Clinical Study for Anatomical Reattachment and Visual Outcome in Rhegmatogenous Retinal Detachment Treated with Scleral Buckling

We analyzed a total of 41 eyes with rhegmatogenous retinal detachment treated with scleral buckling to evaluate factors elated to anatomical and functional success rate. 22 patients (55 %) were wemen. The most common age group was third decade(27.5%). Among the associated ocular findings, the most common finding was high-degree myopia (14 eyes, 34.1%) and the next was lattice degeneration. The most common postoperative complication was temporary elevation of intraocular pressure (14 eyes, 34.1 %). The overall anatomical success rate was 87.8 % and functional success rate was 68.3%. Important factors related to anatomical and functional success were duration of retinal detachment(less than 1 month), location of tears(at or anterior to the equator) and the difference of intraocular pressure between affected and unaffected eyes(less than 10 mmHg). The macular status was highly related to the functional success. The sex, age , preoperative visual acutiy, preoperative refractive error and surgical method had no statistically significant relationship with success rate.

A Case of Pseudomonas Aeruginosa Endophthalmitis Treated with Intravitreal Ceftazidime Injection

Bacterial endophthalmitis is an ocular emergency that requires rapid diagnosis and therapeutic decision making. Before the use of intravitreal antibiotics, endophthalmitis almost always resulted in the loss of vision in the affected eye. The introduction of intravitreal injection of antibiotics had been a major advancement because it has resulted in a marked improvement in visual outcome. Current therapy is to administer broad-spectrum antibiotic agents covering both gram-positive and gram-negative organisms. Typically, vancomycin hydrochloride and aminoglycoside, such as amikacin sulfate, are administered as separate intrvitreal injections on an empiric basis. We experienced a case of culture-proven Pseudomonas aeruginosa endophthalmitis treated with intravitreal ceftazidime injection. We present it with a review of literature.

Analysis of Ophthalmic Examination for 4 and 5 Year Old Children Referred from Previous Vision Screening

We performed comprehensive ophthalmic examinations for 127 children at 4 and 5-year-old referred from primary(for 3315 subjects) and secondary(for 1441 subjects) vision screening. Although it may be duplicated, the 112 children(3.4%) had ametropic eyes, 49(1.5%) amblyopia, and 8(0.2%) strabismus. The mixed astigmatism took possession of 40% of ametropia, and 93.2% of ametropia had astigmatism on the whole. Among strabismic children, the case of exotropia was equal to that of esotropia by 4. The Titmus and TNO stereoacuity were not adequate to detect amblyopia. The early detection of eye problems for preschool children is important to prevent the permanent visual disability. It is necessary to make institutional devices for preschool vision screening.