Endophthalmitis: Riview of the Literature and Report of Three Cases

In the past decade, a decrease in the incidence of endophthalmitis has been attributed to many factors-surgical technic, delicate surgical Instruments, sterile technic, and antibioticsetc. On the other hand, immunosuppressive agents and drug addiction and/or abuse may be contributing to rise in the number of endophthalmitis like one of our cases. Recently, we have experienced three cases of endophthalmitis, each case has different etiologic causes-multiple myeloma, meningococcal meningitis, and subacute bacterial endocarditis. By case and chart review, we feels not enough to do reemphasize not only early recognition and early aggressive systemic and topical therapy, which are the most necessary, and may prevent blinding complication, more over panophthalmitis, but a certain common ocular symptoms, which may playa role as a early developing sings of endophthalmitis.

Artificial Corneal Endothelial Dystrophy due to Corrective Surgery for Myopia

A 46 years old male patient had visited to our Ophthalmology department due to abrupt onset of decreased visual acuity in his left eye. He had taken an operation for correction of high myopic astigmatism on both eyes 23 years ago in Japan by Dr. Sato. His visual acuity was: (R)0.3(0.7 x Sph. + 0.75D. = Cyl. - 5.50D.A10 degrees) (L)0.15(0.2 x Sph. - 2.50D. = Cyl. - 2.25D. A180 degrees). On slit lamp examination. hoth cornea had 3mm. (length) radiated linear scars in a number about 50 resulted from myopic operation. In his left cornea, several small vesicles and mild corneal central opacity were observed. We have diagnosed this symptom as artificial corneal endothelial Dystrophy.

Intraocular Lens (Binkhorst 2-Loop Lens) Implantation in 7 Cases

7 cases of monocular senile cataract patients have received intraocular lens implant: operations. Among the 7 patients, 4 males and 3 females are included and the mean age was 63.7 years old. The operations were performed during the period between Aug, 1978 to Oct, 1979. The mean visual acuity after IOL implant was 0.62 and there is no difference from other repoters for postoperative visual improvements. Binocular visual functions are well maintained in all cases by the Titmus test. The final results with iridocapsular lens implantation after extracapsular cataract extraction reveaeld very encouraging facts although the observation periods were too short.

A Clinical Experience of Acute Ocular Hypotension Caused by Ocular Contusion

After ocular contusion the ocular tension is unstable and may show considerable variation, sometimes being raised, sometimes lowered. But ocular contusion is one of the commonest causes of ocular hypotension, which may be dramatic and indeed, may be the dominant factor in determining the fate of the eye. The lowering ocular tension is slowly attaining its normal height after some variation, that this instability is frequently shared by the uninjured fellow eye. We had experienced a fall in tension-ocular hypotension as 0 mm.Hg. lasting for 13 day by ocular contusion, which was associated with mild anterior uveitis, Descemet's membrane tear, localized angle recession and hypotonic retinal changes, and shared lower ocular tension by the uninjured eye, as l4.6 mmHg. All these acute ocular hypotensive symptoms and signs were recovered 27 days after contusion, but mild Descemet's scar and angle recession with peripheral anterior synechia were remained. The final IOP in both eyes was 18.3 mmHg, and the visual acuity was 20/20.

Carvernous Hemangioma of the Orbit-A Case Report

The 44 years old male patient had admitted to our clinic with the marked exophthalmos and blindness in his left eye for more than 10 years. The exophthalmometry revealed 10 mm in right and 25mm in left eye. Before operation ultrasonography (A-scan) and phleboorbitography were performed, and retroorbital mass was suspected. Using Kronlein method, lateral orbitotomy was performed on April 11, 1979 and large well encapsulated tumor mass (3.5 x 3 x 3 cm.) was extracted. By pathological study the tumor was confirmed as a carvenous hemangioma. After first operation he had two subsequent operation for the cosmetic problem.

A Clinical Experience of Ocular Toxoplasmosis, Treated with Acetyl Spiramycin

Ocular toxoplasmosis is the most frequent etiological factor of the known retinochoroiditis in the world. But there are very few cases of confirmed toxoplasmosis in Korea. In this paper we report a 5 year old girl who had suffered from left visual disturbance since Aug, 1978. The HA. titer for toxoplasmosis was 1:2048 and she had a typical focal exudative retinochoroiditis in the macular lesion and one small daughter lesion on superior temporal retinal arteriolar branch. She was treated with oral acetyl spiramycin(600 mg.) for 6 months. After all the active retinochoroidal lesion was changed into scar tissue and the vision has improved slightly from 0.02 to 0.2 during the followup period of one year. And also the HA. titer had decreased to 1:512. The fluorescein angiographic finding could be a helpful method to determine the healed lesion after anti toxoplasmic theraphy.