Anthropometric Measurements of Soft-Tissue Orbits in Korean Newborns

PURPOSE: To establish a database of the anthropometric measurements of soft-tissue orbits in Korean newborns. METHODS: A total of 69 normal term newborns (39 males, 30 females) in the first 48 hours after delivery, were included in the present study. Anthropometric measurements of soft-tissue orbits were taken with vernier calipers by one of the authors. With eyes closed, horizontal eyelid fissure length (HFL), lower lid height (LLH), upper lid height (ULH), intercanthal distance (ICD), and inter-outercanthal distance (IOCD) were measured and with eyes opened with a speculum, the interpupillary distance (IPD) was measured. RESULTS: There was no significant difference between either sex or between the right and left eyes. HFL was 20.8 +/- 1.2 mm, LLH and ULH were 11.1 +/- 2.3 and 16.5 +/- 2.5 mm, respectively; ICD, IPD, and IOCD were 22.9 +/- 2.1 mm, 39.8 +/- 3.0 mm, and 65.3 +/- 5.8 mm, respectively. CONCLUSIONS: Anthropometric measurements of normal Korean newborns' soft-tissue orbits in the present study can be used as basic data for the proper evaluation and growth of soft-tissue orbits.

A Case of Conjunctival Hemorrhagic Lymphangiectasia

PURPOSE: To report a case of hemorrhagic lymphangiectasia treated with surgical excision and confirmed by pathologic examination. CASE SUMMARY: A 21-year-old man presented with spontaneous hyperemia of his right eye of 1 week duration. The patient had a history of tuberculous retinal vasculitis and uveitis 1 year prior, but there was no active lesion during regular follow-up. There was no history of trauma, visual disturbance, diplopia, ocular pain, or any sign of systemic disease. Slit lamp examination showed tortuous dilatation of blood-filled lymphatic vessels on temporal conjunctiva of the right eye. The lesion did not change during the 4 weeks of follow-up and local excision biopsy was made for final diagnosis and treatment. Pathologic examinations revealed thin-walled lymphatic vessels with localized dilatation which contained blood in the lumen consistent with hemorrhagic lymphangiectasia. There was no sign of recurrence until 2 months after the operation. CONCLUSIONS: Hemorrhagic lymphangiectasia should be considered in patients with recurrent or longstanding localized tortuous subconjunctival hemorrhage.