OBJECTIVE: To evaluate the effect of intense pulsed light (IPL) in the treatment of chronic hordeolum. METHODS: Patients with chronic hordeolum who underwent IPL treatment were enrolled in this study. According to the severity of hordeolum, the patients were treated with IPL 3 to 5 times. Patients' satisfaction and visual analog scale scores for ocular discomfort symptoms before and after treatment were collected. The number, congestion, long diameter, short diameter and area of nodules were also recorded and measured. Finally, eyelid margin signs, meibum quality, meibomian gland expressibility, meibomian gland dropout, tear meniscus height, and corneal fluorescein staining were scored. RESULTS: 20 patients were enrolled in this study. The eyelid margins were congestive and swollen, with blunt rounding or irregularity. The meibum was cloudy or toothpaste-like. The meibomian gland expressibility, meibomian gland dropout and tear meniscus height were reduced. The cornea showed scattered fluorescein staining. After treatment, score of visual analog scale, congestion and size of nodules were significantly reduced. Eyelid margin signs, meibum quality, meibomian gland expressibility, tear meniscus height and corneal fluorescein staining scores were improved. Meibomian gland dropout had no significant change. No side effects occurred during treatment. CONCLUSIONS IPL is beneficial for the treatment of chronic hordeolum.
Humans ; Hordeolum ; Meibomian Glands ; Tears ; Fluoresceins

Vistamycin is a new type of aminoglycoside antibiotics and similar to Kanamycin in its antibacterial spectrum. Vistamycin is especially effective in ophthalmic field due to high penetration into the ocular tissue. In this study, the patients were divided into three groups. 1. 13 cases of ocular infectious diseases such as hordeolum and dacryocystitis. They have received intramuscular injections. 2. 32 cases receiving intramuscular injection for prophylaxis of postoperative infection. 3. 5 cases receiving topical application of 1% Vistamycin eye-drops. Group 1 and 2 were treated with intramuscular injection of Vistamycin 1.0 G.per day for 2 to 10 days. The results were summerized as follows: (1) Group 1 showed good response to Vistamycin with about 77% of efficacy rate. (2) None of group 2 developed postoperative infection. (3) The efficacy rate of group 3 was about 80%.
Anti-Bacterial Agents ; Communicable Diseases ; Dacryocystitis ; Hordeolum ; Humans ; Injections, Intramuscular ; Kanamycin ; Ophthalmology*

To investigate the present status with its side effect of ocular tatooing for cosmetic purpose in our country, 150 patients with the eyelid and eyebrow tatooing who visited my clinic from July 1986 to October 1988 were enrolled in this study. Six patients who complained the early complications after the cosmetic tatooing were included in the tatooing group, and 150 patients without the tatooing were used as a control group for the statistical study. The following results were obtained: 1. The ages tatooed ranged from 19 to 68 years old age with the mean age of 39.65 +/- 9.46 years. Fourth and fifth decades consited of 76% of the total subjects tatooed. 2. At their first visit, blepharitis, external hordeolum, pingueculitis, subconjunctival hemorrhage and keratitis were more statistically frequent than the control gruop(p<0.05), but chalazion was not so. 3. Cosmetic tatooing was gradually noted after 1984 and was most frequently performed in 1986(41%). Thereafter, it reduced from 1987(35%) until now. 4. One half was tatooed once and 1 to 3 times of tatooing were added for the remainder. 5. Ninetyseven % of tatooing was done by non-medical doctor in beauty parlor or the other places excluding the hospital, and only 3% was performed by medical doctor in the hospital. 6. Eyelid tatiooing was noted in 96% of the total subjects tatooed and eyebrow tatooing was shown in over half of them(53%). 7. Early complication of the tatooing was confirmed by history taking in 29% of the total subjects tatooed, which consited of lid swelling(23%), subcutaneous hemorrhage of lid(4%), itching sensation(2%) and conjunctival redness(1%). Clinical Observations on Cosmetic Ocular Tatooing Six patients were treated for one to 10 days for the early complication of tatooing under the diagnosis of lid edema(100%), keratitis(83%), subcutaneous hemorrhage of lid(50%), blepharititis(33%), conjunctivitis(33%), corneal abrasion(33%) and conjunctival foreign body(17%). 8. Thirtysix % out of the patients confirmed by history taking was regretful after the cosmetic tatooing.
Aged ; Beauty ; Blepharitis ; Chalazion ; Diagnosis ; Eyebrows ; Eyelids ; Hemorrhage ; Hordeolum ; Humans ; Keratitis ; Pruritus ; Statistics as Topic

Acupuncture Points ; Acupuncture Therapy ; Adolescent ; Adult ; Child ; Female ; Hordeolum ; therapy ; Humans ; Male ; Middle Aged ; Young Adult

Rosacea is a disease of skin and eye that is widely underdiagnosed by ophthalmologists. Rosacea is a common chronic skin disease in Caucacian, affecting flush areas of the face that include the skin, cheeks, nose, and forehead. Ocular manifestations of rosacea mainly involve the eyelids, conjunctiva, and cornea. These include blepharitis, meibomitis, chalazia, styes, and diffusely hyperemic conjunctiva. The cornea is involved with superior punctate epithelial erosions and is most severely involved by a peripheral vascularization, usually of the lower twothirds of the cornea followed by subepithelial infiltrates. A 18 year old Korean lady was found to have hyperemic conjunctiva, chronic recurrent multiple erythematous pustular skin lesion in the face. Systemic administration of tetracycline and penglobe resulted in marked improvement in the signs and symptoms of disease. Topical corticosteroid 0.5% and chloramphenicol 0.5% also improved the manifestations of ocular rosacea.
Adolescent ; Blepharitis ; Chalazion ; Cheek ; Chloramphenicol ; Conjunctiva ; Cornea ; Eyelids ; Forehead ; Hordeolum ; Humans ; Nose ; Rosacea* ; Skin ; Skin Diseases ; Tetracycline

Acupuncture Points ; Adolescent ; Adult ; Aged ; Child ; Child, Preschool ; Female ; Hordeolum ; therapy ; Humans ; Male ; Middle Aged ; Phlebotomy ; methods

Cutaneous leishmaniasis (CL) is a protozoan disease which is endemic in Iran. It is transmitted by the Phlebotomus sand fly. The eyelid is rarely involved possibly because the movement of the lids impedes the sand fly from biting the skin in this region. Here, we report 6 rare cases of eyelid CL. The patients were diagnosed by skin scraping, culture, and PCR from the lesions. Skin scraping examination showed Leishmania spp. amastigotes in the cytoplasm of macrophages. Culture examination was positive for Leishmania spp. PCR was positive for Leishmania major and Leishmania tropica. The lesions were disguised as basal cell carcinoma, chalazion, hordeolum, and impetigo. The patients were treated with intramuscular meglumine antimoniate (20 mg/kg/day) for at least 3 weeks. They showed a dramatic response, and the lesions almost completely disappeared. We emphasized the importance of clinical and diagnostic features of lesions, characterized the phylogenetic relationship of isolated parasites, and reviewed the literature on ocular leishmaniasis.
Carcinoma, Basal Cell ; Chalazion ; Cytoplasm ; Eyelids* ; Hordeolum ; Humans ; Impetigo ; Iran ; Leishmania ; Leishmania major ; Leishmania tropica ; Leishmaniasis ; Leishmaniasis, Cutaneous* ; Macrophages ; Meglumine ; Parasites ; Phlebotomus ; Polymerase Chain Reaction ; Psychodidae ; Skin

PURPOSE: To investigate the clinical characteristics and management of lacrimal gland ductal disease, a rare disease often mistaken for other diseases. METHODS: A retrospective chart review of 11 patients (11 eyes, 5 males, 6 females) diagnosed with lacrimal ductal disease between March 2007 and April 2013 was performed. RESULTS: Among 11 eyes in 11 patients, 4 were diagnosed with dacryops and 7 with lacrimal gland ductulitis initiated by dacryolith. The mean age of the subjects was 47.9 years (range, 30-80 years). Lacrimal gland ductulitis patients received treatment for conjunctivitis or hordeolum for several months. Four cases involved the right eye and 7 cases involved the left eye. Symptoms included foreign body sensation, pus-like discharge and palpable mass. Biopsy was performed in 3 cases and showed no specific findings. Patients with dacryops underwent marsupialization, whereas patients diagnosed with lacrimal gland ductulitis underwent excision and dacryolith curettage. During the 2-month follow-up period, all cases showed no signs of recurrence or complications. CONCLUSIONS: Lacrimal gland ductal disease can be mistaken for other diseases such as conjunctivitis, hordeolum, or orbital cyst, thus requiring accurate diagnosis and appropriate management.
Biopsy ; Conjunctivitis ; Curettage ; Diagnosis ; Follow-Up Studies ; Foreign Bodies ; Hordeolum ; Humans ; Lacrimal Apparatus* ; Male ; Orbit ; Rare Diseases ; Recurrence ; Retrospective Studies ; Sensation

A disease may be closely related to the change of season, as metabolism in human body may variously change with the season and the weather. Especially in the field of ophthalmology, several diseases have close relationship to the season in its incidence. In Korea, however, there has not been a report on seasonal distribution and incidence of eye diseases. The author made investigation upon seasonal, sex and age incidence of several eye diseases in the patients who were seen at Woo-Sok Hospital and two other eye clinics during the past five years. The results were as follows: 1. Among a total of 35, 157 patients, the seasonal, sex and age incidence of hordeolum, chalazion, phlyctenular kerato-conjunctivitis, uveitis, herpetic keratitis and central serous retinopathy were investigated. 2. Hordeolum shows the highest incidence in the winter season, and higher incidence particularly in the patients with blepharitis. 3. Chalazion has the highest incidence in the third decade, but no remarkable seasonal variation. 4. Phlyctenular kerato-conjunctivitis has the highest incidence in the spring season. 5. Uveitis has the highest incidence in the winter, especially in the fourth decade. 6. Herpetic keratitis is frequently developed in the spring and autumn, especially in the male of fourth decade. 7. Central serous retinopathy has the highest incidence in the winter season in healthy young adult male.
Blepharitis ; Central Serous Chorioretinopathy ; Chalazion ; Eye Diseases* ; Hordeolum ; Human Body ; Humans ; Incidence ; Keratitis, Herpetic ; Korea ; Male ; Metabolism ; Ophthalmology ; Seasons* ; Uveitis ; Weather ; Young Adult

Acupuncture Points ; Administration, Cutaneous ; Adolescent ; Adult ; Bloodletting ; Drugs, Chinese Herbal ; administration & dosage ; Ear ; blood supply ; Female ; Hordeolum ; drug therapy ; therapy ; Humans ; Male ; Young Adult