No abstract available.

Cellulitis, one of most common diseases of everyday life, is often overlooked for its significance. Although cellulitis does not cause or lead to serious problems usually, its possibility to cause life-threatening problem should be known. In present case, a patient who had received acupuncture treatment a week earlier presented to the clinic with symptoms of facial cellulitis. The disease resolved within few weeks under empirical antibiotic treatment but recurred after 3 months. Under close history review of the patient, we found out that the patient had received craniectomy 20 years ago. The patient had blunt headache with no other neurological symptoms that could suspect cranial infection, but considering the risk originating from the patient’s surgical history, brain computed tomography (CT) was taken. CT images revealed abscess formation in the subgaleal and epidural spaces. Craniotomy with abscess evacuation was done promptly. With additional antibiotic treatment postoperatively, the disease resolved, and the 1-month postoperative follow-up brain CT showed no signs of abscess formation.
Abscess ; Acupuncture ; Brain ; Cellulitis ; Craniotomy ; Empyema ; Epidural Abscess ; Epidural Space ; Follow-Up Studies ; Headache ; Humans

Adenoid cystic carcinoma (ACC) in the lacrimal gland is a very rare disease with poor overall prognosis.Its primary treatment is surgical excision, including orbital exenteration and radical orbitectomy,which is combined with radiotherapy and chemotherapy. Age, histopathologic type, boneinvasion, and tumor extent are known factors that affect the prognosis of ACC. Furthermore, perineuralinvasion is highly associated with local tumor recurrence and tumor base invasion. Here,we report a rare case of ACC in the lacrimal gland with superior sagittal sinus invasion that repeatedlyrecurred after the surgical excision.

PURPOSE: This study was to identify factors that affect breast cancer patients' intentions to participate in cancer rehabilitation therapy. Such findings could be utilized early in the rehabilitation process to improve treatment outcomes and quality of life. METHODS: A cross-sectional study of 300 breast cancer patients (> or =20 years old) receiving post-surgery outpatient care was used. A self-administrated survey was conducted from June 15 to July 25, 2012. The questionnaire included basic subject data, physical symptoms, optimism, and social support. RESULTS: A binary logistic regression analysis revealed that a short post-surgery period (<12 months), having undergone an axillary lymph node dissection, and high physical symptoms were factors that significantly affected participants' intentions to undergo rehabilitation. CONCLUSION: By accurately assessing the factors associated with each patient's decisions regarding cancer rehabilitation therapy at an early stage of treatment and then implementing such individualized rehabilitation, the quality of life for breast cancer patients can be substantially improved.
Ambulatory Care ; Breast Neoplasms* ; Cross-Sectional Studies ; Humans ; Intention ; Logistic Models ; Lymph Node Excision ; Quality of Life ; Rehabilitation* ; Surveys and Questionnaires

PURPOSE: To compare the clinical outcome of AT-45 implantation between high myopic eyes and non-high myopic eyes. METHODS: Retrospective, non-randomized, comparative trial. The medical charts of 28 patients with 35 eyes who had phacoemulsification and AT-45 implantation were retrospectively reviewed. 13 eyes of 10 patients were included in the high myopic group (axial length > or = 26.0 mm) and 22 eyes of 18 patients were included in the non-high myopic group. The clinical data included unilateral best-corrected visual acuity (BCVA) and distance-corrected near visual acuity (DCNVA) at 6 months follow-up after the surgery. The results were compared between the two groups. RESULTS: In the non-high myopic group, 22 eyes (100%) and 19 eyes (86.4%) achieved a BCVA of 20/25 and 20/20 or better respectively. For the high myopic group, the results were 13 eyes (100%) and 12 eyes (92.3%) respectively, at 6 months after the surgery. In the non-high myopic group, 21 (95.4%) and 7 eyes (31.8%) achieved a DCNVA of 20/40 and 20/25 or better. For the high myopic group, the results were 13 (100%) and 4 eyes (30.8%) respectively, at 6 months after the surgery, the differences between the two groups for a BCVA of 20/25 or better and 20/20 or better and a DCNVA 20/40 or better and 20/25 or better were not statistically significant. CONCLUSIONS: Six months clinical outcome of cataract surgery with an AT-45 for the high myopic eyes was satisfactory; it was not significantly different from that of the non-high myopic eyes.
*Accommodation, Ocular ; Adult ; Aged ; Female ; Humans ; *Lens Implantation, Intraocular ; *Lenses, Intraocular ; Male ; Middle Aged ; Myopia, Degenerative/*surgery ; Phacoemulsification ; Retrospective Studies ; Visual Acuity/physiology

PURPOSE: To report the first case of lattice corneal dystrophy, gelsolin type in Korea. CASE SUMMARY: A 61-year-old man visited our clinic with severe dry eye symptom in both eyes. Clinical examination revealed in both eyes a visual acuity of 0.7 without correction and intraocular pressure of 18 mm Hg. On slit-lamp examination, both corneas had scattered lattice lines at various depths within the stroma with punctate epithelial erosions. The patient had characteristic features of Meretoja syndrome, including cranial neuropathy characterized by dermatochalasis and facial weakness, and was positive for the gelsolin mutation according to DNA analysis. This is the first description of a patient with lattice corneal dystrophy, gelsolin type in Korea. CONCLUSIONS: This is the first description of a patient with lattice corneal dystrophy, gelsolin type in Korea and demonstrates the importance of recognizing the systemic and ophthalmic features for appropriate management of the condition.
Amyloidosis ; Cornea ; Corneal Dystrophies, Hereditary ; Cranial Nerve Diseases ; DNA ; Eye ; Gelsolin ; Humans ; Intraocular Pressure ; Korea ; Visual Acuity

PURPOSE: To evaluate clinical results of AT-45. METHODS: In a prospective study, 24 eyes of 21 patients had phacoemulsification and AT-45 implantation. Clinical data included distance visual acuity, near visual acuity, complication, during the 6-months follow-up period. RESULTS: Result analysis was performed with 22 eyes of 19 patients, except 2 complicated eyes. 6-months after operation, 22 eyes (100%) and 19 eyes (86.4%) were achieved best corrected visual acuity 20/25 and 20/20 or better respectively. 21 eyes (95.4%) and 7 eyes (31.8%) were achieved best distance corrected near visual acuity 20/40 and 20/25 or better respectively. Posterior capsular opacity was developed in 5 eyes (22.7%) and posterior synechia was developed in 1 eye (4.5%). CONCLUSIONS: Clinical result of cataract surgery with AT-45 was relatively satisfactory. Long term follow-up is recommended.
Cataract ; Follow-Up Studies ; Humans ; Phacoemulsification ; Prospective Studies ; Visual Acuity

PURPOSE: To evaluate the change in anterior chamber depth and refraction after AT-45 implantation METHODS: Twenty-two eyes from 22 patients were enrolled in this prospective study. After phacoemulsification, AT-45 (11 eyes) and SA60AT (11 eyes) were implanted. Clinical data included anterior chamber depth and refractive error at 1 week, 1 month, 2 months and 6 months postoperatively. The correlation between anterior chamber depth change and spherical equivalent change was also evaluated. RESULTS: In the AT-45 implanted group, the mean anterior chamber depth was 4.56+/-0.59 mm at 1 week postoperative, 4.70+/-0.69 mm at 1 month postoperative, 4.78+/-0.71 mm at 2 months postoperative and 4.76+/-0.69 mm at 6 months postoperative. The mean spherical equivalent was -0.53+/-0.48D, -0.37+/-0.42D, -0.27+/-0.47D, and -0.33+/-0.44D respectively. When analyzed using the Mann-Whitney U test, p-values of anterior chamber depth differences between the 2 groups were P=0.52 at 1 week to 1 month, P=0.32 at 1 month to 2 months, P=0.89 at 2 months to 6 months, and P=0.02 at 1 week to 6 months, showing a deeper anterior chamber in the AT-45 implanted group. P-values (Mann-Whitney U test) of spherical equivalent differences between the 2 groups were P=0.33, P=0.56, P=0.94, and P=0.19, respectively, showing more hyperopic change in the AT-45 implanted group. The correlation between anterior chamber depth change and spherical equivalent change in the AT-45 implanted group at 1 week to 6 months was not statistically significant (Spearman correlation analysis, P=0.223). CONCLUSIONS: Anterior chamber depth deepening and associated hyperopic refractive change were observed after AT-45 implantation, especially at 1 month after the surgery.
Anterior Chamber* ; Humans ; Lens Implantation, Intraocular* ; Lenses, Intraocular* ; Phacoemulsification ; Prospective Studies ; Refractive Errors

PURPOSE: Photogrammetry has been introduced as an alternative to direct measurement to obtain facial distances for a variety of anthropometric applications. The aim of this study is to establish morphological and functional value of an eye in Korean youths using specially designed computer software with digital photographic images. METHODS: Authors measured anthropometry of an eye in Korean youths 1,449 individuals(622 males, 827 females) and analyzed stastically them. RESULTS: The mean measurements are as follows. The diameter of cornea was 11.6+/-0.9mm in males and 11.3+/-0.9mm in females. The vertical dimension of palpebral fissure was 7.4+/-1.7mm in males and 8.2+/-1.6mm in females. The intercanthal width was 35.8+/-3.2mm in males and 34.4+/-2.9mm in females. The biocular width was 90.4+/-5.7mm in males and 87.4+/-5.3mm in females. The endocantion-superior margin of palpebral fissure distance was 12.7+/-1.4mm in males and 11.6+/-1.4mm in females. The horizontal dimension of palpebral fissure was 28.5+/-2.2mm in males and 27.4+/-1.9mm in females. The slant of palpebral fissure was 10.7+/-2.6degrees in males and 11.3+/-3.0degrees in females. The height of upper eyelid was 10.6+/-2.3mm in males and 10.7+/-2.3mm in females. The width of double fold was 2.0+/-0.7mm in males and 1.9+/-0.6 mm in females. A double fold was seen in 21.9% of males and 44.9% of females. The most frequent shape of the double fold was type IV. The most common type of epicanthal fold was type III in both males and females. CONCLUSION: Photogrammetic measurement of large population using specially designed software could offer reliable data and these data could be useful reference for preoperative consultation, surgical planning and anthropometic study of eye.
Adolescent* ; Anthropometry ; Cornea ; Eyelids ; Female ; Humans ; Male ; Photogrammetry ; Vertical Dimension

PURPOSE: Photogrammetry has been introduced as an alternative to direct measurement to obtain facial distances for a variety of anthropometric applications. The aim of this study is to establish morphological and functional value of an eye in Korean youths using specially designed computer software with digital photographic images. METHODS: Authors measured anthropometry of an eye in Korean youths 1,449 individuals(622 males, 827 females) and analyzed stastically them. RESULTS: The mean measurements are as follows. The diameter of cornea was 11.6+/-0.9mm in males and 11.3+/-0.9mm in females. The vertical dimension of palpebral fissure was 7.4+/-1.7mm in males and 8.2+/-1.6mm in females. The intercanthal width was 35.8+/-3.2mm in males and 34.4+/-2.9mm in females. The biocular width was 90.4+/-5.7mm in males and 87.4+/-5.3mm in females. The endocantion-superior margin of palpebral fissure distance was 12.7+/-1.4mm in males and 11.6+/-1.4mm in females. The horizontal dimension of palpebral fissure was 28.5+/-2.2mm in males and 27.4+/-1.9mm in females. The slant of palpebral fissure was 10.7+/-2.6degrees in males and 11.3+/-3.0degrees in females. The height of upper eyelid was 10.6+/-2.3mm in males and 10.7+/-2.3mm in females. The width of double fold was 2.0+/-0.7mm in males and 1.9+/-0.6 mm in females. A double fold was seen in 21.9% of males and 44.9% of females. The most frequent shape of the double fold was type IV. The most common type of epicanthal fold was type III in both males and females. CONCLUSION: Photogrammetic measurement of large population using specially designed software could offer reliable data and these data could be useful reference for preoperative consultation, surgical planning and anthropometic study of eye.
Adolescent* ; Anthropometry ; Cornea ; Eyelids ; Female ; Humans ; Male ; Photogrammetry ; Vertical Dimension