Lanreotide Therapy in Graves' Ophthalmopathy / 대한내분비학회지

BACKGROUND: Graves' ophthalmopathy (GO) is an autoimmune process that affects the orbital tissues. Patients with GO are usually treated with high doses of corticosteroids, retrobulbar irradiation, or by surgical decompression, however, those have some adverse effect. Recently, a synthetic somatostatin analogue has been reported for the treatment of GO. This study was performed prospectively to evaluate the therapeutic effects of lanreotide, a potent long acting synthetic somatostatin analogue, in patients that have GO. METHODS: Eight patients with moderate to severe GO (M:F=1:7, age 39.0+/-11.8 years) were included. Patients who had been treated with other modalities than GO, or had a systemic illness such as diabetes were excluded. Eight patients were given lanreotide, 40mg IM every 2 weeks over a period of 8 weeks. Their therapeutic responses were evaluated using an orbital CT or MRI and by ophthalmologic examinations. RESULTS: After 8 weeks' of lanreotide treatment, 4 patients showed decreased scores in the NOSPECS classification (p=0.059) as well as 5 patients in their clinical activity scores(p=0.109). All of the 8 patients showed improvements according to clinical evaluation criteria (p=0.008). Significant changes in the thickness of both the lateral rectus and superior rectus muscles were observed (p<0.05). No patient showed serious adverse effects related to lanreotide therapy during the follow-up periods. CONCLUSION: We conclude that lanreotide therapy has clinical benefits and show radiologic improvements in GO. Considering the minimal side-effects of lanreotide compared to those of corticosteroid, lanreotide therapy should be considered for use in selected patients that have Graves' ophthalmopathy

Small Bowel Enteroclysis Using a Hemodialysis Blood Pump

PURPOSE: To describe the usefulness of small bowel enteroclysis using a hemodialysis blood pump. MATERIALS AND METHODS: Over a 16 month period, 135 double contrast small bowel enteroclysis examinations were performed in132 patients using a hemodialysis blood pump. Following intubation of the proximal jejunum, barium at a dilutionof 50% and 0.5% methylcellulose were infused at a constant rate using a hemodialysis blood pump and multiple spotfilms of the small intestine were obtained. Success rate, quality of radiographs, positive findings, fluoroscopitime and complications were evaluated. RESULTS: Only two of 135 examinations (1.5%) failed due to lack ofcooperation by the patient. Rates of good distensability were 97.6% in the proximal portion, 91.2% in the minportion and 52% in the distal portion and rates of good transparency were 96%, 84% and 56% respectively.Transparency and distensability of the small intestine were better in proximal than distal small bowel. Theradiographs showed positive findings in 25% of cases. The mean fluoroscopic time was 21 min, 10 sec(8min,22sec-57min, 30sec). No major complication was found during or after exam ination. CONCLUSION: It spite of thelong fluoroscopic time and invasiveness, double contrast small bowel enteroclysis is useful for the evaluation ofsmall bowel disease. The infusion of barium and methylcellulose using a hemodialysis blood pump give radiographsof good quality.

Growth Factors Influencing the Morphology and Growth Rate of Hair Follicles in a Human Hair Organ Culture / 대한피부과학회지

BACKGROUND: In order to study hair biology, a hair organ culture system is necessary. However satisfactory hair culture systems have not been established. OBJECTIVE: The purpose of this study was to examine the effectiveness of growth factors and to establish a hair organ culture system for studying hair biology and to evaluate the effectiveness of growth factors. METHOD: After the healthy human anagen hair follicles were collected without any visible damage, they were cultured in William E medium with several combinations of growth factors including insulin, hydrocortisone, sodium selenite, human transfemn, fetal calf serum and epidermal growth factor at 37C in an atmosphere of 5% CO2/air incubation. The culture medium was changed every 3 days. The results were evaluated by measuring hair growth and hair follicle morphology. RESULTS: The results of this study are summarized as follows; 1) In the medium composed of insulin, hydrocortisone,sodium selenite and human transferrin, the human hair follicles continued to grow at an in vivo rate of 0.3mm in a day over 10 days without change of gross and microscopic morphology. 2) In the medium containing insulin and/or hydrocortisone the growing rate of the human hair follicles was similar to that in vivo, but the follicles revealed premature entry into catagen at 2-6 days in the culture macroscopically and microscopically. 3) Adding fetal calf serum to the above medium made the hair follicles retain the freshly isolated hair follicles morphology for 10 days in culture, even though they grew somewhat slower than the in vivo rate from 6 days in culture. 4) The effectiveness of EGF mimics the in vivo depilation of EGF in sheep. CONCLUSION: To supplement insulin, hydrocortisone, sodium selenite, transferrin as growth factors, William E medium was necessary for maintenance of an in vivo growth rate and the morphology the anagen hair follicles. This culture system is not enough, but it might be useful for investigation of the physiology, biology of hair follicles as well as pharmacology and toxicology in hair.

A Case of Kerion Celsi Caused by T . verrucosum in Chungcheong Province / 대한피부과학회지

In Korea, Kerion celsi caused by T. verrucosum was first reported by Kim et al in the Honam province in 1986. Since then three mare cases have been reported in the Young Nam province. Herein present a case of kerion celsi caused by T. verrucosum from Chungcheong province. The patient, a 7-year old female, showed a 4x 4cm sized, oval, yellow crusted and boggy patch with alopecia on the scalp. She was living on a farm in a rural area of Chungcheong province. Cows on the farm also exhibited similar skin lesions on the buttock. The same T. verrucosum was identified by a characteristic colony morphology on Sabourauds dextrose agar and chains of chlamydoconidia with mycologic stain from scales of lesions of patient and cows. This skin lesion was successfully treated with griseofulvin.

The Biocompatibility of Amniotic Membrane and Effect on Inhibition of Corneal Neovascularization

To evaluate the biocompatibility of amniotic membrane(AM) and the effect of amniotic membrane transplantation(AMT) on inhibition of corneal neovascularization in severely damaged ocular surface disease. AMT group did not show graft rejection but allogenic corneal lamellar transplantation group show graft rejection 3 in 5 rabbits. In 3 months of follow-up, all control corneas were revascularized to the center with granuloma and total corneal opacity. In contrast, 3 corneas in the experimental group became with either minimal or no vascularization: the rest had either midperipheral (n=3) or total (n=4) vascularization with stromal opacity. AM was intact in experimental success group, whereas AM was either partially degraded or covered by host fibrovascular stroma in experimental failure group. So the success of corneal surface reconstruction correlated with the preservation of AM. Therefore the restoration of a basement membrane by AMT contribute to the recovery of the healthy normal corneal epithelium. There results suggest that AMT could be useful for ocular surface reconstruction clinically.

Surgical Outcome of Familial Lens Dislocation in Two Families

The congenital lens dislocation is a uncommon genetic disease, which is inherited autosomal dominant mannner and less likely autosomal recessive. The cause of the disease has not been fully understood although there are some hypothesis based on developmental anomaly. There are controversies about the management of the disease. In these days, early surgery is usually performed to prevent the compilcation. The authors experienced five patients in two families and three of them were operated with good results. They showed autosomal dominaot inheritance pattern. So, we present five cases of uncommon congenital lens dislocation with a brief review of literature.

A Study for Measurement of the Anterior Chamber Depth and Angle Using Image Analysis Technique in Cataractous Eyes

We measured the anterior chamber depth and chamber angle to understand the biological structure of anterior segment and find a possible relation between cataract and angle closure glaucoma on 235 eyes over 40 years old divided into two groups: 111 cataract eyes and 124 normal control eyes using the Scheimpflug Camera(EAS-1000, Nidek, Japan) and image analysis technique. The values of the anterior chamber depth and angle of the eye of the young person were greater than those of older person, and the values in the male were deeper(p<0.01) and larger(p<0.05) than those in female in both groups. In cata ract eyes, the mean anterior chamber depth was 2.77mm and mean anterior chamber angle was 30.36 degrees. The mean anterior chamber depth and angle of normal control eye were 2.67mm and 29.10 degrees. The anterior chamber depth and angle in cataract group was deeper(p<0.05) and larger(p<0.05) than in normal control group.

Clinical evaluation of corneal diseases associated with floppy eyelid syndrome

We examined 18 cases of floppy eyelid syndrome, first reported in the Orient, in patients ranging in age from 11 to 55 years (mean 24 years); 16 were men and two were women. In contrast to previous reports in which almost all patients were obese men, only three of our patients were mildly obese. The most common abnormal corneal finding was punctate epithelial keratopathy (five patients-28%). Keratoconus was detectable in three patients (17%) overall; it was bilateral in one case and unilateral in two. Other miscellaneous corneal findings were corneal astigmatism and corneal opacity. In two cases, we found a familial tendency to skin hyperextensibility and joint hypermobility, and in one case, floppy eyelid syndrome developed after pars plana vitrectomy. The pathogenesis of the syndrome is still unknown, but our findings suggest that the more important pathogenetic risk factors are not obesity and sleeping pattern, but genetic collagen and/or elastin abnormality.

Application of Neutral Red Staining for the Evaluation ofthe Viability of Dermatophytes / 대한피부과학회지

BACKGROUND: Microsopic examination of potassium hydroxide(KOH) preparation and fungus culture is required for the diagnosis of fungal infection. Sometimes dermatophytes fail to grow on culture medium, although these are observed on microscopic examination of KOH preparation. Recently this discrepancy between microscopic examination and fungus culture can be explained by the hyphothesis that some of the fungal elements are non-viable. OBJECT: This study was made to evaluate the viability of dermatophytes using neutral red(NR) staining for the explaination of discrepancies between microscopic examination and fungus culture. METHODS: After identification of fungus by culture from dermatophytic lesion the hyphae was collected for this study. In order to confirm whether the NR staining is suitable for check the viability of hypae or not, we designed to prepare the preparations of hyphaes by 2 ways. One was killed hyphae by autoclave, the other was kept as viable hyphae. And then we compared the stainability of NR staining and autoradiographic study using (3)H-thymidine. And we compared the results of NR staining and the subsequent culture using the scales which were collected from the lesions 30 dermatophytic patients. RESULTS: The structure inside of cell wall of hyphae stained red color only in case of viable hyphae preparations, but not stained in killed hyphae preparation. Autoradiographic study using (3)H-thymidine confirmed that grain-positive cells(viable cells) were stained with NR, whereas grain negative cells (non viable cells) were not stained. Among the 30 cases with dermatophytosis 27(90.0%) cases showed NR positive and 14(46.6%) cases showed culture-positive. Except the tinea unguium cases which have shown low culture positive rate, 9(75.0%) cases of the 12 NR positive samples were positive on culture. All 14 cases of the culture positive samples were positive on NR staining. And all 3 cases of the NR negative samples were negative on culture. CONCLUSION: NR staining can be a useful method for the evaluation of viability of the fungal elements.

Effects of Helium - Neon Laser Irradiation on Proliferation and collagen Synthesis by Human Dermal Fibroblasts Cultured in a Monolayer and Collagen Lattice / 대한피부과학회지

BACKGROUND: Recently it has been suggested that lasers can modulate the biological functions of cells in vitro. It has also been reported that a helium-neon(He-Ne) laser can stimulate wound healing in the absence of thermal effects. However, the results of more recent studies on the influence of He-Ne laser irradiation on the proliferation and collagen synthesis of human dermal fibroblasts have been inconclusive. And most experiments have not been performed in a three-dimensional collagen lattice that is the physiologic model for an in vitro experiment. OBJECTIVE: In this study we have investigated the nature of the influence of He-Ne laser irradiation on the proliferatior and collagen synthesis of human dermal fibroblasts cultured in a monolayer and collagen lattice. METHODS: We used a 10mW He-Ne laser emitting a beam of wavelength 632,8nm. The human dermal fibroblasts were subjected to laser treatment at various energy densities, and the treatment schedule included one daily exposure on three consecutive days. DNA replication was assessed by H-thymidine incorporation, and the collagen production was monitored by the synthesis of H-hydroxyproline following incubation of the culture with H-proline. RESULTS: The results were as follows : In the control group, the proliferation and collagen synthesis of fibroblasts sultured in a collagen lattice on day 4 and 7 were significantly reduced compared with conventional manolayer cultures. Although the proliferation of human dermal fibroblasts was not remarkable in all experimental irradiation energy except 4 J/cm in a monolayer culture, a statistically significant stimulating effect on fibroblasts proliferation in collagen lattice were noted on days 4 and 7 with an energy density of 1.5J/cm. And we also found that a great er increase of collagen synthesis of human dermal fibroblasts occurred in a monolayer culture on days 4 and 7 in all irradiated energy densities than those in a collagen lattice culture. But statistically significant enhancement of collagen synthesis was showed only at the energy density of 1 J/cm in a collagen lattice culture on days 4. CONCLUSION: These data indicated that the influence of He-Ne laser irradiation on the proliferation and collagen synthesis of human dermal fibroblasts cultured in a collagen lattice was remark ably different from those in a monolayer culture. In the clinical application of the He-Ne laser, the control of the amount of irradiation of the He Ne laser may regulate the proliferative activity and collagen synthesis of human dermal fibroblasts in wound healing.

Effects of Helium - Neon Laser Irradiation on Proliferation and collagen Synthesis by Human Dermal Fibroblasts Cultured in a Monolayer and Collagen Lattice / 대한피부과학회지

BACKGROUND: Recently it has been suggested that lasers can modulate the biological functions of cells in vitro. It has also been reported that a helium-neon(He-Ne) laser can stimulate wound healing in the absence of thermal effects. However, the results of more recent studies on the influence of He-Ne laser irradiation on the proliferation and collagen synthesis of human dermal fibroblasts have been inconclusive. And most experiments have not been performed in a three-dimensional collagen lattice that is the physiologic model for an in vitro experiment. OBJECITVE: In this study we have investigated the nature of the influence of He-Ne laser irradiation on the proliferatior and collagen synthesis of human dermal fibroblasts cultured in a monolayer and collagen lattice. METHODS: We used a 10mW He-Ne laser emitting a beam of wavelength 632,8nm. The human dermal fibroblasts were subjected to laser treatment at various energy densities, and the treatment schedule included one daily exposure on three consecutive days. DNA replication was assessed by H-thymidine incorporation, and the collagen production was monitored by the synthesis of H-hydroxyproline following incubation of the culture with H-proline. RESULTS: The results were as follows : In the control group, the proliferation and collagen synthesis of fibroblasts sultured in a collagen lattice on day 4 and 7 were significantly reduced compared with conventional manolayer cultures. Although the proliferation of human dermal fibroblasts was not remarkable in all experimental irradiation energy except 4 J/cm in a monolayer culture, a statistically significant stimulating effect on fibroblasts proliferation in collagen lattice were noted on days 4 and 7 with an energy density of 1.5J/cm. And we also found that a great er increase of collagen synthesis of human dermal fibroblasts occurred in a monolayer culture on days 4 and 7 in all irradiated energy densities than those in a collagen lattice culture. But statistically significant enhancement of collagen synthesis was showed only at the energy density of 1 J/cm in a collagen lattice culture on days 4. CONCLUSION: These data indicated that the influence of He-Ne laser irradiation on the proliferation and collagen synthesis of human dermal fibroblasts cultured in a collagen lattice was remark ably different from those in a monolayer culture. In the clinical application of the He-Ne laser, the control of the amount of irradiation of the He Ne laser may regulate the proliferative activity and collagen synthesis of human dermal fibroblasts in wound healing.

Effects of Helium - Neon Laser Irradiation on Proliferation and collagen Synthesis by Human Dermal Fibroblasts Cultured in a Monolayer and Collagen Lattice / 대한피부과학회지

BACKGROUND: Recently it has been suggested that lasers can modulate the biological functions of cells in vitro. It has also been reported that a helium-neon(He-Ne) laser can stimulate wound healing in the absence of thermal effects. However, the results of more recent studies on the influence of He-Ne laser irradiation on the proliferation and collagen synthesis of human dermal fibroblasts have been inconclusive. And most experiments have not been performed in a three-dimensional collagen lattice that is the physiologic model for an in vitro experiment. OBJECTIVE: In this study we have investigated the nature of the influence of He-Ne laser irradiation on the proliferatior and collagen synthesis of human dermal fibroblasts cultured in a monolayer and collagen lattice. METHODS: We used a 10mW He-Ne laser emitting a beam of wavelength 632,8nm. The human dermal fibroblasts were subjected to laser treatment at various energy densities, and the treatment schedule included one daily exposure on three consecutive days. DNA replication was assessed by H-thymidine incorporation, and the collagen production was monitored by the synthesis of H-hydroxyproline following incubation of the culture with H-proline. RESULTS: The results were as follows : In the control group, the proliferation and collagen synthesis of fibroblasts sultured in a collagen lattice on day 4 and 7 were significantly reduced compared with conventional manolayer cultures. Although the proliferation of human dermal fibroblasts was not remarkable in all experimental irradiation energy except 4 J/cm in a monolayer culture, a statistically significant stimulating effect on fibroblasts proliferation in collagen lattice were noted on days 4 and 7 with an energy density of 1.5J/cm. And we also found that a great er increase of collagen synthesis of human dermal fibroblasts occurred in a monolayer culture on days 4 and 7 in all irradiated energy densities than those in a collagen lattice culture. But statistically significant enhancement of collagen synthesis was showed only at the energy density of 1 J/cm in a collagen lattice culture on days 4. CONCLUSION: These data indicated that the influence of He-Ne laser irradiation on the proliferation and collagen synthesis of human dermal fibroblasts cultured in a collagen lattice was remark ably different from those in a monolayer culture. In the clinical application of the He-Ne laser, the control of the amount of irradiation of the He Ne laser may regulate the proliferative activity and collagen synthesis of human dermal fibroblasts in wound healing.

Effects of Helium - Neon Laser Irradiation on Proliferation and collagen Synthesis by Human Dermal Fibroblasts Cultured in a Monolayer and Collagen Lattice / 대한피부과학회지

BACKGROUND: Recently it has been suggested that lasers can modulate the biological functions of cells in vitro. It has also been reported that a helium-neon(He-Ne) laser can stimulate wound healing in the absence of thermal effects. However, the results of more recent studies on the influence of He-Ne laser irradiation on the proliferation and collagen synthesis of human dermal fibroblasts have been inconclusive. And most experiments have not been performed in a three-dimensional collagen lattice that is the physiologic model for an in vitro experiment. OBJECITVE: In this study we have investigated the nature of the influence of He-Ne laser irradiation on the proliferatior and collagen synthesis of human dermal fibroblasts cultured in a monolayer and collagen lattice. METHODS: We used a 10mW He-Ne laser emitting a beam of wavelength 632,8nm. The human dermal fibroblasts were subjected to laser treatment at various energy densities, and the treatment schedule included one daily exposure on three consecutive days. DNA replication was assessed by H-thymidine incorporation, and the collagen production was monitored by the synthesis of H-hydroxyproline following incubation of the culture with H-proline. RESULTS: The results were as follows : In the control group, the proliferation and collagen synthesis of fibroblasts sultured in a collagen lattice on day 4 and 7 were significantly reduced compared with conventional manolayer cultures. Although the proliferation of human dermal fibroblasts was not remarkable in all experimental irradiation energy except 4 J/cm in a monolayer culture, a statistically significant stimulating effect on fibroblasts proliferation in collagen lattice were noted on days 4 and 7 with an energy density of 1.5J/cm. And we also found that a great er increase of collagen synthesis of human dermal fibroblasts occurred in a monolayer culture on days 4 and 7 in all irradiated energy densities than those in a collagen lattice culture. But statistically significant enhancement of collagen synthesis was showed only at the energy density of 1 J/cm in a collagen lattice culture on days 4. CONCLUSION: These data indicated that the influence of He-Ne laser irradiation on the proliferation and collagen synthesis of human dermal fibroblasts cultured in a collagen lattice was remark ably different from those in a monolayer culture. In the clinical application of the He-Ne laser, the control of the amount of irradiation of the He Ne laser may regulate the proliferative activity and collagen synthesis of human dermal fibroblasts in wound healing.

Corneal Complications in Contact Lens Wearer

With the widespread introduction of contact lenses as a convenient alternative to spectacles, corneal complications in contact lens wearers has also increased. We undertook this study to assess the risk of contact lens use, and other major causes of corneal complications. We have experienced 95 contact lens wearer(133 eyes) with corneal complications at the Chung Ang University Hospital from Jan. 1991 to May 1994. Among the corneal complications, abrasion and erosion occupied the most part of them(57.9%). Other complications were punctate keratitis(36.8%) and ulceration(5.3%). The causes of corneal lesion were extended wearing, foreign body or scratching of lens, poor fitting, sleeping with contact lens wear, and unknown. In order to decrease the corneal complications in contact lens wearers, phthalmologists should warn their patients using or considering contact lenses of this potential problems and stress the necessity of meticulous hygiene and prompt evaluation of an uncomfortable eye.

The Effectiveness of Suction - or Cryo - induced Bulla Fluids on the Growth of the Fibroblasts / 대한피부과학회지

BACKGROUND: Wound fluid is believed to contain growth factors produced by cells involved in the healing process. One of the beneficial effect of occlusive dreesing is the retention of released fluid from the wound, which is thought to accelerate wound healing. However, there was no report how suction-induced or cryo-induced bulla flicmight affect the healing of the wound itself. OBJECTIVE: Therefore, we have examined the effect of sucior-or cryo-induced bulla fluids on the in vitro growth of human dermal fibroblasts. METHODS: Suction-or cryo-induced bulla fluid were sterilely collected from the suction blisters and cryotherapy induced bulla, respectively. After seeding in optimal growth media on day 0, cultures of normal fibroblasts were supplemented with various concentrations of human serum, suction-induced bulla fluid, and cryo-induced bulla fiuid on day 2, 4, 6, 7, or 8. RESULTS: As determined by cell counts or 3H-thymidine incorporation, the effect of human serum were much more than those of suction-induced. Bulla fluid on the growht of fibroblasts. Although slight mitogenic effects were observed in the case of 5% cuyo-induced bulla fluid, 10% cryo-induced bulla fluid inhibited the growth of the fibroblasts as wello CONCLUSION: These results suggested that suction-induced bulla fluid was not a whole human serum but a diluted serous material having limited stimited stimulated effect to the growth of the fibroblasts, and cryo-induced bulla held the unknown inhibitory or toxic factors as well.

Clinical and Mycologic Studies of Dermatophytosis in Chungchong Province / 대한피부과학회지

OBJECTIVE: The study was made in order to inverstigate the clanical and mycological status of dermatophytosis in Chungchong province, incidence and friquency of disease, sex and month distribution of the disease, varieties of the causative organism. METHODS: We performed clinical and mycological studies of 86 cases of dermatophytosis which have showed positive on KOH examination and/or positved result in culture among out- patients of Dermatologic Clinics of Chungnam National Univesy during 7 years, from 1986 to 1993. RESULTS & CONCLUSION: 1. The ratio of male to female patients 330: 256 and make little ifference. 2. The incidence rate was bighest in the third decade(25.4%) 3. The seasonal prevalence of dermatophytosis was highest in the summer 4. The incidence of dermaiophytosis was T. pedis(30.2%), T. (22.9%), T. ungium(13.1%), T. corPoris(10.1%), T. capitis(9.0%) in decreasing order of freqercy 5. A mean positive rate for the KOH mount examination A. 5. 83.8%, T. 90.2%, T. corporis 89.8%, T. ungium 86.5% in decreasing order of frequency 6. A mean positive rate of culture was 77.1%; T. capities 94.3, . faciale 87.0%, T. cruris 84.3 %, T. cpor6 78.0% in decreasing order of frequency 7. T. rubrum was the mot common causative organism of cernatophytosis(69.5%), with T. mentagroPhyte(16.1%), M. canis(13.5%), M floccosum(0.7%), 4 gypseam(0.2%) presenting in decreasing order of frequency

Prevalence and Risk Factors of Diabetic Retinopathy: In First Fundus Examined Diabetic Patients

We performed a epidemiologic study to find a prevalence and risk factors of diabetic retinopathy. We reviewed 130 diabetic patients who had been performed the fundus examination for the first time for retinopathy at the ophthalmic department of Chung Ang university hospital from March 1993 to December 1993. We studied epidemiologic work-up sheet and performed ophthalmic and laboratory examination. The patients' ages ranged from 25 to 81 years, with an average age of 58.9 years. The age, sex, intraocular pressure, fasting blood sugar, post cibos 2 hours (Pc2hrs), age of onset, residence, smoking, alcohol drinking, diet pattern, blood type, treatment method and menstruation status were not significantly correlated with prevalence of diabetic retinopathy statistically(p>0.05). But the duration of diabetes(p<0.01), glycosylated hemoglobin(HbA1C) and cataract operation(p<0.05) were significantly correlated with diabetic retinopathy statisically. The prevalence of diabetic retinopathy was 28.5%(background changes in 21.5%, preproliferative changes in 4.6% and proliferative change in 2.4%). The mean interval between diagnosis of diabetes and the first examination of retinopathy was 6.62 years.

Normal Aging Changes of The Scattering Intensity in The Human Lens

This report represents a quantitative analysis of the human lens changes in density correlated with aging using the Scheimpflug Camera(EAS-1000, Nidek) and image analysis technique. We measured the scattering light intensity(biometric; analysis) of the 13 points from the anterior capsule to the posterior capsule in 156 eyes. In generally, the scattering intensity of lens anterior part was greater than that of posterior part. The scattering light intensity of lens was increased with aging except in the posterior subcapsule and posterior capsule. This results will assist the classification and monitoring of human cataracts grade.

A Case of kerion Celsi in An adult Caused by Trichophyton rubrum / 대한피부과학회지

Kerion celsi caused by Trichophyton(T.) rubrum is rare endemically and there has been no report of it in Korean literatures. We report a case of karion celsi caused by T. rubrum in a 71-year-old male, who showed anindurated, swollen, boggy mass exuding pus on the right parietal scalp for about 7 weeks. The colonies and microconidia were identified as T. rubrum by fungus culture in potato dextrose agar. After administration of itraconazole for 11 weeks, the lesion was healed and the regrowing of new hairs was observed.

The Effect of The IOL Position Studied by Using Scheimpflug Camera to The Postop Astigmatism

Management of surgically induced astigmatism is the major problem for surgeons implanting intraocular lenses. Besides corneal astigmatism, the fixation status of the intraocular lens(IOL) may contribute to postoperative astigmatism. This study was undertaken to analyze whether the variable factors such as fixation status, IOL type, and capsulotomy method affect tilting and decen tration of IOL. The tilting angle and decentration of the IOL were measured by image-processing technique using computerized Scheimpflug camera. The average tilting angle was 4.30 +/- 2.21 degree. The average decentration was 0.44 +/- 0.36mm from the corneal center. Based on these data, the astigmatic error induced by the tilting and/or decentration of the implanted IOL was calculated as within 0.1 diopter. Haptic fixation and designs were statistically significant for IOL posit ion but tilting and decentration were not significantly associated with capsulotomy method, agegroup, sex, and postoperative day.