Myopia in Premature Infants

The authors performed cycloplegic refraction in premature infants at the 6 months and 3 years of age to evaluate the incidence and degree of myopia and the changes of refractive errors according to the development, disease course and cryotherapy of retinopathy of prematurity (ROP). In 180 eyes of 99 infants at the 6 months of age, the incidences of myopia were not different between eyes with no ROP and eyes with spontaneously regressed ROP (36.3%, 25.5%), and the degrees of myopia were low in both groups (-1.76D, - 2.25D). In eyes with regressed ROP after cryotherapy, the incidence of myopia was high (75.5%) but the degree of myopia low (-3.0:3D). In eyes with cicatrical ROP, cryotreated or not, both of the incidence and the degree of myopia were high(93.9%, -5.50D). It is suggested that the incidence of myopia is increased after cryotherapy but the degree of myopia occurring after cryotherapy is low. In eyes with spontaneously regressed ROP, the degrees of refractive errors did not change from 6 months to 3 years of age, whereas in eyes cryotreated or with cicatrical ROP, the degrees of refractive errors were progressively changed to myopic side.

The components of the proliferative membranes in retinopathy of prematurity: an electron microscopic study

Electron microscopic examination of proliferative membranes in retinopathy of prematurity (ROP) was performed in order to evaluate the components of the membranes. The proliferative membranes were obtained from nine patients with ROP stage 5 during pars plicata lensectomy, vitrectomy, and delamination of membrane. Fibrous astrocytes, myofibroblasts, lymphocytes, macrophages, and calcification were found respectively in two cases, and fibroblast-like cells were found in one case. Varying amounts of collagen tissues were found in eight cases and vascular tissues in four cases. Most of membranes were hypocellular and composed mainly of collagen matrix. It is considered that fibrous astrocytes, myofibroblasts, fibroblasts, and vascular structures are involved in the formation of proliferative membranes of ROP, and that later these cells degenerate and disappear, and that finally only collagen matrix remains in the membranes.

Myopia in premature infants at the age of 6 months

>The authors performed cycloplegic refractions in 180 eyes of 99 premature infants at the age of 6 months to evaluate the incidence and the degree of myopia according to the development and disease course of retinopathy of prematurity (ROP) and to investigate the effect of cryotherapy on the refractive error. The incidences of myopia were not different between premature infants without ROP and premature infants with spontaneously and totally regressed ROP (36.3%, 25.5%),and the degrees of myopia were low in both groups (-1.76 D, -2.25 D). In premature infants with totally regressed ROP after cryotherapy, the incidence of myopia was high (75.5%) but the degree of myopia was low (-3.03 D). In premature infants with cicatricial ROP, cryotreated or not, both the incidence and the degree of myopia were high (93.9%, -5.50 D). It is suggested that cryotherapyincreases the incidence of myopia but the degree of myopia induced by cryotherap y is low.

The Components of the Proliferative Membranes in Retinopathy of Prematurity

In order to evaluate the components of the proliferative membranes in the retinopathy of prematurity (ROP), 8 proliferative membranes obtained from 8 eyes with ROP stage 5 during lensectomy, vitrectomy and delamination of membrane were examined under electron mIcroscopy. Among the 8 proliferative membranes of ROP, fibrous astrocytes, myofibroblasts, lymphocytes, macrophages, calcifications were respectively found in 2 cases, vascular tissues in 4 cases and abundant collagen matrix in 7 cases. While in the 2 cases with fibrous astrocytic proliferations the membranes were hypercellular, in the other 6 cases the membranes were hypocellular and mainly composed of collagen matrix.

Immunohistochemical Study of Proliferative Vitreoretinal Membranes

To identify the cellular components of proliferative vitreoretinal membranes. 11 proliferative vitreoretinal membranes which were surgically obtained from 7 eyes with proliferative vitreo retinopathy (PVR) and 4 eyes with proliferative diabetic retinopathy (PDR) were stained with monoclonal antibodies against cytokeratin, glial fibrillary acidic protein(GFAP), or vimentin using immunoperoxidase technique (ABC method). In PVR membranes, mean cell positivities for cytokeratin, GFAP and vimentin were 48%, 1% and 92%, respectively and in PDR membranes, 0%, 5% and 93%, respectively. The above results suggest that retinal pigment epithelial celIs and fibroblasts are major cellular components of PVR membranes, and mesenchymal cells are major cellular components and glial cells minor cellular components of PDR membranes.

Cellular components of proliferative vitreoretinal membranes

To understand the pathogenesis of proliferative vitreoretinal membrane formation which occurs in proliferative vitreoretinopathy (PVR) and proliferative diabetic retinopathy (PDR), etc., accurate identification of the cellular components of the membrane is needed. This study was performed to identify cellular components of the membranes by means of immunohistochemical technique. 11 proliferative vitreoretinal membranes which were surgically obtained from 7 eyes with PVR and 4 eyes with PDR were stained with monoclonal antibodies against cytokeratin, glial fibrillary acidic protein (GFAP), or vimentin using immunoperoxidase technique (ABC method). In the PVR membranes, mean cell positivities for cytokeratin, GFAP and vimentin were 48%, 1% and 92%, respectively and in the PDR membranes, 0%, 5% and 93%, respectively. The above results suggest that retinal pigment epithelial cells and fibroblasts are major cellular components of PVR membranes, and that mesenchymal cells are major cellular components and glial cells are minor cellular components of PDR membranes.

The Effect of Radial Keratotomy (RK) Combined with Double Ruiz Procedure on the Corneal Curvature

Under the postulation that double Ruiz procedure could increase the effect of radial keratotomy(RK), RK combined with horizontal and vertical Ruiz procedure was performed in three groups of 22 rabbit eyes. In the group A of six eyes, RK with vertical Ruiz procedure was performed, and eight weeks later the horizontal Ruiz procedure was added. In the group B of eight eyes, RK with horizontal Ruiz procedure was performed, and four weeks later the vertical Ruiz procedure was added. In the group C of eight eyes, RK with horizontal and vertical Ruiz procedure were performed simultaneously. As a control, in the group D of eight eyes, RK without Ruiz procedure was performed. Changes in keratometry for four weeks and eight weeks postoperatively were analyzed. The results were as follows: 1. At eight weeks postoperatively, mean changes in keratometry were 6.434D, 3.663D, 4.030D and 1.585D in groups A,B,C and D, respectively. 2. Mean changes in keratometry of groups A,B and C were significantly higher than that of group D. 3. Mean change in keratometry of 6.434D in group A was significantly the highest of the three groups in which the double Ruiz procedure was performed. From the above results, it was concluded that the double Ruiz procedure increased the effect of RK and that the procedure was more effective when secondary Ruiz procedure was added eight weeks later.

A Clinical Observation on Testicular Tumors / 대한비뇨기과학회지

A clinical observation was made on I6 patients with testicular tumors who were admitted to the Department of Urology, Hanyang University Hospital during the period from January, l973 to December, 1984. The following results were obtained. 1. During this period, testicular tumors comprised O.42% of all inpatients and 3.47% of all male G-U tract tumors. 2. The age distribution ranged from 7 months to 56 years old and showed the highest incidence in 1 year to 9 years old. 3. Among the l6 cases with testicular tumors, there were 14 cases of germ cell tumor (2 cases of seminoma with embryonal carcinoma, 8 cases of teratoma, 3 cases of embryonal carcinoma, 1 case of yolk sac tumor) and 2 cases of non-germ cell tumor (all of Leydig cell tumor). 4. The presenting symptoms were painless scrotal mass in l3 cases, painful scrotal mass in 1 case, sexual precocity in 1 case, abdominal mass in 1 case. 5. Preorchiectomy evaluation of serum AFP and HCG was made by radioimmunoassay. Four cases (2 cases of seminoma with embryonal carcinoma, 1 case of embryonal carcinoma, l case of yolk sac tumor) had elevated serum AFP. None had elevated serum HCG. 6. Radical orchiectomy was given for 15 cases. Adjuvant chemotherapy in l case of embryonal carcinoma and VAB-6 combination chemotherapy for recurred tumor in 1 case of seminoma with embryonal carcinoma were performed. 7. Follow-up study was made on 7 cases (1 case of seminoma with embryonal carcinoma, 2 cases of embryonal carcinoma, 1 case of yolk sac tumor, 3 cases of teratoma) of testicular tumors with mean duration of 49 months. Of these 7 cases, 1 case (stage C, embryonal carcinoma) died at l.5 months after orchiectomy and relapse occurred in 1 case of seminoma with embryonal carcinoma and remaining cases are alive without evidence of disease for mean follow-up 64.8 months.

Two Cases of Crossed Renal Ectopia with Fusion / 대한비뇨기과학회지

Crossed renal ectopia is an unusual congenital anomaly, probably produced by abnormal development of the ureteral bud. The deformity itself produces no symptoms and the clinical presentation generally is for obstruction and infection. The pediatric patients present most often with multiple congenital anomalies, especially of the skeletal system. We report the two cases of crossed renal ectopia with fusion with review of literatures.