A Case of Congenital Syphilitic Interstitial Keratitis

The authors experienced one case of interstitial keratitis due to congenital syphilis, which showed interstitial keratitis, positive serologic test for syphilis(VDRL) and typical Hutchinson's teeth but no deafness. Syphilitic interstitial keratitis is characterized by wide spread infiltrative inflammation of corneal stroma. chronic course and benign tendency. A brief review and relating literatures are presented.

A Case of Limbal Dermoid

The authors experienced a case of congenitallimbal dermoid, which occured in the right eye in a 30-year-old female. The tumor was noted at birth and grew more rapidly at puberty. The tumor appeared as round yellowish swelling with dry epidermoid surface at the lateral side of limbus about 6 to 8 o'clock position and had a few hairs. The mass was measured 0.8 x 0.5 x 0.4 cm in size. Histologically it was covered by the keratinized stratified squamous epithelium with underlying fibrocollagenous tissue which is embedded by the ectodermal derivatives such as hair follicles, sebaseous and sweat glands. The mass was resected surgically from the limbus for the relief of irritative symptom and cosmetic reason. The case report is reviewed with the pertinent literatures.

A Case of Vogt-Koyanagi-Harada Syndrome

We have experienced a case of Vogt-Koyanagi-Harada Syndrome in 35 years-old male. The Voght-Koyanagi-Harada Syndrome is characterized by severe chronic bilateral Ilveitis associated with alopecia, poliosis, vitiligo and signs of meningeal irritation. In presented case, there was extensive posteriar synechia, numerous mutton fat K.P. in addition to cataract, poliosis, vitiligo, headache and dysacousia. Steroid was administered over period of 6 monthes in gradual decreasing dosage, but there was no appearent effect on the course of the disease.