The origin of the popliteal cyst is the popliteal bursa and frequently combined with the intraarticular lesion. And open excision has been commonly used as a treatment. The authors reviewed 39 cases of popliteal cyst in 38 patients, mangaged with arthroscopic method at Department of Orthopedic Surgery, College of Medicine, Korea University Hospital from June 1989 to July 1993 and the following results were obtained. l. Among 39 cases, 35 cases(89.7%) were associated with intraarticular lesions of the knee joint; 25 cases(71.4%) were chondral injuries, 6 cases(17.1%) were meniscus tear, 2 cases(5.7%) were rheumatoid arthritis and 2 cases were plica syndrome. 2. 20 cases(51.2%) were shown to have the communication between cyst and joint. 3. During operation, position change of the patient and another draping was not necessary. And the blue stained wall enabled authors to remove more completely the popliteal cyst than other conventional operative procedures. 4. Becuase of the short skin incision, the operation time was saved and we were able to recommend early excercise of the knee joint and ambulation. The operative treatment of popliteal cyst with the arthroscopy is the one staged method to excise the cyst and to intervent the combined intraarticular pathology which develop the cyst, and is one of the recommendable method bacause of small skin incision, short hospitalization and early rehabilitation.
Arthritis, Rheumatoid ; Arthroscopy ; Hospitalization ; Humans ; Joints ; Knee Joint ; Korea ; Methods ; Orthopedics ; Pathology ; Popliteal Cyst ; Rehabilitation ; Skin ; Surgical Procedures, Operative ; Tears ; Walking

Traumatic optic neuropathy is one of true ophthalmic emergencies and there is no proven form of treatment for traumatic optic neuropathy. 82 cases of traumatic optic neuropathy were investigated to evaluate the effectiveness of high dose corticosteroid for the visual improvement. Age, sex, initial visual acuity, final visual acuity, interval to treatment, the type of trauma and the affected region were studied retrospectively.250 mg of Methylprednisolone was administered intravenously every 6 hours for 3 days, and then followed by tapering using oral prednisone The vision was improved in 36 of 82 cases[43.9%]. It was difficult to interpret the relation-ships between the affected region and visual improvement, the interval for each treatment and final visual acuity. However, the vision was improved in 45 of 50 cases who had an initial visual acuity of above light perception, but in the two of 32 cases with no light perception. If indicated, fifteen cases were treated with a combination of high dose corticosteroid and optic nerve decompression. In initial treatment of traumatic optic neuropathy, high dose corticosteroid was effecive. Whether or not initial visual acuity was better than light perception was a key risk factor in the outcome.
Decompression ; Emergencies ; Methylprednisolone ; Optic Nerve ; Optic Nerve Injuries* ; Prednisone ; Risk Factors ; Visual Acuity

To study the effect of beta ray irradiation in preventing the recurrence of pterygium following surgical removal, clinical observation was made on 483 eyes in 447 patients who received. beta ray irradiation by 90Sr applicator (SIA-2) after operation for pterygium. Irradiation was given in doses of 360 rads 4 times with 2 days interval from immediately afteroperation. The results were as the followings: 1. Most cases were 31-40 years of age (158 eyes, 32.7% ); next, 41~50 years of age (112 eyes, 23.2%); the least, over 71 years of age (5 eyes, 1.0%). 2. All 483 cases consisted of 292 eyes (60.5%) in female and 191 eyes (39.5%) in male, but there was no significant difference in the site of the disease; right eyes, 257 eyes (53.2%) and left eyes (226 eyes)(46.8%). 3. Of all cases. 460 eyes (95.2%) was primary pterygium and 23 eyes (4.8%) recurrent pterygium. 4. Over all incidence of recurrence was 1.9% (9 eyes) of which primary pterygium occupied 1.7% (8 eyes) and recurrent type 0.2% (1 eye). 5. Of the patients with bilateral involvement, 3 cases showed unilateral recurrence.
Beta Particles ; Female ; Humans ; Incidence ; Male ; Pterygium* ; Recurrence

Adenosine deaminase(ADA)has been used for the diagnosis of localized tuberculosis.The titer of ADA was measured from the ocular fluid of the patients who had undergone vitreoretinal surgery due to non-tuberculous vitreoretinal disease. Forty five patients were included and twenty patients were male. Mean age was 51.9 years. Four patients had diabetes mellitus and two had essential hypertension. The most frequent cause of vitreoretinal surgery was proliferative vitreoretinopathy(12 eyes). For the analysis of ADA titer, vitreous fluid(group I)was aspirated in 36 patients undergoing pars plana vitrectomy and subretinal fluid(group II)in 9 patients undergoing scleral encircling. Mean titer of ADA was 9.01+/-15.69 IU/L, and there was no significant difference on the statistics between group I(6.06+/-13.75 IU/L)and group II(20.83+/-18.17 IU/L). All 45 eyes showed negative reaction to polymerase chain againt tuberculosis, and 25 of 29 patients had positive reaction to tuberculin skin test. There was no statistically significant relationship between ADA titer and tuberculin skin test. This result suggests that ADA may be used for the diagnosis of posterior ocular tuberculosis, since the normal concentration in the posterior ocular fluid was compatible with the one in other body fluids where it has been used for the diagnosis of localized tuberculosis.
Adenosine Deaminase* ; Adenosine* ; Body Fluids ; Diabetes Mellitus ; Diagnosis ; Humans ; Hypertension ; Male ; Skin Tests ; Tuberculin ; Tuberculosis ; Tuberculosis, Ocular ; Vitrectomy ; Vitreoretinal Surgery

BACKGROUND: There has been no reported paper about dermatoses of flood victims in Korea. OBJECTIVE: We evaluated the distribution of dermatoses among flood victims in northern Kyonggi-do following flooding in August 1998. METHODS: One hundred eighty six patients who were flood victims were analyzed statistically. RESULTS: The study results are summarized as follows: 1. Among the 186 patients, there were 57(30.6%) dermatologic patients. 2. In age distribution, the most frequent age groups were the 5th decade(35.1%), 6th decade(15.8%) and 4th decade(14.0%), amounting to 64.9% of all dermatologic patients. The ratio of male to female was 1: 2.4. 3. The distribution of common dermatoses in outpatients was superficial fungal infections(43.4%) and contact dermatitis(28.9%). 4. The distribution of dermatoses developed after the flooding was contact dermatitis(66.7%), acute urticaria(12.1%), erosion with secondary infection, impetigo, photosensitive dermatosis, insect bite and herpes zoster. And in many patients, contact dermatitis was developed within 2 days after the flooding. 5. The distribution of dermatoses recurred or aggravated after the flooding was superficial fungal infection(86.8%), seborrheic dermatitis(5.3%), aphthous stomatitis(5.3%) and herpes simplex(2.6%). CONCLUSION: The common dermatoses after the flooding were superficial fungal infection and contact dermatitis.
Age Distribution ; Coinfection ; Dermatitis, Contact ; Epidemiology ; Female ; Gyeonggi-do* ; Herpes Zoster ; Humans ; Impetigo ; Incidence* ; Insect Bites and Stings ; Korea* ; Male ; Outpatients ; Skin Diseases*

To evaluate factors related to success rate of dacryocystorhinostomy, we retrospectively surveyed 131 eyes about age, sex, symptom duration, etiology, obstruction site, sac size, silicone tube insertion and surgeons learning curve. Patients age, sex, obstruction site and sac size were not related to surgical results, but longer duration of epiphora, trauma, silicone intubation and poor surgical skill had relationship with poor surgical results. Surgical skill was the most important factor in multiple logistic regression. We believe that surgical technique for making a mucosal flap with bone removal etc., was very important to surgical success.
Dacryocystorhinostomy* ; Humans ; Intubation ; Lacrimal Apparatus Diseases ; Learning Curve ; Logistic Models ; Retrospective Studies ; Silicones

We compared cycloplegic refraction after convenient, less toxic single-dose atropinization with conventional three-day atropinization in esotropic children. We examined sixty children below eight years of age with esotropia. Their eyes were examined by cycloplegic refraction at 90 and 120 minutes after administering a drop of atropine twice at five minutes interval. After eight applications for three days, we performed cycloplegic refraction of their eyes. In the two groups, spherical equivalent and spherical power were statistically significantly different, and it had no statistical significance between the measurement of single-dose atropinization plus 0.5 diopter and three-day atropinization. The side effects were found lesser in single-dose application than conventional three-day applications. The results showed that single-dose atropinization can be substituted for conventional three-day atropinization in clinical practice.
Atropine ; Child* ; Esotropia ; Humans

Papular mucinosis, or lichen myxedematosus is one of the rare cutaneous diseases characterized by papular-lichenoid eruptions, in which mucin deposits in the dermis without thyroid dysfunction. A 31-year-old male presented with 3-5mm sized waxy, flesh-colored, multiple firm papules on the upper and lower extremities and trunk for 5 months. He did not have any familial medical history. None of the laboratory findings, including serum protein electrophoresis, was significant. Skin biopsies were performed from papules of his trunk and arm. Histopathological findings showed that the collagen fibers in the upper dermis were loosely arranged and separated by amorphous materials. These materials were all positive for alcian blue, colloidal iron, mucicarmine, and Giemsa staining. This case is compatible with discrete papular mucinosis which is the rare subtype of localized papular mucinosis.
Adult ; Alcian Blue ; Arm ; Azure Stains ; Biopsy ; Collagen ; Colloids ; Dermis ; Electrophoresis ; Humans ; Iron ; Lower Extremity ; Male ; Mucins ; Scleromyxedema* ; Skin ; Thyroid Gland

This study was designed to investigate the effects of occlusive dressing with corticosteroid on the count, size and morphology of corneocytes of normal human skin. We select 16 male volunteers, aged 23 to 25 years, without skin lesions. They were divided to 2 groups according to duration of occlusive dressing, 3 days to group 1 and 6 days to group II. Specimens were obtained from 4 sites on the back, which were studied for the effect of occlusive dressings without any topicals, with 0.l% hydrocortisone-l7-butyrate cream, with 0.25% desoxymethasone ointment, and with base of desoxymethasone, before and every 3 to 5 days after occlusive dressings, up to a total 4 times in group I and 5 times in group II. (countinued..)
Adrenal Cortex Hormones* ; Desoximetasone ; Humans* ; Male ; Occlusive Dressings* ; Skin* ; Volunteers

We performed clinical evaluations on 26 patients who were prescribed glasses with full correction and Fresnel prism for correction of abnormal head posture and/or diplopia due to incomitiant paralytic strabismus. There were 12 cases(46.2%) of superior oblique muscle palsy and 8 cases(30.8%) of lateral rectus palsy in order. Trauma was the most common cause, but non-traumatic cases were mostly caused by vascular disease of diabetes mellitus and/or hypertension. Abnormal head posture with diplopia and/or dissociated diplopia may be one of the causes of less satisfaction level than interval of prescription of Fresnel prism. Decreased visual acutiy happened when prescribed above ten prism prescription on one eye, and patients accepted with more ease when prescription wasdivided on both eyes, in spite of low prism power. We concluded that it is necessary to explain dimness due to decreased visual acuity when above ten prism power prescription is given on one eye even though prism was more effective method for diplopia gteatment.
Abducens Nerve Diseases ; Diabetes Mellitus ; Diplopia ; Eyeglasses ; Glass ; Head ; Humans ; Hypertension ; Paralysis ; Posture ; Prescriptions ; Strabismus* ; Vascular Diseases ; Visual Acuity