Here, we report 3 cases of mixed tumor of the lacrimal gland. The age of the patients were 43, 26 and 35 respectively. The two of these were male and one female. The most outstanding complaint was exopthalmos. A mass was palpated on the orbit and eye ball deviation in downward position was present in all cases. Pathologic findings were mixed tumor of the lacrimal gland with no evidence of malignancy. These tumors were well encapsulated and any evidence of involving bone and soft tissue was not found. Modified Kroenlein-Berke operation was performed and tumor mass was removed entirely with finger dissection in all cases. The vision was not improved but the cosmetic result was satisfactorr.
Female ; Fingers ; Humans ; Lacrimal Apparatus* ; Male ; Orbit

There were many instances in which glaucoma, esp. primary, combined with hearing disturbance. The etiology of these cases has not been known until now. We had 15 primary glaucoma patients for whom pure tone audiometry wa~ performed, and could find the hearing defect in high tone in 5 cases (1/3 among those patients). The audiometric curve was similar to that in the presbycusis, but severer in degree than that occured within the normal physiological aging process. The average age was 62.4 year in the group with the hearing defect, and 45.6 year in the group without the hearing defect. There were no relationship between the hearing defect and intraocular tension, visual field change, glaucomatous cupping, and duration of glaucoma. These results may support the opinion of the authors that the hearing disturbance in glaucomatous patients is related to the arterioscIerotic changes which aggrevate the presbycusis, and not related to glaucoma itself. On the otherhand, however, it is stilI impossible for us to rule out that the pleiotropic and multifactorial genetic factors may play as a common important role in the hearing disturbances and glaucoma. And further studies would be necessary for these problems.
Aging ; Audiometry ; Glaucoma* ; Hearing* ; Humans ; Presbycusis ; Visual Fields

A case of Mooren's ulcer in a 68 years old korean female has been reported. This is a rare disease and hitherto it is not reported in Korea. A brief review of litera tures has also been described.
Aged ; Female ; Humans ; Korea ; Rare Diseases ; Ulcer*

The primary overaction of the inferior oblique(IO) muscle is of unknown cause, whereas the secondary overaction of IO is usually related to the palsy of the ipsilateral superior oblique or contralateral superior rectus. To understand the cause of the primary overaction of the IO, an ultrastructural study on primary and secondary overacting IO muscles was performed by electron microscopy. The most striking abnormalities were aggregations of mitochondria, degeneration of mitochondrial profiles, and increased vacuolization in primary and secondary overacting muscles. These changes were more severe in cases of primary overaction thitn in those of secondary overaction. Many muscle fibers were in different stages of atrophy. Hypertrophy and regeneration of muscle fibers were sometimes visible. The primary and the secondary overacting IO muscles showed similar morphologic alterations. These results suggest that the primary overacting IO muscle might be the result of a paresis of the superior oblique muscle.
Atrophy ; Hypertrophy ; Microscopy, Electron ; Mitochondria ; Muscles* ; Paralysis ; Paresis ; Regeneration ; Strikes, Employee

The primary overaction of the inferior oblique(IO) muscle is of unknown cause, whereas the secondary overaction of IO is usually related to the palsy of the ipsilateral superior oblique or contralateral superior rectus. To understand the cause of the primary overaction of the IO, an ultrastructural study on primary and secondary overacting IO muscles was performed by electron microscopy. The most striking abnormalities were aggregations of mitochondria, degeneration of mitochondrial profiles, and increased vacuolization in primary and secondary overacting muscles. These changes were more severe in cases of primary overaction thitn in those of secondary overaction. Many muscle fibers were in different stages of atrophy. Hypertrophy and regeneration of muscle fibers were sometimes visible. The primary and the secondary overacting IO muscles showed similar morphologic alterations. These results suggest that the primary overacting IO muscle might be the result of a paresis of the superior oblique muscle.
Atrophy ; Hypertrophy ; Microscopy, Electron ; Mitochondria ; Muscles* ; Paralysis ; Paresis ; Regeneration ; Strikes, Employee

Overaction of the inferior oblique(IO) muscle is manifested by elevation of the adducted eye and from the clinical point of view there are two types of overaction. The primary type is of unknown cause, whereas the secondary type is usually related to the palsy of the ipsilateral superior oblique or contralateral superior rectus. An ultrastructural study on the overacting IO muscles was performed compared to normal IO muscles by electron microscopy. Of 16 biopsies of overacting IO muscles, four had primary overacting inferior obliques and twelve had secondary overacting inferior obliques due to paralysis of superior oblique muscle. Additional four IO muscle, obtained from patients with intraocular diseases served as control specimens. The most striking abnormalities were aggregations of mitochondria and degenerating mitochondrial profiles and increased vacuolization in primary and secondary overacting muscles. Many muscle fibers were in different stages of atrophy, and hypertrophy and regeneration of muscle fibers were sometimes visible. The results suggest that the primary overacting IO muscle might be the result of a paresis of the superior oblique muscle.
Biopsy ; Humans ; Mitochondria/ultrastructure ; Ocular Motility Disorders/*pathology ; Oculomotor Muscles/*ultrastructure ; Ophthalmoplegia/pathology ; Vacuoles/ultrastructure

No Abstract Available.
Endothelium, Corneal* ; Lidocaine*

From May to October 1987, 32 patients of diabetic retinopathy were studied with visual acuity, Farnsworth-Munsell 100-hue test, urine glucose test, standard fundus color photography, and fluorescein angiography to assess the type and extent of color vision defect associated with diabetic retinopathy, mainly nonproliferative, and the presence of macular edema. Nine patients showed significantly higher error scores in Farnsworth-Munsell 100-hue test than expected in non-diabetic individuals and tendency of a tritan axis. Eyes with macular edema showed higher Farnsworth-Munsell 100-hue scores than those without macular edema, but the differences were insignificant. Only one patient made an error in reading of urine glucose test by himself.
Axis, Cervical Vertebra ; Color Vision Defects* ; Color Vision* ; Diabetic Retinopathy* ; Fluorescein Angiography ; Glucose ; Humans ; Macular Edema ; Photography ; Visual Acuity

From May to October 1987, 32 patients of diabetic retinopathy were studied with visual acuity, Farnsworth-Munsell 100-hue test, urine glucose test, standard fundus color photography, and fluorescein angiography to assess the type and extent of color vision defect associated with diabetic retinopathy, mainly nonproliferative, and the presence of macular edema. Nine patients showed significantly higher error scores in Farnsworth-Munsell 100-hue test than expected in non-diabetic individuals and tendency of a tritan axis. Eyes with macular edema showed higher Farnsworth-Munsell 100-hue scores than those without macular edema, but the differences were insignificant. Only one patient made an error in reading of urine glucose test by himself.
Axis, Cervical Vertebra ; Color Vision Defects* ; Color Vision* ; Diabetic Retinopathy* ; Fluorescein Angiography ; Glucose ; Humans ; Macular Edema ; Photography ; Visual Acuity

To define the distribution of normal corneal topographic patterns of Korean adults and compare them with previously published western data, computerized corneal topography was performed on the randomly selected eye of 232 normal subjects using TMS-1(Computed Anatomy). Recruited subjects were 116 females and 118 males. Mean age of the subjects was 50.5 yr. (range 17 to 86 yr.). The color-coded videokeratographs were classified by a masked observer according to the Bogan et al's classification such as round, oval, symmetric bow tie, asymmetric bow tie, and irregular. The results revealed 16 eyes (6.9%) had round. 31 (13.4%) oval, 42 (18.1%) symmetric bow tie, 99 (42.7%) asymmetric bow tie, and 44 (19.0%) irregular pattern. There was no statistically significant difference in the distribution of topographic pattern between male and female and among the age groups. Our results of topographic patterns show the tendency of more irregular and less round topographic pattern in Korean adults, as compared to that of western adults.
Adult* ; Classification ; Corneal Topography ; Female ; Humans ; Male ; Masks