrangements must be made with the Editor for<br />

color plates, elaborate tables, or extra illustrations.<br />

Reports. Special consideration for rapid review and<br />

prompt publication will be given to Reports. These<br />

should be written in the same format as regular<br />

papers, including an abstract, but should be no<br />

longer than 5 double-spaced, typewritten pages<br />

in length; they may include up to 4 figures or<br />

tables and no more than 10 references.<br />

May 1977 Page 15


When<br />

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OPHTH A OTOL, June 1976.<br />

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Page 16<br />

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Emphasis and Objectives: Advanced course in Ophthalmic Microsurgery,<br />

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Course Director: Louis J. Girard, M.D., F.A.C.S.<br />

Dates: July 21,22,23<br />

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