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 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

The vascular involvement is seen in 8% to 24% of patients with Behçet's syndrome. Arterial lesions are less frequently observed and the involvement of renal artery is very rare. Indeed, there is only one case report of ruptured renal aneurysm due to Behc et's disease. We report a case of renal artery rupture, which was likely caused by Behçet's disease. Even though we cannot completely rule out the other causes of renal artery rupture with this patient, the rupture was likely due to vascular involvement of Behçet's disease. Dermatologists always should consider the possibility of major vessel involvement when they treat patients with Behçet's disease, even if the incidence is very low and the patient may not complain of any systemic symptoms. INTRODUCTION: Behçet's disease was first defined by Hulusi Behçet's in 1937 as a multisystemic disease with the triad of recurrent aphthous stomatitis, genital ulceration and relapsing iritis. Its etiology remains obscure. It is accepted that the pathologic process of Behçet's disease is an immunologic vasculitis. Among vascilar lesions, the venous system is the major affected site. Arterial lesions, such as aneurysms or occlusions, are rarely reported, but sometimes adversely affects the course of the disease. Aneurysm formation is known to be life-threatening because of the risk of rupture.
Aneurysm ; Humans ; Incidence ; Iritis ; Renal Artery* ; Rupture* ; Stomatitis, Aphthous ; Ulcer ; Vasculitis

To evaluate the clinical characteristics of Behcet`s disease, we reviewed the clinical record of the patient visited Chonnam University Hospital from January, 1987 to December, 1995. Among all 85 patients, the majority of them were in the fourth decade (42.4%) and 49 patients (58.9%) were female. Oral ulcer (81.2%) was the most frequent initial symptom. According to the criteria established by the Behcet`s Disease Research Committee of Japan, incomplete type was the ost common (43.5%) and the most frequent major and minor symptom was oral ulcer (95.3%) and arthritis (21.2%), respectively. Ocular lesions ppeared in 39 (45.9%), and 19 patients (48.7%) had two or more ocular esions. The most common symptom was iritis (70.7%) and male was more commonly affected than female. The mean interval between initial symptom and ocular symptom was 45.8 months. Among 43 eyes of 26 patients with follow-up of 3 months or more, 14 (32.6%) showed an impairment of two or more lines in visual acuity and 21 (48.8%) eyes had inal visual acuity of 0.3 or less. As similar to other reports, this result suggests Behcet`s disease is achronic, inflammatory disorder characterized by poor visual prognosis.
Arthritis ; Female ; Follow-Up Studies ; Humans ; Iritis ; Japan ; Jeollanam-do ; Male ; Oral Ulcer ; Prognosis ; Visual Acuity

In this paper I report the two cases of Dannheim's anterior chamber lens operation in the monocular aphakic patient for the first time in Korea. The first case(19 years old male patient with traumatic cataract in his left eye) had been {)perated on July 10, 1960. After operation his corrected visual acuity was 0.8 wearing glass (Sph. +12.00D.). On Aug. 2S, 1960 he had taken another operation for the insertion of Dannheim's anterior chamber lens (power; +12.50D., size; 12.5mm.). On Oct. 8. 1960 the visual acuity was 0.9 with adding Sph. -5.50D. glass in front of his left eye. Through the slit lamp examination the loop of the anterior chamber lens was well fixed into the chamber angle and remained in situ. He has carried a very comfortable life without any remarkable trouble for 16 years untill nowadays. The second case (50 years old male patient with senile cataract complicated by secondary glaucoma in his left eye) had been operated intracapsullary on Jan. 15, 1960. After cataract operation he had used corneal contact lens and his corrected visual acuity for distant was 1.5 (Sph. +14.50D. Rad. 7.8) and I.O.P. was within normal limit. 9 years after cataract operation he refused to wear contact lens due to discomfortness and therefore he had reoperated to insert Dannheim's anterior chamber lens (same as case 1.) on Sept. 10. 1969. After operation his visual acuity was 0.8 for distant vision, but slight movement of the anterior chamber lens was noticed by slit lamp examination. On Jan. 12. 1970. he had had moderate iritis and slightly elevated I.O.P. (20.6mmHg.). Those symptoms had subsided after 7 day's treatment by local instillation of 2% T-pilocarpine sol. and oral acetazolamide and corticosteroid medication. On March 7, 1973. he revisited my clinic due to a severe ocular pain in his left eye. At that time the I.O.P. was 30mmHg. and the visual acuity was reduced to 0.04 due to severe anterior uveitis. And so I removed the anterior chamber lens on March 8. 1973. The Fixation of anterior chamber lens into the filtration angle is very important factor for the determination of the prognosis of operation. The continuous experiment and development of the method to fix the loop of the anterior chamber lens into the filtration angle is required for the sake of successful operation.
Acetazolamide ; Anterior Chamber* ; Cataract ; Filtration ; Glass ; Glaucoma ; Humans ; Iritis ; Korea ; Male ; Prognosis ; Uveitis, Anterior ; Visual Acuity