Allergic Contact Dermatitis and Conjuntivitis due to Pontocaine

A patient with corneoscleral dermoid was suspected of having allergic contact dermatitis and conjuntivitisdue to Pontocaine. She was tested with standard European patch test including other suspected medicaments used in the preparation of eye drops. The patient showed + + positive patch test reaction to pontocaine, caine mixture and benzocaine under 2 day and 4 day patch test reading. The importance of routine patch test in ophthalmic patients whenever contact conjuntivitis is suspected is stressed.

A Case of Vogt-Koyanagi-Harada Syndrome

Vogt-Koyanagi-Harada syndrome is characterized by bilateral uveitis, alopecia, poliosis, dysacousia, and sings of meningeal irritation. Vogt-Koyanagi syndrome is a severe anterior uveitis associated with alopecia, vitiligo, poliosis, and dysacousia. On the other hand, Harada's disease is primarily a posterior uveitis accompanied by sings of meningeal irritation and abnormalities of cerebrospinal fluid. The overlapping of clinical manifestations between two entities have justified as part of a spectrum of one disease. The etiology is not clearly determined but two most reliable theories as to the cause of the Vogt-Koyanagi-Harada syndrome have been considered as allergic reaction to the uveal pigment or viral infection. The authors experienced a 27-year-old Korean male who had acute bilateral uveitis, headache, dysacousia, alopecia, poliosis, vitiligo on the back, and retinal pigment epithelial detachment of posterior pole in the fluorescein angiography. Thus the authors present this case with clinical manifestations, fluorescein angiographic findings. our schedule of steroid therapy, and review of literatures.

A Case of Meibomian Gland Adenocarcinoma

Adenocarcinoma of the Meibomian gland is very rare but lethal tumors. Clinically, most of the time sebaceous gland carcinoma is mistaken for a chalazion. Any recurrent chalazion should be submitted for histologic study, and any chronic, recalcitrant, atypical blepharitis should be biopsied. The treatment of the choice is excisional biopsy and followed by radiation therapy. A 30 year old Korean male had a hard, nontender mass on the left upper lid which had recurred after chalazion surgery. The tumor was removed surgically as repair with modified Wheeler direct full halving procedure, and found to be a adenocarcinoma of the Meibomian gland histopathologically. There was no evidence of recurrence and metastasis to remote site a year after surgery with radiation therapy.

A Case Report of Human Thelaziasis in Korea

Thelazia callipaeda was first described by Railliet and Henry in 1910. The first human case was reported by Stuckey in 1917, who extracted four worms in the eye of a coolie in Peiping. In Korea, seven cases of human thelaziasis have been already reported and all of the worms were identified to be thelazia callipaeda. The present paper is to report the 8th human infested case of Thelazia callipaeda in Korea. The patient was 25 years old virgin who had lived in Seoul since birth. She experienced lacrimation and moving foreign body sensation of the left eye, and extracted 1 living worm from the left eye by herself on one day prior to examination. Microscopic measurements of an extracted worm are as follows; A worm(male) is 13.0 mm B worm(male) is 13.1 mm and C worm(female) is 19.0 mm in length. It was confirmed as Thelazia callipaeda Railliet et Henry 1910.

Evaluation of Combined Cataract and Glaucoma Operation

Glaucoma and cataract frequently coexist in the geriatric population. As the combined operation for glaucoma and cataract is still a controversial subject, several authors have recently used trabeculectomy in combination with cataract extraction with good results. In our combined trabeculectomy and cataract extraction procedure on 10 eyes of 9 patients, there was a 60% average decrease in intraocular pressure from 40.0 mmHg to 16.5 mmHg. Visual acuity improved in all cases. The postoperative complications were few. According to our follow-up findings, the combined procedure is no more traumatic than an ordinary cataract extraction.

A Study on the Effect of Hibon in Arteriosclerotic Retinpathy, Diabetic Retinopathy and Cataract

Soon after the discovery of riboflavin, it was recognized that a deficiency of riboflavin was associated with disorders of lid, cornea, lens and retina. This study was devised to observe the effect of riboflavin on the metabolic changes in arteriosclerotic retinopathy, diabetic retinopathy and cataract. The experiment was carried out on 30 adult humans. After each case was treated with riboflavin, visual acuity, retinal change and cholesterol level in serum were determined. The result obtained from this experiment are summarzed as follows; 1. In Arteriosclerotic retinopathy, visual improvement is noted in 46% of 13 cases. Serum cholesterol level is decreased 32mg/dl in average. 2. In diabetic retinopathy, visual improvement is noted in 43% of 14 cases. Serum cholesterol level is slightly increased 0.9mg/dl in average. 3. In cataract, no visual improvement is noted. Serum cholesterol level is decreased 10.2mg/dl in average. 4. There was no known side effect during riboflavin therapy.

A Case of Surgical Repair of Ruptured Filtering Bleb After Filtering Operations

Recently we have experienced a case of the ruptured filtering bleb after Posterior lip sclerectomy, which occured in the right eye of a 36-year old Korean male. Sudden blurred vision and tearing in the right eye after severe rubbing, were his chief complaints prior to his visit to hospital. Visual acuity waS 0.2 (0.9X + 0.75D. sph.) in the right eye and the right eyeball was soft with a flat of anterior chamber. A leaking of aqueous onto the surface of the right eye was observed, when Fluorescein(Seidel Test) was used. First, we applied a pressure bandage for about 36 hours, but the leaking of filtering bleb was continued. So, Surgical repair was performed with postoperative care. 5 months later after surgical repair by conjunctiva alone, or combined with its attached undissected Tenon's fascia, filtering bleb was reconstituted and well-functioning.

A Case of Giant Osteoma of the Orbit Originating from the Frontal and Ethmoid Sinus

Osteoma is relatively rare benign tumor of non-inflammatory origin having a circumscribed form, a definite periosteal covering forming a line of cleavage from adjacent structures and showing active participation of osteoblasts. The tumor commonly originates in a nasal accessory sinus or calvaria and may invade the orbit relatively early in its growth, causing ocular disability prior to localizing signs in the smus. We have reported a giant osteoma in an adult having right eye protrusion, pain and interference of eyeball movements. The mass was totally removed by transcranial route successfully with no development of significant complications. The mass was extremely hard, well circumscribed and extended into right frontal, ethmoidal sinuses and orbital cavity.

A Case of Cysticercosis in the Posterior Chamber of the Eye

The authors have recently experienced a case of cysticercosis within the posterior chamber in a 25 year-old Korean woman. Using a Goldmann's 3-mirror contact lens, we detected a typical larva which was located behind the iris, between the anterior surface of the zonule and outer side of the ciliary process. Surgical removal of the cysticercus was performed from the posterior edge 4mm sclerotomy through the pars plana on the temporal side of the left eye. The characteristic scolex with suckers discovered on post-operative histologic section confirmed the diagnosis. Six months after operation, visual acuity improved from finger count 20cm to 20/30.

A Case of Asteroid Hyalitis

Asteroid hyalitis is a condition in which many creamy or dull-white opacities are suspended in the vitreous. The author has recently encountered a case of asteroid hyalitis in a 68 year old Korean woman. The asteroid bodies are small discrete particles, disc-shaped or spherical, sometimes marshalled in strands and columns sometimes in bundles, but more usually showing no roderly arrangement. With the ophthalmoscope, they are seen by reflected light as creamy or white and shiny, looking like snowballs or stars in the night sky. A brief review of the literature is described.

Survey of Causes of Blindness on Blind Students in Korea

This is a study on the causes of the blindness for 217 blind students in Korea. Blindness in defined as the visual acuity for distance of 0.1 (20/200) or less in the better eye with best correction. The causes of blindness in descending order of frequency are as follows: unknown eye diseases (32.3%). congenital diseases (31.3%). infectious diseases (8.8%), meningitis (6.5%), injury and intoxication(6%), refractive errors(6%), febrile diseases(6%), and malnutrition (1.4%), etc. Rate of blindness by site and type of affection is shown as: atrophia bulbi (33.6%). optic nerve diseases(23.1%). cataract(18.996), corneal diseases(11.4%), glaucoma(10.696). anophthalmos(7.4%). amblyopia(6.5%), retinal diseases (2.8%), uveitis (1.0%), high myopia(0.5%), and other diseases (6.4%), etc. Comparisons with other statistics on causes of blindness in the inland and the foreign countries are attempted. Evaluation of results and problems establishing a more detailed and nationwide survey in future are briefly discussed in comment.

Statistic Observation About Effect of Cycloplegic Refraction in Primary School Children

We studied the difference between manifest refraction and cycloplegic refraction in 80 myopic eyes between the ages of 5 and 13 years. The followings are its results. 1) The difference between manifest refraction and cycloplegic refraction is less than -0.50D. 2) In case of manifest refraction of less than -2.0D, especially in those under -1.0D we noticed that the effect of cycloplegic refraction was significant. 3) The effect of cycloplegic refraction is inversely proportional to age. 4) In cycloplegic refraction, we can't expect effects except the accurate eye examination.

Reconstruction of the Lacrimal Canaliculus

From September 1973 to October 1975, author had experienced two cases of congenital canaliculus atresia and eight of traumatic canalicus lacerations, and repaired them by means of the Pigtail probe of Worst inserted through a polyethylene tube (size of which being 46, I.D. 016" O.D. 031"). The length of time to leave the polyethylene tube in place had been six to eight weeks. Z plasty was performed to prevent cicatrical contraction of the lower lid. Two cases of congenital canaliculus atresia became reobstructed two weeks after removal of the tube which were accidentally slipped out. In a single case in which Z pIasty was not performed, the patient continued to complain of lacrimation due to cicatrical contraction in the lower lid margin medial to the punctum. The canaliculus, however, demonstrated the patency as evidenced by nasal drainage of fluid syringed into the punctum.

A Case of Malignant Melanoma of the Choroid

The authors have recently experienced a case of malignant melanoma of the choroid in a 34-year-old Korean house wife. The direct ophthalmoscopic finding was characterized by the presence of oval and round shaped, miliary to rice sized dark brown pigments in the surface of detached retina. Histopathologically the tumor cells were spindle B type. There were no extraocular extension and metaetasis. In addition to some clinical observations, a brief review of literature has been described.

Nonoperative Treatment of Strabismus

No abstract available.

A Case of Conjunctival Papilloma

The authors have recently experienced a case of conjunctival papilloma which was developed on whole conjunctiva. The 6-year-old girl has soft, pinkish and pedunculated culated growth with delicate finger like processes in the right eye. The processes are scattered all over the mucous membrane of the bulbar and palpebral conjunctiva in considerable numbers. It is probable that many of these pedunculated types are of viral origin and that their spreads are due to contact infection. The papilloma of viral origin has no evidence of distant metastasis or malignant changes. The treatment was performed by electric cauterization with hyfricator and the result has been excellent up to date, 6 months after cauterization.

The Congenital Aniridia in Mother and her two Sons

Aniridia or iridremis is a Clinical term denoting absence of the iris in whole or in part. Actually, total absence has not been reported, as there has been rudimentary iris tissue in all cases reported in the literature. Because of its extra ordinary propensities as a dominant characteristic, occasionally an irregular dominant, and because of its stricking appearance which facilitates investigation, it has received extensive study by geneticists. Indeed, so interesting are its hereditary and pathologic aspects that these have received for more attention that have therapeutic measures for aniridic cases. I have experienced a case of aniridic family, a 40 years old women and her two sons, without other disturbances during their life saving, except poor vision, which was not significant of in correction for visual acuity.

A Case of Crouzon's Disease

A case of Crouzon's disease, in spite of the relatively small number of cases reported until recently. The patient was 3years old male and hospitalized Woo-Sok University hospital 5 May, 1970. the appearance of the patient was striking type of facial deformity. There is a marked frontal boss forming a prominent bregmatic tumour, hooked nose, a small receding maxilla and a pronounced prognathism in wthich the teeth of the lower jaw protrude several centimetres beyond those of the upper. Proptosis and subnormal mentality was present, Cerebral decompression had been performed to the patient for his exophthalmos, it was aggreviated after the operation and thus enucleation was done finally.

A Case of Sarcoidosis Associated with Granulomatous Uveitis

We present a case of sarcoidosis, which was associated with anterior granulomatous uveitis in both eyes and involvement of the right lacrimal gland in a 46-year-old korean female. The patient has nodules (various in size) on the nose, on the dorsum of right hand and on the back. Serum gamma globulin was elevated and in the nodules infiltration of giant cells, lymphocytes and epithelioid cells was presented, but no caseous necrosis.

A Case of Xeroderma Pigmentosum Associated with Eye Mainfestation

The patient is a 20 years old female, Korean, who has many freckles and dark brownish pigment over the face, neck and hands. She also has a rice sized wart like elevation on lower lid margin and pea-nut sized elevation on nose bridge. Histopathologically the former was basal cell carcinoma and the latter squamous cell carcinoma.