PURPOSE: We experienced two cases of rhegmatogenous retinal detachment after LASIK procedure. This is the first published report, so we report this with literature review. METHODS: A 40-year-old female who had undergone LASIK procedure a month before complained sudden drop in vision and on fundus examination, retinal detachment with two retinal tears was detected. And 22-year-old male who had LASIK procedure 30 months before complained sudden drop in vision and on fundus examination, retinal detachment with three retinal holes was detected. RESULTS: Retinal reattachment was achieved with vitrectomy in the first case and scleral buckling using silicone sponge in the second case and the retina remained reattached during follow-up period. CONCLUSIONS: Clinicians should be aware of retinal pathology predisposing to retinal detachment in patient undergoing LASIK.
Adult ; Female ; Follow-Up Studies ; Humans ; Keratomileusis, Laser In Situ* ; Male ; Pathology ; Porifera ; Retina ; Retinal Detachment* ; Retinal Perforations ; Retinaldehyde* ; Scleral Buckling ; Silicones ; Vitrectomy ; Young Adult

PURPOSE: Schnyder's dystrophy with severe corneal opacity need lamellar or penetrating keratoplasty. But recently, excimer laser is used to decrease the corneal opacity. So we performed excimer laser PRK in myopic SCD patient. METHODS: A 34-year-old female whose chief complaint was visual hazeness had multiple needle-shape crystalline deposit and disc-shaped opacity in Bowman's membrane and superficial corneal stroma in her both eyes. We diagnosed as Schnyder's dystrophy and performed PRK on her right eye. RESULTS: After PRK, visual improvement was achieved. We report this case with literature review as we believe that our case is the first report in our country.
Adult ; Bowman Membrane ; Corneal Opacity ; Corneal Stroma ; Crystallins ; Female ; Humans ; Keratoplasty, Penetrating ; Lasers, Excimer*

PURPOSE: To identify a subtype of cone photoreceptor in the mammalian retina using enzyme histochemical method. METHODS: In human, rabbits and cats, identification of cone photoreceptor was tried with carbonic anhydrase after retinal tissue isolation and section. RESULTS: In human, subtype of cone photoreceptor was identified. In rabbits, one type of carbonic anhydrase negative regular cell was detected and suspected as rod cells. In cats, only blue cone cell and rod cell were detected and no red-green cone cell was detected. CONCLUSIONS: In cats and rabbits, identification of red-green cone cell and blue cone cell was difficult. So, enzyme histochemical identification of cone photoreceptor using carbonic anhydrase need more research to imply in mammalian retina.
Animals ; Carbonic Anhydrases ; Cats ; Humans ; Rabbits ; Retina* ; Retinal Cone Photoreceptor Cells* ; Retinaldehyde

PURPOSE: To determine whether febrile seizure enhances neuroexcitability by altering synaptic transmission and whether febrile seizure-induced hyperexcitability leads to long-lasting neuronal death. METHODS: We investigated the expression of synaptic and postsynaptic proteins and the apoptosis of neuronal cells in rat pup hippocampus after hyperthermic seizure using immunoblotting and confocal microscopy. RESULTS: Hyperthermic seizure enhanced the long-term expressions of presynaptic proteins such as syntaxin, VAMP, SNAP-25 and nSec1, whereas that of NSF was decreased. The expressions of postsynaptic NMDA receptors 1, 2a and 2b were up-regulated. The expression of postsynaptic AMPA glutamate receptors 1 month after hyperthermic seizures altered by way of increasing the ratio of GluR1 to GluR2 and decreasing NSF-GluR2 interaction, which leads to the formation of Ca2+permeable AMPA receptors and enhanced toxicity. However, in spite of enhanced neuroexcitability, there was a transient increase of neuronal death in hipocampus one week after hyperthermic seizure, but returned to baseline one month later. CONCLUSION: These results demonstrate both presynaptic and postsynaptic forms of long-term enhancement of glutamate synaptic transmission after hyperthermic seizure and support the idea that early-life febrile seizure might have persistent effects on neuronal excitability in the hippocampus.
Rats ; Animals

No abstract available.
Humans ; Infant*

We performed the radioimmunoassay to detect the hepatitis B surface antigen (HBsAg) in the tear. Among 70 patients who have positive reactions for HBsAg in blood, 53 patients (75.71 %) were positive for HBsAg in tear. Among the various groups of hepatitis, the most positive reaction for HBsAg in tear was higher in serum HBeAg positive group (92.68%) than in serum HBeAg negative group (51.72%). So we emphasize the possibility of transmission of hepatitis B virus infection via tear.
Hepatitis B e Antigens ; Hepatitis B Surface Antigens* ; Hepatitis B virus ; Hepatitis B* ; Hepatitis* ; Humans ; Radioimmunoassay ; Tears*

We performed the radioimmunoassay to detect the hepatitis B surface antigen(HBsAg) in the tear. Among 70 patients who have positive reactions for HBsAg in blood, 53 patients(75.71%) were positive for HBsAg in tear. Among the various groups of hepatitis, the most positive reaction for HBsAg in tear was higher in serum HBeAg positive group(92.68%) than in serum HBeAg negative group(51.72%). So we emphasize the possibility of transmission of hepatitis B virus infection via tear.
Hepatitis B e Antigens ; Hepatitis B Surface Antigens* ; Hepatitis B virus ; Hepatitis B* ; Hepatitis* ; Humans ; Radioimmunoassay ; Tears*

BACKGROUND: Smaller guiding catheter had a problem with poor backup support during the transradial coronary intervention which resulted in higher failure rate. This study sought to prove the usefulness of deep seating technique which improves the backup support of the guiding catheter required to deliver interventional materials during the transradial coronary intervention. METHODS: Thirthy-five patients(23 males) were included in this study since March 1998 to August 1999. Clinical presentation of these patients were stable angina(7 patients), unstable angina(17 patients), acute myocardial infarction(11 cases). The mean age was 68+/-8 years. The treated vessel was left anterior descending artery in 22, left circumflex artery in 2 and right coronary artery in 11 of 35 vessels. RESULT: Twenty-six lesions were treated with stents, 3 with PTCA, and 6 with rotablator. Procedural success were achieved in 33 out of 35 cases(94%). Guiding catheters were used mostly with 6 Fr(30/35). In the left coronary system, usual Judkins left type was used in most of the patients(24/26, 92%), and in right coronary Judkins, Amplatz and multipurpose catheters were used similiarly. Hypotension and sinus bradycardia was encountered in one case without clinical significance and there was no dissection in all patients. CONCLUSION: Deep seating technique is a safe and effective technique without major adverse event during the transradial coronary intervention in selected cases.
Arteries ; Bradycardia ; Catheters ; Coronary Vessels ; Humans ; Hypotension ; Stents

BACKGROUND: Smaller guiding catheter had a problem with poor backup support during the transradial coronary intervention which resulted in higher failure rate. This study sought to prove the usefulness of deep seating technique which improves the backup support of the guiding catheter required to deliver interventional materials during the transradial coronary intervention. METHODS: Thirthy-five patients(23 males) were included in this study since March 1998 to August 1999. Clinical presentation of these patients were stable angina(7 patients), unstable angina(17 patients), acute myocardial infarction(11 cases). The mean age was 68+/-8 years. The treated vessel was left anterior descending artery in 22, left circumflex artery in 2 and right coronary artery in 11 of 35 vessels. RESULT: Twenty-six lesions were treated with stents, 3 with PTCA, and 6 with rotablator. Procedural success were achieved in 33 out of 35 cases(94%). Guiding catheters were used mostly with 6 Fr(30/35). In the left coronary system, usual Judkins left type was used in most of the patients(24/26, 92%), and in right coronary Judkins, Amplatz and multipurpose catheters were used similiarly. Hypotension and sinus bradycardia was encountered in one case without clinical significance and there was no dissection in all patients. CONCLUSION: Deep seating technique is a safe and effective technique without major adverse event during the transradial coronary intervention in selected cases.
Arteries ; Bradycardia ; Catheters ; Coronary Vessels ; Humans ; Hypotension ; Stents

OBJECTIVES: The aim of this prospective study is to investigate predictors estimating relapse in Korean alcohol-dependent patients using variables like alcohol history, drinking craving, treatment motivation and insight. METHODS: Alcohol dependent patients(N=48) who completed questionnaires about sociodemographic variables and drinking history, Timeline Follow-Back(TLFB), Obsessive-Compulsive Drinking Scale(OCSD), Alcohol Urge Questionnaire(AUQ), Pennsylvania Alcohol Craving Scale(PACS), University of Rhode Island Change Assessment(URICA), Hanil Alcohol Insight Scale(HAIS) were followed-up for 24weeks. Subjects who drank heavily(5 standard drinking or more/day) or were not followed up anymore were classified as the relapse group. We used logistic regression analysis with backward elimination of SPSS PC+11.5 to investigate relapse estimate predictors. RESULTS: Average drinking amount per drinking day for last 1 year and HAIS score were predictors of relapse in alcohol-dependent patients. CONCLUSIONS: Our findings suggest that therapist should give more attention to alcohol-dependent patients who had more drinks per drinking day for last 1 year and had lower insight level.
Alcoholism ; Drinking ; Follow-Up Studies* ; Humans ; Logistic Models ; Motivation ; Pennsylvania ; Prospective Studies ; Recurrence* ; Rhode Island