Episiotomy is a very common operation but little is known of its short-term or long-term morbidity.A prospective study was designed to record postpartum perineal discomfort and to investigate the presence and persistence of dyspareunia following episiotomy in 140 primigravidae. A comparison was made between those whose perineal skin was sutured with a subcuticular polyglycolic acid (;Dexon') st...

A remarkable case of a scleral melting reaction in association with conjunctival rhinosporidiosis is presented and its surgical treatment with a scleral graft described.

We define a torsion invariant for balanced sutured manifolds and show that it agrees with the Euler characteristic of sutured Floer homology. The torsion is easily computed and shares many properties of the usual Alexander polynomial.

A 76-year-old patient experienced a car accident several years earlier that resulted in the loss of his right eye (ocular prosthesis) and retinal detachment left eye, treated with scleral buckle. computed tomography scan head (Fig A) showed bilobed globe separated by ring hyperdensity (scleral buckle). Ultra-widefield fundus imaging B) demonstrated major circular indentation delimiting anterior...

PURPOSE To characterize scleral biomechanics in both eyes of eight monkeys in which chronic intraocular pressure (IOP) elevation was induced in one eye. METHODS Each posterior sclera was mounted on a pressurization apparatus, IOP was elevated from 5 to 45 mm Hg while the 3D displacements of the scleral surface were measured by speckle interferometry. Finite element (FE) models of each scleral...

Suppose $\mathcal {H}$ is an admissible Heegaard diagram for a balanced sutured manifold $(M,\gamma )$ . We prove that the number of generators associated Floer complex upper bound on dimension instanton homology $\mathit {SHI}(M,\gamma It follows, in particular, strong L-spaces are L-spaces.

BACKGROUND The sclera maintains and protects the eye ball, which receives visual inputs. Although the sclera does not contribute significantly to visual perception, scleral diseases such as refractory scleritis, scleral perforation and pathological myopia are considered incurable or difficult to cure. The aim of this study is to identify characteristics of the human sclera as one of the connect...

A 62-year-old man with a large ciliochoroidal melanoma developed early-onset scleral necrosis with tumor extrusion within 1 month of epibulbar iodine I 125 plaque radiotherapy. The eye was enucleated. Pathologic study revealed nonmicrobial scleral necrosis with extrusion of histologically intact and necrotic uveal melanoma cells. The patient has been followed up for 15 months without clinical r...