Superior Rectus Recession with Modified Hang-loose Technique in Rabbits

Hang-loose technique(HLT) is a reliable recession method in strabismus surgery. However, the loop length and the parallel of the anterior muscle border may not be sustained when the muscle was recessed behing the equator. This study was designed to assess the postoperative status of the large-recessed superior rectus muscle using the HLT and a modification of HLT(M-HLT) respectively in rabbits. Some of the recessed muscles with both techniques showed forward creeping. The average creeping was 0.5 mm on M-HLT and 1.1 mm on HLT in 7 mm recession group, and the difference was statistically significant(p=0.023). In 8 mm recession group, the average creeping was 1.0 mm on M-HLT and 1.8 mm on HLT. The difference was statistically significant(p=0.012). Although the parallel of the anterior muscle border was better on HLT than on M-HLT, the difference was not significant statistically. According to our result, M-HLT may be an useful alternative method in the cases of large recession with HLT.

Choroidal Osteoma: Two Cases Report

Choroidal osteoma, a benign tumor and involving one eye frequently, occurred around optic disc in usually healthy young women, In our cases, the ophthalmoscopic examination revealed a sharply circumscribed, slightly elevated, orange-red subretinal lesion with irregular geographic borders and the tumors became depigmented and yellow-white with time. Diffuse and mottled depigmentation of the overlying pigment epithelium was occurred and the tufts of branching blood vessels were scattered on the tumor suface. In case 1, the tumor size was enlarged with pregnancy. In case 2, the tumor size was progressively enlarged with time in right eye and new lesion was developed in left eye, which had been normal at the first visit. The causes of visual disturbance were degeneration of retinal pigment epithelium and sensory retina in case 1 and right eye of case 2, and submacular neovascular membrane in left eye of case 2.

Histopathologic Change Following Injection of Steroid Subconjunctivally in Rabbit: I. Resection or Recession of Superior Rectus

The authors observed histologic changes after subconjunctival injection of steroid (triamcinolone acetonide; TA) around the operated superior rectus muscle to investigative the alteration of subconjunctival collagen and muscle fibers in rabbits. The TA was identified in the subconjunctival tissue as an eosinophilic, foamy deposit with infiltration of macrophages phagocytosing TA particles and a few inflammatory cells The deposit was surrounded by compact collagen fibers that formed a pseudocapsule. The collagen fibers and fibroblasts were altered and fibrolytic in appearance within and margin of the drug deposit. While there was only mild degeneration in the muscle and its surrounding connective tissue. And the collagen fibers and fibroblasts at the site distant from the TA deposit were normal. There was no difference in histologic findings between the resected and recessed muscles. From these observations, it would appear that TA has a local fibrolytic effect. The localized fibrolytic effect within and marign of the drug deposit may explain, in part, the fibrolytic action of macrophages, which contained phagocytosed TA.

Xanthoma of the Corneoscleral Limbus: A Case Report

We describe a case of xanthoma on the corneoscleral limbus in a 21-year-old man. It was characterized by a localized, round, elevated, yellowish mass on the right superonasal limbus with 6mm in size. There was no correlation with systemic or metabolic diseases such as hyperlipidemia and the microscopic examination revealed scanty fibrous element.

Xanthoma of the Corneoscleral Limbus: A Case Report

We describe a case of xanthoma on the corneoscleral limbus in a 21-year-old man. It was characterized by a localized, round, elevated, yellowish mass on the right superonasal limbus with 6mm in size. There was no correlation with systemic or metabolic diseases such as hyperlipidemia and the microscopic examination revealed scanty fibrous element.