Retrobulbar Hemorrhage during Cardiopulmonary Bypass Surgery

Retrobulbar hemorrhage is a rare complication following cardiopulmonary bypass surgery, which has never been reported in Korea. Our cardiac surgery tearn diagnosed a case of 30 year-old female patient as atrial septal defect and performed direct closure for it. Proptosis of the right eye was developed during surgery and she was consulted to Department of Ophthalmology, St. Mary's Hospital, Catholic University Medical College. We confirmed the evidence of the proptosis of the right eye with Hertel's exophthalmo meter and diagnosed this case as retrobulbar hemorrhage that orbital CT showed a large ovoid shaped non-enhancing hyperdense mass shadow at superior portion of the right orbit. So we report our case with a brief review of the literature related to retrobulbar hemorrhage during cardiopulmonary bypass surgery.

Clinical Results of Penetrating Keratoplasty in Corneal Perforation

Therapeutic keratoplasties for 7 patients (7 eyes) with the corneal perforation were performed at St. Mary's Hospital, Catholic University Medical College, from November 1988 to December 1991 for about 3 years. The causative diseases of corneal perforation were herpes simplex keratitis in 2 eyes (28.6%), corneal ulcers after trauma in 2 eyes (28.6%), and keratitis of unknown etiology in 3 eyes (42.9%). Postoperative complications were cataract (2 eyes; 28.6%), synechiaes(2 eyes; 28.6%), glaucoma (1 eye; 14.3%)' endophthalmitis (1 eye; 14.3%) and graft failure (1 eye; 14.3%). Among the 7 grafted corneas, clear corneas were noted in 2 eyes (28.6%), but opaque corneas developed in 4 eyes (57.1 %), and eVIsceration was performed in 1 eye (14.3%) due to endophthalmitis. After keratoplasty, the visual acuity was over 0.1 in lout of the 6 eyes. In the corneal perforation, it was good to delay keratoplasty until the intraocular inflammation was subsided, but we preferred to do the keratoplasty immediately for large perforation or removal of the causative disease.