Clinical Results of Silicone Intubation for Epiphora Patients

In this study, silicone intubation was performed for punctal stenosis in 26 eyes (group 1), incomplete nasolacrimal duct obstruction in 65 eyes (group 2), and complete nasolacrimal duct obstruction in 62 eyes (group 3).Follow up period was 3~14 months (mean 6 months).After intubation, 22 eyes (84.6%) in group 1, 50 eyes (76.9%)in group 2, and 25 eyes (40.3%)in group 3 showed no epiphora.The success rates based on age were 100%under 10 years, 67.2%between 10 years and 50 years, and 65.4%above 50 years.81.8%in male patients and 58.3%in female patients showed improvement.The most common complication was itching sensation.In summary, silicone intubation can be an alternative to dacryocystorhinostomy in patients who have punctal stenosis and incomplete obstruction of nasolacrimal duct system.

Intraocular Pressure Change Following Nd: YAG Laser Posterior Capsulotomy in After Cataract

Intraocular pressures (IOP)were measured following Neodymium (Nd): YAG laser posterior capsulotomy in 51 pseudophakic eyes which had been treated with phacoemulsification and intraocular lens in the bag.Group 1 was no medical treated, group 2 was treated with 0.5%apraclonidine preoperatively, group 3 was treated with fluorometholone postoperatively, and group 4 was treated with 0.5%apraclonidine preoperatively and with fluorometholone postoperatively.IOP was measured preoperatively and 1, 3, 24 hours and 1 week postoperatively.Four eyes (7.8%)had greater than 5 mmHg elevation of IOP (1 eye in group 1, 3 eyes in group 3)and all of them decreased IOP to normal level within 3 hours.In summary, there was no or little IOP elevation without any medical treatment in eyes which had been treated with phacoemulsification and intraocular lens in the bag and had intact posterior lens capsule.

Comparative Analysis of Pre- & Post-operative Change in Thoracolumbar Compression Fracture, as seen on 3-dimensional Computed Tomography

Conventional radiographs and simple CT scans fail to provide accurate information about the structural integrity of a fracture site. In recent years, special 3-dimensional CT scanning has been progressively developed, and we applied this technique to thoracolumbar compression fractures. Posterolateral spinal fusion with iliac bone graft was attempted in all patients; Comparative pre- and post-operative change in these fractures was then an-alysed, using 3-dimensional CT. The results of this study suggest that this imaging is a useful non-invasive technique to assess compression fracture and determine prognosis.

Stereotactic Surgery for the Nail-Gun Injury of the Head: Case Report

The authors report a rare case of gunshot injury to the head by a nail-gun which was treated by stereotactic surgery. In the case, a 23-year-old male patient, presented with semicomatose mentality and decerebrated rigidity. The large nail was located in the 3rd ventricular area in the mid-line with vertical stature. The entry point was identified 1cm anterior to the coronal suture line and just lateral to the sagittal suture line. The foreign body was removed stereotactically with the guidance of gluoroscope. But the died of initial severe brain damage.