No abstract available.
Myopia* ; Refractive Surgical Procedures*

Corneal ulcerations are divided into two morphologic types: central and marginal. Marginal corneal ulcerations are characterized by focal, muItifocal, multifocal or diffuse ulcerative, infiltrative, or vascular involvement of the peripheral cornea, and the exact pathogenesis of these ulcerations is not clearly understood but infectious, toxic or autoimmune factors may be involved. The authors treated one peripheral corneal ulcer patient, no respond to steroid and antibiotic therapy, with lamellar keratoplasty and had a good result.
Cornea ; Corneal Transplantation* ; Corneal Ulcer* ; Humans ; Ulcer

Over 90% of all epithelioma of the lids are of the basal cell type and the skin around the eye is also type most favorite site of basal cell carcinoma. The authors have presented an advanced case of basal cell epithelioma (so-called Jacob's ulcer) originated from left temporal region which involving large area of the lids and cheek of left face. The patient was 47 years old woman who has had visual disturbance and progresive ulceration on left cheek and eye lids during the last 10 years.
Carcinoma ; Carcinoma, Basal Cell* ; Cheek ; Female ; Humans ; Middle Aged ; Skin ; Ulcer

Laser in situ keratomileusis[LASIK] is a refractive surgical procedure that is effective in treating myopia and astigmatism. The incidence of corneal infection after LASIK is approximately 0.02% according to international experience. We experience the case of a 20-year old man who developed endophthalmitis; corneal edema, epithelial defect, hypopyon was found 2 days after LASIK. He was immediately given intravenous and subconjuntival injection[tobramycin and ceftazidime] and topical fortified eyedrop[tobramycin and ceftazidime]. The microbiologic study revealed Serratia marcescens as the causative organism. Three days after therapy was instituted, the hypopyon resolved. After 4 months of LASIK, visual acuity was 1.0 and maintained recently. We report a case of endophthalmitis after LASIK by Serratia marcescens which detected early and treated by antibiotics. In addition, close postoperative surveillance and education for hygiene was required on early postoperative period.
Anti-Bacterial Agents ; Astigmatism ; Corneal Edema ; Education ; Endophthalmitis* ; Humans ; Hygiene ; Incidence ; Keratomileusis, Laser In Situ ; Myopia ; Postoperative Period ; Refractive Surgical Procedures ; Serratia marcescens ; Visual Acuity ; Young Adult

The Vogt-Koyanagi-Harada's syndrome (V-K-H) is chronic bilateral exudative uveitis associated with whitening of the hair and eye-lashes and various signs of meningeal iritation. Wereviewed some of the characteristic clinical findings of V-K-H syndrome as well as the histopathologic feature.
Hair ; Uveitis

Chronic inflammation of the meibonliarl glands (chalazia) frequently become troublesome because of recurrences, cosmetic blemish and distortion of vision when it is large enough. Medical treatment with hot compress, topically administered antibiotics and corncosteroids often fail to cure, so leads to chalazia with trial intralesional injection of triamcinolone acetonide. Ten chalazia reso1ved within one week after only one injection, two chalazia after two injections, one chalazion after three injections and one lesion failed to respond to three injections which was removed by surgery. We observed that intralesional injection of triamcinolone acetonide for chalaza is a good procedure, which appear to be a safe, convinient and effective alternative to chalazion surgery.
Anti-Bacterial Agents ; Chalazion* ; Inflammation ; Injections, Intralesional ; Recurrence ; Triamcinolone Acetonide* ; Triamcinolone*

To evaluate the differences and factors to be considered when measuring intraocular pressure after photorefractive keratectomy[PRK]and laser in situ keratomileusis[LASIK], we prospectively reviewed the medical records of myopic eyes between -4~-7 diopters. Among them, 14 patients, 22 eyes underwent PRK and 10 patients, 18 eyes recieived LASIK. We measured intraocular pressures by Goldmann applanation tonometry preoperatively, 1 month, 3 months and 6 months postoperatively in each group. Corneal curvatures, central corneal thicknesses were measured and compared when measuring intraocular pressure. The postoperative intraocular pressure was lower than the preoperative value in both groups[p<0.01], and the decreased amount of IOP were not statistically different in both groups[p=0.29]. Targeted ablation depth[p=0.19]and ablation diameter[p=0.16]did not show statistically significant correlation to postoperative IOP decrease. In measuring intraocular pressure after PRK or LASIK, attention should be given to the pressure and its interpretation.
Humans ; Intraocular Pressure ; Keratomileusis, Laser In Situ* ; Manometry ; Medical Records ; Prospective Studies

To evaluate the differences and factors to be considered when measuring intraocular pressure after photorefractive keratectomy[PRK]and laser in situ keratomileusis[LASIK], we prospectively reviewed the medical records of myopic eyes between -4~-7 diopters. Among them, 14 patients, 22 eyes underwent PRK and 10 patients, 18 eyes recieived LASIK. We measured intraocular pressures by Goldmann applanation tonometry preoperatively, 1 month, 3 months and 6 months postoperatively in each group. Corneal curvatures, central corneal thicknesses were measured and compared when measuring intraocular pressure. The postoperative intraocular pressure was lower than the preoperative value in both groups[p<0.01], and the decreased amount of IOP were not statistically different in both groups[p=0.29]. Targeted ablation depth[p=0.19]and ablation diameter[p=0.16]did not show statistically significant correlation to postoperative IOP decrease. In measuring intraocular pressure after PRK or LASIK, attention should be given to the pressure and its interpretation.
Humans ; Intraocular Pressure ; Keratomileusis, Laser In Situ* ; Manometry ; Medical Records ; Prospective Studies

No abstract available.
Humans ; Hypersensitivity* ; Skin*

This study was performed to compare the refractive effect and visual outcome of Excimer laser radial keratotomy(RK) with those of central photorefractive keratectomy(PRK) for myopia correction. The myopic eyes were subdivided into mild(-2.75D), moderate(-3.00 ~ -5.75D) and severe(>-6.00) myopia. In 54 eyes treated with RK 3 eyes(5.6%) were mild, 26 eyes(48.1%) were moderate and 25 eyes (46.3%) were severe myopic eyes. In 518 eyes treated with central PRK 10 eyes(1.9%) were mild, 214(41.3%) were moderate and 294(56.8%) were severe myopic eyes. Mean reduction of refractive power measured with skiascope following RK and central PRK in mild, moderate and severe myopia were 1.42 +/- 0.85D and 3.19 +/- 0.84D, 2.07 +/- 1.75D and 4.66 +/- 1.90D, and 2.54 +/- 2.45D and 7.54 +/- 2.81D, respectively. Mean reduction of keratometric diopter following RK and central PRK in mild, moderate and severe myopia were 2.00 +/- 1.05D and 3.66 +/- 1.03D, 1.90 +/- 1.05D and 4.83 +/- 1.99, and 1.52 +/- 2.54D and 5.58 +/- 3.46D, repectively. Uncorrected visual acuity following RK and central PRK in mild. moderate and severe myopia were 0.73 +/- 0.19 and 0.91 +/- 0.26, 0.43 +/- 0.30 +/- and 0.79 +/- 0.24, and 0.20 +/- 0.13 and 0.66 +/- 0.28, respectively. In conclusion, refractive effect and visual outcome of central photorefractive keratectomy was better than the those of radial keratotomy for correction of myopia; especially high myopic eyes.
Keratotomy, Radial* ; Lasers, Excimer* ; Myopia* ; Photorefractive Keratectomy* ; Visual Acuity