Posterior capsule opacification(PCO) is a common complication of cataract surgery. The presence of a posterior chamber intraocular lens has been shown to decrease the incidence of the development of PCO. Moreover, there are evidences that the design of intraocular lens may also alter its development. Extracapsular lens extraction with implantation of posterior chamber lens were operated on a consecutive series of 230 eyes. These were evaluated in the viewpoint of PCO development after surgery. All were sulcus fixed and their optic designs were devided into two groups; a group of convex-plano lens with continuous laser ridge including convex-concave lens and a group of biconvex lens. The incidence of PCO was lower in convex-plano lens with continuous laser ridge group(6.7%) than that of boconvex lens group(18.9%). The incidence of Nd:YAG posterior capsulotomy marked 0.0% in continuous ridged group and 1.8% in biconvex group(p<0.05, p Capsule Opacification* ; Cataract ; Incidence ; Lenses, Intraocular* ; Posterior Capsulotomy

The authors experienced one case of Gronblad-Strandberg syndrome with subretinal neovascularization which showed characteristic signs of pseudoxanthoma elasticum(PXE) and angioid streak. PXE is an uncommon hereditary disorder which involves the elastic tissue of the dermis and may also involve the eye and the cardiovascular system. Angioid streaks are red or dark-brown jagged irregular lines extending in spoke like fashion toward periphery from an area of peripapillary atrophy. We report a case of Gronblad-Strandberg syndrome with subretinal neovasculari zation in a 49 year old korean female.
Angioid Streaks ; Atrophy ; Cardiovascular System ; Dermis ; Elastic Tissue ; Female ; Humans ; Middle Aged ; Pseudoxanthoma Elasticum*

Pterygium is a common surgical ocular disease which recurs frequently postoperatively. Numerous different techniques have been developed for the successful surgical treatment of pterygium. It was theorized that the pterygium recurrence after surgery would be prevented if scar tissue is formed on the bare sclera and if the corneal epithelium heals before the conjunctival epithelium reaches the limbus. We compared the recurrence rate of pterygium and complications after bare sclera technique with those after scleral fixation technique by which remaining conjunctiva was anchored tightly to the adjacent sclera with sutures. In the first group, 94 patients (103 eyes) operated by scleral fixation technique were composed of 45 male and 49 female. Their mean age was 57.2+/-9.7 years and mean follow-up period was 12.50+/-2.53 months. In the second group, 96 patients(101 eyes) operated by bare sclera technique were composed of 47 male and 49 female. Their mean age was 56.3+/-9.2 years and mean follow-up period was 12.12+/-2.41 months. The recurrence rate was 9.7%(10 eyes) in scleral fixation technique group and 32.7%(33 eyes) in bare sclera technique group. This difference was statistically significant(p<0.05). A case of postoperative scleromalacia was observed in the former group. The scleral fixation technique (as modified bare sclera technique) seems to be more effective for reducing postoperative recurrence of primary pterygium than simple bare sclera technique.
Cicatrix ; Conjunctiva ; Epithelium ; Epithelium, Corneal ; Female ; Follow-Up Studies ; Humans ; Male ; Pterygium* ; Recurrence* ; Sclera ; Sutures

Internuclear ophthalmoplegia(INO)is a horiwntal ocular motor disturbance caused by a lesion of the medial longitudinal fasciculus. We have experienced a case of bilateral internuclear ophthalmoplegia associated with exotropia, which revealed the symptom of bilateral impairment of adduction and dissociated nystagmus of the abducting eye on horizontal gaze in either direction. No bilateral internuclear ophthalmoplegia caused by trauma has yet been reported in this country. Here we report the case of the trauma-related medial longitudinal fasciculus lesion and its pathophysiology along with a literatural review.
Exotropia ; Nystagmus, Pathologic ; Ocular Motility Disorders*

Hemangioma appearing on the conjuntiva is a rare benign tumor which may be derived from vessels of conjuntiva, sclera, ocular muscles and orbit. Recently, we have experienced two cases of well encapsulated movable, round and slightly nodular conjuntival masses which had smooth, dark bluish-red colored surfaces. The masses were simply excised and histopathologic study revealed cavernous hemangioma.
Hemangioma ; Hemangioma, Cavernous* ; Muscles ; Orbit ; Sclera

Warrdenburg's syndrome, a rare hereditary disease, may be transmitted as an irregular autosomal dominant traits, which is distinguished by lateral displacement of the medial canthi and inferior lacrimal puncta, broad and prominant nasal root, hyperplasia of the medial portions of the eye-brows, white or grey colored forelock, partial or total heterochromia of the irides, congenital deafness, etc. Recently, the authors have experienced three cases of Waardenburg's syndrome in one family. They were 29 year old male, his 4 year old son and 3 year old daughter. We report these interesting cases with a brief review of literatures.
Adult ; Child, Preschool ; Deafness ; Genetic Diseases, Inborn ; Humans ; Hyperplasia ; Male ; Nuclear Family ; Waardenburg Syndrome*

A 61-year-old korean male had noticed a growth on his left eye for the last 3 monthes. This had begun at the nasal limbus of his cornea and had spread over the surface of the cornea. The patient had undergone surgery for the removal of a "tumor on his stomach", about 3 years before, but, no further information concerning this was obtainable. The elevated mass was removed easily by simple excision, and the diagnosis was confirmed histopathologically as "conjunctival carcinoma in situ".
Carcinoma in Situ* ; Cornea ; Diagnosis ; Humans ; Male ; Middle Aged

The amino acid L-glutamate is a major excitatory neurotransmitter in the central nervous system of vertebrates(1). NMDA (N-methyl-d-aspartate) is one of the L-glutamate receptor subtypes(2). During a critical period of early postnatal development, the visual cortex is susceptible to experience-dependent modification of neuronal responses. Recently, the activation of NMDA receptors has been supposed as a prerequisite for the induction of such modification(3). We therefore investigated developmental changes of NMDA receptors in the rat visual cortex and questioned whether they could be related to the visual development. We assessed the density of [(3)H]-NMDA receptor in the visual cortex of normally reared rate (Group I) and visually deprived rats (Group II) using quantitative autoradiography(4). The density of [(3)H]-NMDA receptor was significantly lower in Group II than in group I during the early postnatal period, and increased rapidly by postnatal 1 week and, decreased after postnatal 5 weeks. These results suggested that NMDA receptors may play a role in neuronal development in the visual cortex during the early postnatal period.
Animals ; Autoradiography ; Dark Adaptation ; Eyelids/surgery ; Glutamates/metabolism ; Glutamic Acid ; Light ; Rats ; Receptors, N-Methyl-D-Aspartate/*metabolism ; Visual Cortex/growth & development/*metabolism

The amino acid L-glutamate is a major excitatory neurotransmitter in central nervous system of vertebrates. NMDA( n-methyl-d-aspartate) is one of the L-glutamate receptor subtypes. During a critical period of early postnatal development, the visual cortex is susceptible to experience-dependent modification of neuronal response. Recently, the activation of NMDA receptors has been supposed as an prerequisite for the induction of such modification We therefore investigated developmental changes of NMDA receptors in rat visual cortex and questioned whether they could be related to the visual development. We assessed the density of [3H] NMDA receptor in visual cortex of normally reared rats (Group I) and visually deprivated rats (Group II) using quantitative autoradiography. The density of [3H] NMDA receptor was increased rapidly by postnatal 1 week and decreased after postnatal 5 weeks, and was significantly lower in Group II than Group I during early postnatal period. These results suggest that NMDA receptors may have a role in neuronal development in visual cortex.
Animals ; Autoradiography ; Central Nervous System ; Critical Period (Psychology) ; Glutamic Acid ; N-Methylaspartate* ; Neurons ; Neurotransmitter Agents ; Rats* ; Receptors, N-Methyl-D-Aspartate* ; Vertebrates ; Visual Cortex*

A 18-month-old girl was seen because of an yellowish brown papular eruptions on the face, earlobes and neck of one year duration. A skin biopsy specimen revealed circumscribed cellular infiltrates composed of predorninantly pleornorphic histiocytes. Electron microscopy of biopsy material disclosed numerous worm like particles and coated vescles in limited area of the cell cytoplasm, consistent with the findinga described in benign cephalic histiocytosis. After six months of her first visit, the individual papules became flattened.
Biopsy ; Coated Vesicles ; Cytoplasm ; Female ; Histiocytes ; Histiocytosis* ; Humans ; Infant ; Microscopy, Electron ; Neck ; Skin