Factors Affecting the Thickness of Suction Ring in LASIK

PURPOSE: Suction ring is needed to fix the cornea during LASIK procedure. But if we choose the suction ring inappropriately, we meet the various problems such as conjunctival edema, conjunctival hemorrhage, ocular pain, and prolongation of operation time. To investigates various factors affecting the thickness of suction ring(1-4) in LASIK procedure. METHODS: We performed LASIK procedure by using SCMD microkeratome and VISX STAR laser on 398 eyes from Dec. 1996 to Feb. 1999. We compared difference on pachymetry, keratometry, corneal diameter, spherical equivalent according to the thickness of suction ring and analyzed these factors with One-Way ANOVA test. RESULTS: The results are that keratometry affected size of suction ring significantly. The flap size and hinge size are affected by size of suction ring significantly, but others did not show significant results. CONCLUSIONS: These results suggest that we need to choose the size of suction ring according to keratometry during LASIK procedure for decreasing various complications.

A Case of Myoepithelial Carcinoma Arising in the Lacrimal Gland

The vast majority of epithelial neoplasms of the lacrimal gland are pleomorphic adenomas, which comprise slightly more than 50%of epithelial tumors of this anatomic location.Other types of primary epithelial neoplasm of the lacrimal gland include adenoid cystic carcinoma, adenocarcinoma, mucoepidermoid carcinoma, and malignant mixoid tumors. Myoepitheliomas are rare tumors, most frequently reported in the salivary glands. A 61-year-old woman had painless proptosis of the right eye for 5 months. The orbit CT scan showed a lacrimal tumor involving adjacent frontoparietal bone.Histopathologically it was proved as myoepithelial carcinoma of the lacrimal gland.The patient underwent a right orbital exenteration and radiation therapy.We report this unusual case with literature review.

A Case of Progressive Recurrent Symblephron, Treated with Amniotic Membrane and Autograft Limbal-conjunctiva

Although both medical and surgical approaches have been investigated, recurrent symblepharon due to chronic ocular surface inflammation is a difficult disease to manage.This condition can also result in many complications such as cosmetic and visual deteriorations.In this condition, we can use the amniotic membrane transplantation that has a biological contact inhibition effect for the prevention of recurrent symblepharon. We treated successfully a case of a progressive symblepharon involving central cornea from 2-year old. The 14 year-old male patient had suffered from serious cosmetic problem and undergone multiple dissection, argon laser photocoagulation, using cyclosporin eyedrops. He was treated using allograft amniotic membrane, autograft limbal-conjunctiva, and buccal mucosa transplantation. we think that amniotic membrane transplantation was very effective method for the prevention of recurrent symblepharon.