Successful Treatment with Chronic Conjunctivitis: Removal of Tarsoconjunctival Crypt

No abstract available.

The Association between Pain and Depression, Anxiety, and Cognitive Function among Advanced Cancer Patients in the Hospice Ward / 가정의학회지

BACKGROUND: Pain is the most common but severe physical symptom among cancer patients. This study aimed to identify correlation between pain and psychological symptoms for terminal cancer patients. METHODS: The total sample consisted of 69 subjects who were recruited through two hospice wards, limited to patients who were mentally alert and had no psychiatric diseases. The subjects were divided into two groups according to the numerical rating scale: the pain-free group, 0 to 3 points; and the pain group, 4 to 10 points. We used the Beck depression inventory (BDI), Beck anxiety inventory (BAI), mini-mental status examination-Korea (MMSE-K), and short form 36 health survey (SF-36). Logistic regression analysis was performed to verify the correlation between pain and other psychosocial disorders. RESULTS: The mean scores of BDI in the pain-free and pain groups were 25.7 and 31.5; mean BAI scores were 23.4 and 34.7; mean MMSE-K scores were 25.7 and 21.8, respectively. There were no significant differences between the two groups in SF-36 score except scores of body pain. The results of logistic regression analysis adjusted for age, sex, marital status, types of cancer, history of chemotherapy, or radiotherapy showed significant correlation between pain and depression (BDI > or = 24; odds ratio [OR], 4.199; 95% confidence interval [CI], 1.171 to 15.060), and pain and cognitive impairment (MMSE or = 22; OR, 3.011; 95% CI, 0.907 to 9.997). CONCLUSION: Pain significantly affects depression and cognitive impairment among advanced cancer patients in the hospice ward. Accordingly, more aggressive treatment of pain is required to reduce not only physical suffering but also physiological distress.

The Effect of a Capsular Tension Ring on Decentration and Tilting of Intraocular lenses after Cataract Surgery

PURPOSE: To evaluate the effect of a capsular tension ring (CTR) on the tilting and decentration of intraocular lenses (IOLs) after cataract surgery. METHODS: Cataract surgery was performed on both eyes of twenty patients ranging from 57 to 75 years old. Forty eyes were divided into two groups based on whether or not a CTR (Lucid Korea, Korea) was implanted. Each patient received a CTR in one eye. All IOLs (MA60BM, Acrysof R , Alcon) were implanted into the capsular bag after a continuous curvilinear capsulorhexis smaller than the optic size of the IOL, and phacoemulsification was performed. The extent of tilting and decentration of the IOLs were measured with the EAS-1000 anterior eye segment analysis system at 7, 30, and 60 days after surgery. RESULTS: IOL decentration decreased to a statistically significant extent in the eyes implanted with both IOL and CTR, versus those with IOL only. The values of CTR+IOL group were: 0.38+/-0.16 mm at 7 days, 0.43+/-0.15 mm at 30 days, and 0.42+/-0.17 mm at 60 days. The IOL-only group values were: 0.49+/-0.11mm at 7 days, 0.53+/-0.14 mm at 30 days, and 0.57+/-0.16 mm at 60 days. IOL tilting also decreased significantly in the IOL+CTR group compared to the IOL-only group. The CTR+IOL values were: 2.22+/-0.46 degrees at 7 days, 2.36+/-0.50 degrees at 30 days, and 2.47+/- 0.40 degrees at 60 days. The IOL-only group values were: 3.14+/-0.65 degrees at 7 days, 2.91+/-0.67 degrees at 30 days, and 3.06+/-0.56 degrees at 60 days. CONCLUSIONS: These results indicate that the CTR reduces undesirable post-surgical movement of the IOL for at least 60 days.

The Usefulness of Compensatory Function of Orbscan II? in Intraocular pressure(IOP) after Laser Assisted in Situ Keratomileusis(LASIK)

No Abstract Available.