Office Probing of Congenital Nasolacrimal Duct Obstruction

We studied the results of nasolacrimal probings performed in the office without general anesthesia for congenital nasolacrimal duct (NLD) obstruction. We analized and compared the charts of 58 children (65 eyes) from 3 to 48 months of age and divided into 3 groups. The probing used was between No. 01 and No. 06. The effect of probing was determined by clinical manifestation, dye disappearance test and parent 's impression. Thirty-eitht patients were contacted through telephone to determine parental satisfaction. In group 1 (patient age<6 months), there were 20 probings with 19 suc- cess (95%). Group 2 (patient age-6~12 months) had 20 probings and 17 success (85%). In group 3(patient age-12~48months), 19 nasolacrimal ducts were probed with 15 success (79%). So far, the results of probing performed in the office has been satisfactory in children beyond 1year of age, and this method should also be considered in those under 6 months.

Two Cases of Glaucoma Developed during Induction Chemotherapy Including Steroid in Childhood Acute Lymphoblastic Leukemia / 대한소아혈액종양학회지

The purpose of the study is to minimize the incidence of glaucoma and ocular hypertension caused by using corticosteroids during induction chemotherapy for acute lymphoblastic leukemia in children. We have periodically observed the intraocular pressure and the variation of C / D ratio of two 7 years old boys with chemotherapy in our pediatric department. We observed the increase in intraocular pressure using applanation tonometer, and we managed by beta- blockers, carbonic anhydrase inhibitor and etc. Increased intraocular pressure has been normalized after chemotherapy. The frequency of occurrence of the ocular hypertension and glaucoma can be controlled with the quantity of corticosteroids used.

A Conjunctival Malignant Melanoma Involving the Cornea

In a case of conjunctival malignant melanoma involving the cornea, we evaluated the findings of H,E, Fontana-Masson, S-100 protein, HMB 45 stain after the localized excision in 39 years old male patient. B-scan ultrasonography, orbit, MRI, Ga citrate scanning and bone scan showed no metastasis to the intraocular tissue, orbital adnexae and other organs. In H-E stain, spindle cells containing melanin pigment which was growing diffusely underneath the conjunctival epithelium could be seen. Fontana-Masson and S-100 protein staining resulted in diffusely positive findings, Therefore we could diagnose as 8 spindle B type malignant m.elanom.a. By histopathological examination, in a case of confirmed spindle B type COunctival malignant melanoma involving the cornea, good result, could be obtained by localized excision followed by 11 months.