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

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 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

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

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*

Argon laser trabeculoplasty(ALT) is commonly used in the treatment of uncontrolled open angle glaucoma. The authors retrospectively reviewed the efficacy of ALT in 52 patients(57 eyes) with primary open angle glaucoma. The mean follow-up was 28 months(range 2-48 months). The decrease in intraocular pressure 10P) was 10.1 +/- 3.5 mmHg at 1 month, 8.2 +/- 2.8 mmHg at 1 year, 6.2 +/- 5.1 mmHg at 2 years and 51% at 3 years. Failure was most common in the first 6 months after treatment(29%) and thereafter failure occurred at a rate of 5% to 15% per year. The sex and age of patients had no significant effect on success rate. The success rate was high in the patients with baseline IOP of 26 to 30 mmHg. A mild iritis in all cases, transient rise in IOP, peripheral anterior synechia and microscopic hyphema were noted as early complications of ALT.
Argon* ; Follow-Up Studies ; Glaucoma, Open-Angle* ; Humans ; Hyphema ; Intraocular Pressure ; Iritis ; Retrospective Studies ; Trabeculectomy*

A twenty-three year old korean officer was exposed accidentally to high-tension electric current(22,900 voltage). He lost consciousness for about three days. The point of entry was the palm area of the right hand and the point of exit was the lateral area of the right thigh. He sustained second and third degree burn on the exposed area and face, neck, anterior chest, abdomen, right thigh. He subsequently developed yellow-gray foveolar lesion and macular hole, cataract, and iritis with central visual-loss in both eyes. Fluorescein angiography demonstrated the area of retinal pigment epithelial disruption. We suspected that it was electric current induced full-thickness macular hole, not photochemical macular hole, because his companion did not seeing a bright flash light and successively central visual loss.
Abdomen ; Burns ; Cataract ; Consciousness ; Fluorescein Angiography ; Friends ; Hand ; Humans ; Iritis ; Neck ; Retinal Perforations* ; Retinaldehyde ; Thigh ; Thorax

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

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