Marlon Maus | UC Berkeley (original) (raw)

Papers by Marlon Maus

Journal of Health Care for the Poor and Underserved, 2022

AIMS To evaluate a bi-national consulate-based teleophthalmology screening service for diabetic r... more AIMS To evaluate a bi-national consulate-based teleophthalmology screening service for diabetic retinopathy (DR) among Mexican migrants in the U.S. METHODS Adult visitors (n=508) at Mexican consulates in California with self-reported diabetes underwent questionnaires and fundus photography. Photographs were graded for DR by retina fellows in Mexico via teleophthalmology. Participants were contacted with results and provided referrals when necessary. RESULTS Nearly all (97.6%) participants were aware that diabetes can cause vision loss. One-quarter (24.4%) had undergone an eye examination in the past year. Barriers to care were cost (53.9%) and insurance (45.6%). Most (85.4-91.1%) reported that Spanish-speaking providers and provision of screening in primary care would increase participation in screening. Any DR, vision-threatening DR, or proliferative DR were found in 30.2%, 9.9%, and 5.4% of participants, respectively. Nearly one-fifth (19.5%) received referrals. CONCLUSIONS Screening in Mexican consulates may improve DR detection and treatment among Mexican migrants in the U.S.

Author(s): Maus, Marlon | Advisor(s): Satariano, William | Abstract: The most pressing health pro... more Author(s): Maus, Marlon | Advisor(s): Satariano, William | Abstract: The most pressing health problems of the 21st century - such as obesity, diabetes, osteoporosis, cancer, depression, and cardiovascular disease - cannot be addressed using traditional public health interventions. Population growth and climate warming are global challenges that threaten not just the health but perhaps the very survival of human beings. These, too, require innovative, "outside-the-box" solutions. At the root of these problems, and their solutions, lies the intimate relationship between where we live (our built environment) and how we live (our behavior). The separation of the disciplines has also been blamed, at least in part, for the failure to recognize the links between the built environment and the health disparities found among communities of color and of low socio-economic status. Correctly designed communities can improve their residents' health by encouraging physical activity, ...

Journal of Immigrant and Minority Health

Filipino-Americans are the third largest Asian-American population, with a median age of 44. Howe... more Filipino-Americans are the third largest Asian-American population, with a median age of 44. However, there is limited literature focusing on the group’s ophthalmic care engagement. Timely eye examinations and outreach are necessary to reduce visual impairment in this older community. To assess eye care knowledge, attitudes, and practices, we conducted a cross-sectional study surveying Filipino-Americans within the nine San Francisco Bay Area counties. Associations between primary outcomes and sociodemographic factors were analyzed using chi-squared analysis and student’s T-test. In our convenience sample of 256 surveys, a majority of participants are receiving appropriate eye care; those that lacked health and eye insurance, immigrated and are lower income did not receive optimal eye care. Study participants also demonstrated a lack of awareness of eye diseases and risk factors. Our results suggest that culturally sensitive eye health education materials are lacking and should be m...

Archives of Ophthalmology, 1991

Oxford Bibliographies Online Datasets

Ophthalmic Surgery, Lasers and Imaging Retina

Journal of Visual Impairment & Blindness, 2016

We live in an era when technological advances are being developed at an exponential pace. The so-... more We live in an era when technological advances are being developed at an exponential pace. The so-called tech boom is affecting all aspects of life from redefining social interaction to physical activity and health outcomes. It should be no surprise that older adults are an important part of the technological revolution since they represent a sizable and growing section of the world's population. As older adults of the present generation expect a longer lifespan, which increasingly includes some experience with visual impairment, technology increases the potential of remaining healthy and active for as long as possible. Technology in the area of wayfinding represents an important element of the overall strategy to achieve this goal. Advances in assistive technologies for wayfinding are increasingly being used to facilitate the mobility, independence, and safety of older adults with visual impairments. Technology does not, however, come without risks. Technology for technology&#39...

Ophthalmic Surgery and Lasers, 1992

Neurologic Clinics

Botulinum toxin therapy has emerged as a treatment modality for a variety of spastic- or contract... more Botulinum toxin therapy has emerged as a treatment modality for a variety of spastic- or contracture-related muscle diseases. Its safety has been proven for long-term use in the treatment of benign essential blepharospasm, hemifacial spasm, and certain types of strabismus. Recent approval from the Federal Drug Administration should make botulinum toxin available for use in a greater number of patients.

Annals of Otology, Rhinology & Laryngology

A 71-year-old woman referred to our department by her ophthalmologist presented with diplopia, le... more A 71-year-old woman referred to our department by her ophthalmologist presented with diplopia, left proptosis, and unilateral nasal obstruction. Over the previous 18 months, she had been treated with Synthroid and radioactive iodine for Graves' disease. Nonetheless, she noted progressive worsening of her vision over the 2 previous months. Examination revealed severe, bilateral exophthalmos, bilateral optic neuropathy, complete obstruction of her left nasal cavity by a mucocele, and an enlarged, nontender thyroid gland with a left thyroid nodule. Visual acuity was measured at 20/70 in both eyes.

The Internet Journal of Otorhinolaryngology

Objectives: To determine the effect of transorbital craniotomy through a suprabrow approach on ol... more Objectives: To determine the effect of transorbital craniotomy through a suprabrow approach on olfaction and thereby develop a human model to evaluate the efficacy of medical therapy in the treatment of sensorineural anosmia. Methods: Retrospective chart review of all patients undergoing transorbital craniotomy through a suprabrow approach at a major medical center from April, 1997 through June, 2000. The effect of surgery on olfactory function was investigated via a phone questionnaire that assessed the sense of smell prior to and following craniotomy. Objective evaluation of olfactory function was evaluated via forced-choice threshold to phenylethyl alcohol and/or odor identification testing. Results: 28 patients completed retrospective phone interviews. Subjectively, 18 patients noted no change in their sense of smell postoperatively, 7 noted a decreased sense of smell and 3 noted improvement. 18 of 28 patients underwent objective testing, which did not agree with patient self-assessment in 4 of 18 instances. 8 of 18 patients tested anosmic and one of 18 tested unilaterally anosmic. No recovery of function was noted at follow-up of at least 8 months after surgery. Postoperative anosmia was more likely in midline or bilateral lesions (p= 0.050). Conclusions: Currently, no human model for the evaluation of therapeutic interventions in the treatment of sensorineural olfactory loss exists. Hyposmia and anosmia are common sequelae of transorbital craniotomy through a suprabrow approach. Such surgical procedures present opportunities for randomized, placebo-controlled human subjects trials studying the effect of medical therapy on the recovery of olfactory function.

Ophthalmology Clinics of North America

Rapidly increasing medical knowledge, technologic advances, and the creation of tertiary care cen... more Rapidly increasing medical knowledge, technologic advances, and the creation of tertiary care centers have increased physician subspecialization. With this subspecialization, physicians have often been isolated from colleagues in other disciplines, limiting their opportunities to learn of advances in other subspecialties. Through recent collaborations with neurosurgical colleagues we have developed a combined orbital-neurosurgical approach to orbital tumors, carotid cavernous fistula embolization, and orbital decompression surgery. This approach offers wide surgical exposure and mimimal brain manipulation.

Community Wayfinding: Pathways to Understanding, 2016

This chapter, written from a public health and technology perspective, addresses limited or impai... more This chapter, written from a public health and technology perspective, addresses limited or impaired mobility, which is common in adults—particularly older adults—and adversely associated with health, well-being, and function. Little attention has been given to problems with community wayfinding, including both individual characteristics (such as reduced lower-body strength, vision impairment, and cognitive deficits) and environmental characteristics (such as broken sidewalks, poor lighting, and heavy automobile traffic) and their potential impact on older adult mobility. Given that improving mobility is a key foundation block for any comprehensive program to enhance the health and well-being of older adults, the chapter explores the potential of current and emerging personal wayfinding technologies to improve wayfinding and enhance mobility. It identifies the relative lack of—and need to build—an evidence base that includes public health outcomes. The RE-AIM (Reach, Efficacy/Effectiveness, Adoption, Implementation, and Maintenance) framework, widely employed in public health to foster effective translation of research to practice, is proposed as a means to assess personal wayfinding technologies. First, questions underlying RE-AIM components are explored for utility in assessing the current status of a given technology. Second, the framework is applied in a manner closer to its original intent to examine the translation and dissemination of a specific technology. Finally, the chapter explores some future directions in this rapidly expanding field.

Archives of ophthalmology, 1999

Facial Plastic Surgery, 1999

The purpose of this article is to describe the newer surgical techniques and materials available ... more The purpose of this article is to describe the newer surgical techniques and materials available for repair of lower eyelid retraction. The anatomic basis, classification, and prevention of lower eyelid retraction are explored, as well as traditional methods of surgical management. Two case reports involving the successful use of acellular human dermis (AHD) for lower eyelid retraction are presented. Lower eyelid retraction is associated with a variety of etiologies, which mandate that the surgical repair be directed toward correction of the anatomic abnormality in each patient. Each surgical procedure and material used in the repair of eyelid retraction is associated with unique advantages and disadvantages. AHD has found multiple uses in oculoplastics, including reconstruction of the middle and posterior lamellae in eyelid retraction. An understanding of the mechanistic basis of lower eyelid retraction and familiarity with newer techniques and materials enable the oculoplastic surgeon to modify and individualize the operative repair, resulting in better surgical outcomes.

Albert & Jakobiec's Principles & Practice of Ophthalmology, 2008

Ophthalmology, 1999

Clinical problems of contracted conjunctival fornices, superior sulcus defects, and soft tissue c... more Clinical problems of contracted conjunctival fornices, superior sulcus defects, and soft tissue contour defects in the periorbital region have not shown good, sustained results with a range of autologous and alloplastic implants. AlloDerm (Lifecell Corp., Woodlands, TX) is an acellular dermal graft processed from human donor tissue. The authors sought to assess the efficacy of AlloDerm as a soft tissue replacement in a variety of oculoplastic applications. Design: Retrospective, noncomparative case series. Participants: Twenty-three patients. Methods: Applications were broadly classified as barrier/scaffolding (i.e., primary and secondary implant coverage, lid spacer graft) and volume augmentation (i.e., superior sulcus and other periorbital soft tissue contour defects). Barrier grafts were applied as single sheets. Stacked sheets or rolled grafts were used for augmentation. Collectively, this material was used in 29 cases with 3 to 16 months' follow-up. Main Outcome Measures: Clinical evaluation of outcome and complications. Results: As a soft tissue scaffolding and barrier implant, AlloDerm persisted sufficiently to permit repopulation with native tissue. Rolled/stacked implants demonstrated unpredictable resorption. Upper eyelid grafts seemed to have higher resorption rates than lower eyelid grafts. One case of anophthalmic superior sulcus augmentation required two revision surgeries to provide sufficient volume augmentation. The grafts were well tolerated, with no cases of infection or explanation. Conclusion: Acellular human dermis is an excellent barrier and reconstructive grafting material that provides an alternative to autologous grafts and other alloplastic material, avoids harvesting autologous tissue, possesses excellent handling properties, and is associated with minimal inflammation. Long-term follow-up is required to evaluate persistence.

Ophthalmology, 1998

The authors evaluated a new design of a conical-shaped enucleation implant to help minimize the o... more The authors evaluated a new design of a conical-shaped enucleation implant to help minimize the occurrence of superior sulcus defects and maximize motility of the prosthesis. The implant shape is a modification of a sphere. It has a posterior conical projection paralleling the orbital walls, a superior projection supporting the soft tissues of the upper eyelid sulcus, a flattened anterior surface, and channels for each rectus muscle. Design: The study design was a consecutive case series from the Oculoplastics and Orbital Service of the Massachusetts Eye and Ear Infirmary. Intervention/Participants: A total of 45 patients (average age, 40 years; range, 13-75 years) had placement of a conical implant (39 primary enucleations, 6 secondary implants) with a minimum of 1 year' follow-up (range, 12-36 months). All of the primary enucleations and two of the secondary procedures had the anterior portion of the implant covered with autologous fascia. Four of the secondary implants were covered with pseudocapsule harvested from the explanted primary implant. Prostheses were fit 6 to 10 weeks after surgery. Main Outcome Measures: Postoperative appearance of patients was assessed by qualitative appearance of the superior sulcus and prosthetic motility, and subjectively by patients' satisfaction. Results: A total of 43 patients had minimal or no superior sulcus defect, whereas 2 patients had moderate defects. There were no severe sulcus defects. All patients were satisfied with their appearance and did not seek further surgery to correct any upper sulcus asymmetry. Prosthetic motility with small-angle ductions (<lo') and saccades was good in all cases. There were two cases of conjunctival wound dehiscence. Both occurred within 4 weeks of surgery. One wound dehiscence was sutured, whereas the other healed spontaneously. There were no cases of implant extrusion, migration, or infection. Conclusion: The conical orbital implant provides appropriate reconstitution of orbital volume while minimizing superior sulcus defects with adequate prosthetic motility. Ophthalmology 1998; 105919-925 Recent developments in orbital enucleation implants have been directed toward the use of biocompatible materials, particularly porous implants, and increasing prosthetic motility. Despite these advancements, many patients with Originally

Ophthalmology, 2001

To describe the pathophysiology of angle-closure glaucoma secondary to idiopathic inflammatory or... more To describe the pathophysiology of angle-closure glaucoma secondary to idiopathic inflammatory orbital pseudotumor. Retrospective, small noncomparative case series. Three patients with angle-closure glaucoma and orbital pseudotumor. The pathophysiology of this entity was investigated using magnetic resonant imaging (MRI) and ultrasound biomicroscopy (UBM). Clinical features, anterior chamber angle configuration, and intraocular pressure. Angle closure from anterior rotation of the ciliary body caused by choroidal effusions secondary to pseudotumor was demonstrated using MRI and UBM. Two of the three cases resolved after treatment for orbital pseudotumor. Idiopathic orbital pseudotumor is a cause of secondary angle-closure glaucoma. The mechanism of angle closure is anterior rotation of the ciliary body secondary to choroidal effusions resulting from the orbital inflammation.

Ophthalmology, 1990

Severe hypotony, flat anterior chamber, and serous choroidal detachment after transscleral neodym... more Severe hypotony, flat anterior chamber, and serous choroidal detachment after transscleral neodymium: YAG laser cyclophotocoagulation (Nd:YAG-CPC) for three cases of intractable glaucoma are reported. The three patients had failed previous filtering surgery and were receiving maximal medical therapy. The types of glaucomas treated were two cases of primary open-angle and one chronic-angle closure. The complications were noted between 1 and 2 weeks from the time of treatment. One patient improved spontaneously after 1 week of observation. Another patient required drainage of the choroidal effusion and anterior chamber reformation. The last patient remains under observation with a low intraocular pressure (IOP) and a slowly resolving serous choroidal detachment. Though the incidence of shallow anterior chambers is three cases (0.5%) in this series of 750 Nd:YAG-CPCs, it represents a serious problem that had not been reported previously.