Terrien's marginal degeneration is a rare bilateral condition. Most investigators have thought that it was a degenerative origin, and emphasized the lack of significant inflammatory signs and symptoms. Several reports in Korea, except one case of perforation reported only mild conjunctival injection. But, recent reports suggested the possibility of inflammatory process and immune phenomenon. We experienced one case of Terrien's marginal degeneration accompanied with the iritis and treated with topical steroid, conjunctival flap and therapeutic contact lens.
Cornea* ; Humans ; Iritis* ; Korea ; Research Personnel

Terrien's marginal degeneration is a rare bilateral condition. Most investigators have thought that it was a degenerative origin, and emphasized the lack of significant inflammatory signs and symptoms. Several reports in Korea, except one case of perforation reported only mild conjunctival injection. But, recent reports suggested the possibility of inflammatory process and immune phenomenon. We experienced one case of Terrien's marginal degeneration accompanied with the iritis and treated with topical steroid, conjunctival flap and therapeutic contact lens.
Cornea* ; Humans ; Iritis* ; Korea ; Research Personnel

Syphilitic interstitial keratitis is known as a rare disease in recent time. Authors experienced 5 cases of interstitial keratitis due to congenital syphilis. All the cases sh owed positive serologic test for syphilis (VDRL), 4 cases showed Hutchinson's teeth and 2 cases showed iritis. A brief review and relating literatures are presented.
Iritis ; Keratitis* ; Rare Diseases ; Serologic Tests ; Syphilis ; Syphilis, Congenital*

The vitrectomy and silicone oil injection has been used occasionally for the advertent retinal detachment, but the silicone oil placement within the vitreous cavity may cause the complications in such as band keratopathy, emulsification of silicone oil, iritis and glaucoma, etc. Especially, in the phakic eyes, the silicone oil may enter the anterior chamber in the form of a suspension of fine globules resembling an inverted hypopyon and it is called the hyperoleon. The authors observed a case of hyperoleon 4 months after surgery, reporting it with the review of literatures.
Anterior Chamber ; Glaucoma ; Iritis ; Retinal Detachment ; Silicone Oils ; Vitrectomy

The clinical triad of Behcet's Disease is relapsing iritis and ulcers of the mouth and genitalia. The diagnosis of Behcet's Disease is based only on clinical grounds, as there are no pathognomic or histologic features. A reported case of Behcet's Disease with neurologic manifestations that have undergone computerized tomography of the brain have demonstrated lesion of decreased density with negative contrast enhancement in basal ganglia which is similar with the other reported cases.
Basal Ganglia ; Brain ; Diagnosis ; Genitalia ; Iritis ; Mouth ; Neurologic Manifestations ; Ulcer

PURPOSE: Behcet's disease is a chronic, recurrent, multisystemic disorder, which visual prognosis is poor. The clinical and epidemiological characteristics of Behcet's disease in Korean were evaluated. METHODS: The clinical records on 3,175 patients with Behcet's disease diagnosed at Behcet's disease clinic in Severance Hospital between November 1983 and December 1999 were reviewed. RESULTS: Among all 3,175 patients, the men/women ratio of Behcet's disease was 1:1.6. The age of disease onset was the highest in the thirties (33.8%). The most frequent major and minor symptom was oral ulcer (97.7%) and arthritis (32.8%) respectively, and the proportion of ocular symptom was 19.3%. The most frequent initial symptom was oral ulcer (77.4%). The ratio of men/women with ocular symptom was 1:0.98. The mean interval between the initial symptom and ocular symptom was 34 months, and the most common ocular symptom was iritis (79.0%). The most frequent systemic drug administered in patients with ocular involvement was colchicines (35%). Visual acuity was worsened in 56% of the eyes followed for over 24 months. CONCLUSIONS: The authors notice the characteristics of Behcet's disease in Korean and suggest that the continuous and nationwide survey is further necessary.
Arthritis ; Humans ; Iritis ; Oral Ulcer ; Prognosis ; Visual Acuity

The clinical triad of relapsing iritis, ulcers of the mouth and genitalia was first described in 1939 by Hulusi Behcet. This entity, originally confined to the above triad of symptoms appears to be systemic disease manifested by skin lesion, thrombophlebitis, neurologic, cardiovascular or visceral symptoms. The vascular involvement in Behcet's syndrome has been reported since Mischima first described a case in 1961, four types of vascular lesion are freuqnetly observed most commonly on the inferior or superior vena cava. Treatments consist of anticoagulation and administering oral steroids. We report a case of SVC obstruction in 36 years old female patient with Behcet's syndrome.
Adult ; Behcet Syndrome* ; Female ; Genitalia ; Humans ; Iritis ; Mouth ; Skin ; Steroids ; Thrombophlebitis ; Ulcer ; Vena Cava, Superior

The authors reviewed the chart of 37 patients who had chestnut bur injury to the eye from September 1997 to November 1998.Their ages were ranged from 4 to 69 years old and they 33 men (89.2%)and 4 women (10.8%).They were injured by chestnut bur on cornea (33 eyes), sclera (1 eye), cornea and sclera (2 eyes), cornea and periorbital tissue (2 eyes). Chestnut burs were removed from 28 eyes at Out Patient Department (75.7%)and from 9 eyes with surgical microscope in operating room (24.3%).At OPD, simple removals without leaking were performed in 21 eyes (56.8%)and leaking occurred in 7 eyes (18.9%).Among 7 eyes (18.9%), primary repairs were performed in 2 eyes (5.4%), therapeutic contact lens were worn in 3 eyes (8.1%), chemical tissue glue was used in 1 eye (2.7%) and a pressure patch was used in 1 eye (2.7%). At operating room, simple removals were performed in 3 eyes (8.1%)and leaking occurred in 6 eyes (16.2%).Among 6 eyes (16.2%), primary repairs were performed in 4 eyes (10.8%)and therapeutic contact lens were in 2 As complications, traumatic cataract, iritis, endophthalmitis, cornealulcers and scleral granuloma were developed in 8 eyes (21.6%), 12 eyes (32.4%), 1 eye (2.7%), 1 eye (2.7%)and 3 eyes (8.1%)respectively. In conclusion, the prompt &proper management of chestnut bur injury and the importance of prevention &public information should be stressed.
Adhesives ; Aged ; Cataract ; Cornea ; Endophthalmitis ; Female ; Granuloma ; Humans ; Iritis ; Male ; Operating Rooms ; Sclera

Puillary capture in an unusual complication of posterior chamber intraocuIar lens (PCL) implantation and may occur in the early or late postoperative period. An analysis of clinical records was made in 27 pupillary capture cases receiving PCL from Jan 1, 1986 to Mar. 31, 1990. Twenty-two cases (81.5%) were male, and five cases (18.5%) were female. Among the captured PCL, 6.0mm optic and 13.5mm length PCLs were most commonly implanted. All PCLs used in the study had lO degrees angulation of the IOL loops and asymmetric fixation of loop was noted in 5.9% of all pupillary catpure cases. The interval between cataract operation and pupillary capture was variable but most cases (81.5%) of pupillary capture were developed within one year after operation. The subjective symptoms and signs of pupillary capture were decreased vision, glare, double vision, conjunctival injection, tearing and discomfortness while 12 cases (44.4%) had no subjectIve symptoms The reposition of pupillary capture was successfully done by using mydriatics and miotics in 15 of 27 cases (55.6%) and surgical correction was needed in only 2 cases. The recurrence was developed in 53.3% of cases that were corrected with mydriatics Complictions of pupillary capture were iridocapsular or iridolenticular adhesion, atrophy and depigmentation of iris, transient iritis, and pupillary distortion.
Atrophy ; Cataract ; Diplopia ; Female ; Glare ; Humans ; Iris ; Iritis ; Male ; Miotics ; Mydriatics ; Postoperative Period ; Recurrence

Rheumatic diseases are associated various extra-articular manifestations, such as eye, nerve, pericardium, and pleura. The anterior part of the eye has distinguished anatomic structure resembling synovial joints, thus it is a common site of ocular manifestation in rheumatic disease. These changes include sicca syndrome, peripheral ulcerative keratitis, episcleritis, scleritis, and iritis. Some of these findings may be the clues for the diagnosis of the rheumatic diseases, and some ocular manifestations may represent the activity or prognosis of the rheumatic diseases. These ocular complications may leads to severe visual loss. It is crucial to rule out underlying systemic diagnosis in rheumatic disease associated ocular diseases, and when diagnosed, the coordination of the rheumatologist with the ophthalmologist in the treatment is imperative.
Corneal Ulcer ; Diagnosis ; Eye Diseases* ; Iritis ; Joints ; Pericardium ; Pleura ; Prognosis ; Rheumatic Diseases* ; Scleritis ; Sjogren's Syndrome