No Abstract Available.
Trabeculectomy*

PURPOSE: We investigated the anti-inflammatory and anti-fibrotic effects of amniotic membrane(AM) ointment in filtering surgery of rabbits. METHODS: After filtering surgery was performed on both eyes of 10 rabbits, the AM ointment was applied over and under the scleral flap on one eye whereas base ointment excluding AM element was applied to the other as a control. The shapes of blebs were observed under slit-lamp biomicroscopy at postoperative 3 days, 1 week, 2 weeks and 4 weeks, and the tissues were excised for histologic studies. RESULTS: Serial changes of intraocular pressures had no significant difference. Slit-lamp biomicroscopy demonstrated that conjunctival blebs of AM ointment group were more elevated and cystic at 1 and 2 weeks. The heights of conjunctival blebs were significantly higher at 1, 2 and 4 weeks, and the width of scleral tracks was significantly wider at 1 and 2 weeks in AM ointment group. The number of inflammatory cells in the scleral track was significantly less at 3 days and 1 week, the number of fibroblasts in scleral track was significantly less at 2 and 3 weeks in AM ointment group. Masson s trichrome stain was less positive in AM ointment and the stain area of alpha-smooth muscle actin-positive fibroblasts was insignificant with image analysis system. Collagen type 3 appeared in scleral track from postoperative 1 week in control group, however, in AM ointment group, from 4 weeks. CONCLUSIONS: AM ointment is beneficial to suppress fibroblast differentiation, proliferation and inflam-matory reaction in filtering surgery and might be safe and effective adjunctive for enhancement of success in filtering surgery.
Amnion* ; Blister ; Collagen ; Fibroblasts ; Filtering Surgery* ; Humans* ; Intraocular Pressure ; Rabbits*

The authorsinvestigated the effects of UV-B and amniotic membrane graft about PRK induced inflammatory cell infiltration into corneal stroma, lipid peroxidation and keratocyte apoptosis. Total 20 white rabbits were divided into 5 groups; 1)mechanical epithelial removal, 2)epithelial removal and UV-B irradiation, 3)PRK only, 4) PRK and UV-B irradiation, 5)Amniotic membrane graft after PRK and UV-B irradiation. All corneas were harvested after 24hrs. H & E stain for PMNs infiltration, MDA immunohistochemical stain for lipid peroxidation and TUNEL stain for keratocyte apoptosis were performed. UV-B had little effect on infiltration of inflammatory cell into corneal stroma, lipid peroxidation and keratocyte apoptosis. Amniotic membrane suppressed infiltration of PMNs into corneal stroma, lipid peroxidation and keratocyte apoptosis. Environmental UV-B exposure should not be avoided after PRK. Amniotic membrane graft is beneficial to reduce keratocyte apoptosis and related corneal haze.
Amnion* ; Apoptosis* ; Cornea ; Corneal Stroma ; In Situ Nick-End Labeling ; Inflammation* ; Lipid Peroxidation* ; Membranes ; Rabbits ; Transplants

We evaluated the safety and efficacy of photo-astigmatic refractive keratectomy(PARK) with Schwind excimer laser for one year. We performed PARK procedures on 28 eyes with compound myopic astigmatism. Twenty eight eyes were divided into two groups according to their astigmatism: low(up to -1.5D, 15 eyes), high(over -1.5, 13 eyes). Mean preoperative astigmatism was 1.17+/-0.28 in low astigmatism group and 2.67+/-0.90 in high astigmatism group. Mean one year postoperative astigmatism was 0.40+/-0.39 in low astigmatism group and 0.48+/-0.56 in high astigmatism group. Correction rate of astigmatism was 62.3% in low astigmatism group and 79.4% in high astigmatism group. Complications were loss of best corrected visual acuity 2 line or more(2 eyes), temporary increased intraocular pressure(4 eyes), over 0.25mm eccentric ablation(2 eyes). We concluded that the Schwind excimer laser PARK appeared to be a safe and relatively accurate proceudre to correct myopic astigmatism, especially predictability of astigmatism correction was very satisfactory.
Astigmatism ; Lasers, Excimer ; Visual Acuity

We performed a retrospective study on the characteristics of visual field progression among 76 eyes of 41 patients who were diagnosed for normal tension glaucoma, using linear regression analysis of global indices(MD, CPSD), mean thresholds of 10 GHT clusters, and thresholds of 52 individual locations. Those patients were identified who had taken seven of more threshold visual field tests over a period of at least 2 years. The results were as follos; 1. There were 18 eyes(23.7%) of 13 patients where MD, CPSD, one or more clusters, of one or more locations was deteriorated. Linear regression of global indices identified 5 subjects(6.6%) with significant decline in MD and 3 subjects(3.9%) with significant progression of CPSD. Twelve sujects(15.8%) had more than one progressive GHT cluster. Fourteen subjects(18.5%) had more than one progressive individual test locations. 2. Deterioration of 2dB or more per year was found in the superior fields more frequently than inferior and there was increasing frequency of visual field progression in superior and inferior fields. The spatial distribution of individual locations that deteriorated was similar to that of clusters. 3. Age, mean IOP, IOP reduction rate and drug used was not related to visual field progression in normal tension glaucoma. These findings suggest that linear regression is a method to detect progression and estimat the magnitude of increase in field loss objectively and has the potential to identify those persons whose trend is sufficiently strong enough to exceed the variability in the data. It is thought that long-term follow-up and appropriate frequency of visual field testing give important information on the clinical characteristics of field progression in glaucoma.
Follow-Up Studies ; Glaucoma ; Humans ; Linear Models ; Low Tension Glaucoma* ; Retrospective Studies ; Visual Field Tests ; Visual Fields*

Nerve fiber bundle index(NFBI) is a new index which detects visual field depression in 21 nerve fiber bundle zones, reflecting the topographical arrangement of visual field defects. We applied this index to 39 eyes with normal visual field and 131 eyes with early glau-comatous field defect(mean defect Area Under Curve ; Depression ; Glaucoma* ; Nerve Fibers* ; ROC Curve ; Visual Fields

To create an experimental glaucoma model in rabbit and to study the effect of elevated intraocular pressure (IOP) on rabbits ocular tissues, we treated trabecular meshwork of 7 adult pigmented rabbits with Q-switched Nd:YAG laser. And then we studied the IOP lowering effect of topical verapamil in experimental glaucoma model. The IOP and outflow facility were measured with an applanation pneumotonograph (Alcon, Texas). During sustained rap elevation, 50ul of 0.25% verapamil was instilled in one eye and normal saline in the fellow eye. The IOP was measured 1, 2, 4, 8 hours after instillation. The measurement was repeated twice at 2 weeks interval. After 5 weeks, the IOP increased from an average baseline IOP of 16.6mmHg to 25.51mmHg, an increase of 55.6%. The outflow facility was decreased from 0.21 microliter/min/mmHg to 0.09 microliter/min/mmHg. There were statistically significant reductions in IOP in both verapamil and placebo-treated eyes(p<0.05). The reduction was greater in verapamil-treated eyes than in placebo-treated eyes(p<0.05). Maximal reduction of IOP was observed 2 hours after single-drop of verapamil, with significant reduction of IOP up to 4 hours duration(p<0.05). During the observation period of this study, cupping of the optic nerve head developed. Histopathologic examination revealed extensive scarring of the anterior chamber angle structure. There are marked hyaline degeneration of retinal ganglion cells in temporal retina.
Adult ; Anterior Chamber ; Cicatrix ; Glaucoma* ; Humans ; Hyalin ; Intraocular Pressure ; Optic Disk ; Rabbits* ; Retinal Ganglion Cells ; Trabecular Meshwork ; Verapamil*

It has been known that ultraviolet B(UVB) light made an oxidative damage to lens proteins, lipids and nucleic acids to induce lens opacity. The aim of the study was to investigate the effect of bendazac lysine salt (Bendaline) tot the experimental cataract developed by UV irradiation. Forty rats were exposed to 0.1mW/cm2 of UVB radiation in the range 300-320 mm for 24 hours per day. Five control rats were not exposed UVB radiation. During the investigative period, we measured lens opacity with Scheimpflug camera every other week. Rats were divided into 9 groups according to the duration of UV radiation and initial time of bendazac lysine medication. Bendazac lysine was administered orally by 25mg/kg per day for 2 months. The opacities on anterior cortex, nucleus and posterior capsule began to appear 4 months after UVB irradiation. The longer duration of radiation, the more severe opacity of lens was observed, especially at the layers of posterior supranucleus, posterior cortex and posterior capsule and in the opacity area by retroillumination image. After UVB induced cataract was developed, the lens opacity was not changed nevertheless stop the UV irradiation. Lens opacity of bendazac lysine-treated groups was not severer than that of no medication groups. There were less opacities on 4 month irradiated group rather than 6 month irradiated group at the layers of nucleus and posterior cortex and in the opacity area. Anticataract action of bendazac lysine was effective in earlier cataract. In the group of bendazac lysine medication with UVB irradiation on same time, the prophylactic evidence of bendazac lysine was not observed.
Animals ; Cataract* ; Crystallins ; Lysine* ; Nucleic Acids ; Rats*

The Scheimpflug photography was used to evauate objectively changes in lens opacity at a month interval in 143 eyes of 78 patients affected by early cataract. from Dec. 1993 to Dec. 1994. A total of 48 patients were treated daily with 1.5g bendazac-lysine, and 30 patients constituted the control group. We checked visual acuity and analyzed change of lens opacity by using axial densitometry and retroillumination of Scheimpflug photography after Bendaline(R) medication up to 9 months After treatment, improvement or no change of subjective visual acuity was observed in 65 eyes(78.3%) of treated group, whereas decrement in 35 eyes (58.3%) of control group. In the axial densitometry, the nuclear opacity began to improve after 3 months of medication and opacities of lens between anterior supranucleus and posterior capsule were statistically significant improved after 5 months of medication (p<0.05). There's no correlation in the change of opacity area under retroillumination (p>0.05). The result show that bendazac lysine may be effective in improvement of visual acuity and delay the formation of lens opacity in early cataract.
Cataract* ; Densitometry ; Humans ; Lysine ; Photography ; Visual Acuity

The Humphrey Visual Field Analyzer and The Octopus Visual Field Analyzer in Early Primary Open Angle Glaucoma Visual field measurements are useful tool not only for diagnosis but also for management ealuation of early glaucoma. To know the relationship between the results of visual field which were performed by the Humphrey and the Octopus, the 25 disc data which have shown the general reduction of sensitivity on two continuous separate sessions in Humphrey viual field analyzer were transmitted into the Peridata Standard Printout Mode of GIX program on the Octopus 1-2-3. We compared the aspect of Bebie curve of Octopus 1-2-3 and the difference of the global indices between Humphrey and Octopus in the basically input data of age related standard sensitivity of visual field. The general reduction of sensitivity in Humphrey visual field analyzer showed the sensitivity loss in Bebie curve of Octopus 1-2-3(p<5%). In the statistical analysis of Global indices between the two field analyzers there were no differences in the MD and PSD(p>0.05) but were difference the CPSD and SF(p<0.05). In the comparison of the correlation on global indices between the two field analysis. MD and PSD were closely correlated r=0.657, PSD r=0.697, p<0.001), CPSD and SF were statistically correlated(p<0.001) but had lower correlation coefficients(CPSD r=0.478, SF r=0.389). Thus we conclude that there are little differences between the results of two field analyzers.
Diagnosis ; Glaucoma ; Glaucoma, Open-Angle* ; Octopodiformes* ; Visual Fields*