No abstract available.
Immunologic Tests* ; Tuberculosis, Meningeal*

No abstract available.
Hernia* ; Pneumoperitoneum*

Persistent physical stimulation and foreign body contact in prosthesis wearers may develop secondary infection, frequent conjunctival injection and responses such as giant papillary conjunctivitis. In 77 patients wearing prostheses, the bilateral conjunctival flora was studied and compared with the expect of conjunctival floral change. The predominent organisms were essentially the same in both sides: Staphylococcus epidermidis, Staphylococcus aureus followed by streptococcus. The incidence of bacterial isolation on the anophthalmic side (67.5%) was significantly higher than on the healthy side (32.5%). Especially the incidence of potential pathogenic bacterial isolation(Staphylococcus aureus, Streptococcus, Gram negative bacilli)(27.9%) was significantly higher on the anophthalmic side than on the healthy side(6.5%). The conjunctival smear study showed the higher incidence of polymorpho nucleoleukocyte and bacteria on the anophthalmic side. The isolation rates of the moderate to marked responded conjunctiva(46.9%) was lower than on the mild responded conjunctiva(69.2%) . The wearing time of the prostheses, the frequency of cleaning of prostheses, type of cleaner and topical drops used did not effect the incidence of bacterial isolation of conjunctival sac. Therfore these results showed that persistent physical stimulation and foreign body contact with prosthesis wearing may alter the microbial flora of the conjunctival sac.
Bacteria ; Coinfection ; Conjunctivitis, Allergic ; Foreign Bodies ; Humans ; Incidence ; Physical Stimulation ; Prostheses and Implants* ; Staphylococcus aureus ; Staphylococcus epidermidis ; Streptococcus

No abstract available.
Arthrogryposis*

No abstract available.
Osteogenesis Imperfecta* ; Osteogenesis* ; Osteotomy*

Lagophthalmos creates functional deficits, exposed keratitis, and corneal ulcer that may lead to blindness. Thus, managment of paralysis following facial nerve injury should include provision of adequate corneal coverage. Tarsorrhaphy has been the classic method of providing corneal protection in patients with facial nerve paralysis. However, tarsorrhaphy is cosmetically unsatisfactory, limits vision, and provides poor corneal protection. Reanimation of the paralyzed eyelids with a gold implantation has overcome these limitations. We had a good result from gold implantation into the upper lid in a lagophthalmic patient of facial nerve paralysis.
Blindness ; Corneal Ulcer ; Eyelids ; Facial Nerve ; Facial Nerve Injuries ; Humans ; Keratitis ; Paralysis

Giant papillae of the upper tarsal conjunctiva have been found in vernal conjunctivitis and, more recently, in giant papillary conjunctivitis in patients with contact lenses. Two patients who received cataract surgery were found to have unilateratgiant papillary conjunctivitis which were supposed to be induced by protruded suture end(10-0 prolene). Eosinophil was not found in the conjunctival scraping from giant papillae of the patients. Giant papillae of tarsal conjunctiva were resolved by removal of protruded sutures.
Cataract* ; Conjunctiva ; Conjunctivitis ; Conjunctivitis, Allergic* ; Contact Lenses ; Eosinophils ; Humans ; Polypropylenes* ; Sutures*

Aortic saddle embolus accounts for approximately 10% of all peripheral arterial emboli. The most common sources of emboli are left atrial thrombi associated with atrial fibrillation and vegetation. A 22-year-old male patient was admitted due to acute onset of orthopnea, tachypea and cough. Transthoracic and transeophageal echocardiography showed huge vegetation (3X2cm) of the posterior mitral valve leaflet which was associated with severe mitral regurgitation. On 14th hospital day, he suffered from sudden onset of weakness, pain, and coldness on both lower extremities. Follow-up echocardiography showed marked size reduction of the original mitral valve vegetation. Angiography showed aortic saddle embolus. The embolectomy of aortic saddle embolus was performed through the transfemoral approach with a Forgarty catheter. At the same time, removal of the infected mitral valve and mitral valve replacement were performed.
Angiography ; Atrial Fibrillation ; Catheters ; Cough ; Echocardiography ; Embolectomy ; Embolism* ; Follow-Up Studies ; Humans ; Lower Extremity ; Male ; Mitral Valve Insufficiency ; Mitral Valve* ; Young Adult

Authors undertook a quantitative study of the relationship between eye position in the awake state and in the surgical plane of anesthesia in 42 non-paralytic horizontal strabismus patients who were planned to be operated February 1986 through August 1986. The results were as follows: 1. All 42 subjects demonstrated divergence under anesthesia when compared with their pre-anesthesized state. The mean divergence was 15.1 prism diopters. 2. The 33 exotropic subjects had mean divergence of 13.1 prism diopters. 3. The 9 exotropic subjects had mean divergence of 22.7 prism diopters. 4. The more esotropic or less exotropic the preanesthetic position of the eyes were, the more divergent the eyes became under anesthesia.
Anesthesia ; Anesthesia, General* ; Humans ; Strabismus*

Normally the cornea has a water content varying between 76-78%, a state of relative dehydration maintained through its own metabolism by the active transport of water and ions across its limiting membrane, the epithelium and endothelium. If the metabolism is grossly disturbed or if the effectivity of the limiting membrane is impaired, the living cornea will swell by the absorption of the fluid. Corneal edema are developed due to trauma, inflammation, glaucoma, degeneration, and neuropathic and metabolic conditions. Essential corneal edema are encountered for which no cause can be found, the condition apparantly occuring without other ocular pathology. A 29 years old Korean lady has been found to have bilateral essential edema of the cornea.
Absorption ; Adult ; Biological Transport, Active ; Cornea ; Corneal Edema* ; Dehydration ; Edema ; Endothelium ; Epithelium ; Glaucoma ; Humans ; Inflammation ; Ions ; Membranes ; Metabolism ; Pathology ; Water