Double elevator palsy (DEP) is an unusual anomaly of ocular motility in which both elevator muscles of the same eye are weak with a resultant inability or reduced ability to elevate the eye and hypotropia. This anomaly is occured congenitally, but occasionally occured as an acquired form. Congenital DEP, which is main cause of the monocular elevation paralysis, is characterized by the progressive deterioration and the absence of diplopia. The etiology is obscure, but is thought to be supranuclear lesion. We observed DEP of the same side of eyes in two patients who were brothers. The limitation of elevation and hypotropia were improved after Knapp's transposition procedure or Jensen's procedure.
Diplopia ; Elevators and Escalators* ; Humans ; Muscles ; Paralysis* ; Siblings*

Cystoid macular edema (CME) is a relatively common cause of temporary or permanent visual impairment after cataract extraction. Fluorescein angiography is indispensable to diagnose the CME. Intravenous fluorescein angiography is asscciated with a high incidene of minor adverse effects but a very low incidence of life-threatening serious reactions. There are no reports of oral fluorescein causing a senous reaction, and minor adverse effects are uncommon. We had Performed the oral fluorescein angiography in 30 consecutive cases (31 eyes) to detect the CME after cataract extraction. Two eyes (6.45%) had definite evidence of CME on the fluorograms. The typical angiogram of CME were obtained at 30 or 40 minutes after they had taken the fluorescein sodium. A dose of 20mg/Kg body weight produced good quality angiograms in 71% of the patients. There was no serious reaction but a mild pruritus was noted in one patient(3.3%). Therefore, we have concluded that the oral fluorescem agniography is very useful method because the oral fluorogram may avoid the adverse effect that could occur in intravenous fluorescein injection and be comparable in quality with those produced by intrvenous fluorescein.
Body Weight ; Cataract Extraction* ; Cataract* ; Fluorescein Angiography* ; Fluorescein* ; Humans ; Incidence ; Macular Edema* ; Pruritus ; Vision Disorders

Choroidal coloblma, which is uncommon but not rare. occurs in areas in which both the neurosensory and the retinal pigment epithelium precursors fail to become confluent. Retinal detachment usually occurs due to breaks in the colobomatous area and has been noted in nearly 40% of the patients with choroidal ccloboma. Retinal detachment may be associated with a coloboma of the choroid soon after birth and can present a diagnostic dilemma. We experienced the choroidal coloboma associated with retinal detachment in an 18-day-old premature baby and a 40-day-old infant, one of which had multiple congenital anomalies. We present our two cases with a brief review of the literature related to choroidal coloboma.
Choroid* ; Coloboma* ; Humans ; Infant* ; Parturition ; Retinal Detachment* ; Retinal Pigment Epithelium ; Retinaldehyde*

Choroidal coloblma, which is uncommon but not rare. occurs in areas in which both the neurosensory and the retinal pigment epithelium precursors fail to become confluent. Retinal detachment usually occurs due to breaks in the colobomatous area and has been noted in nearly 40% of the patients with choroidal ccloboma. Retinal detachment may be associated with a coloboma of the choroid soon after birth and can present a diagnostic dilemma. We experienced the choroidal coloboma associated with retinal detachment in an 18-day-old premature baby and a 40-day-old infant, one of which had multiple congenital anomalies. We present our two cases with a brief review of the literature related to choroidal coloboma.
Choroid* ; Coloboma* ; Humans ; Infant* ; Parturition ; Retinal Detachment* ; Retinal Pigment Epithelium ; Retinaldehyde*

OBJECTIVE: To investigate the physical function of Korean elderly by age and gender and to assess the impact of declined physical function on their quality of life. METHOD: The Korean Longitudinal Study on Health and Aging (KLoSHA) is designed as a populationbased prospective cohort study on health and aging of Korean elderly aged 65 years and over. In one city among the central metropolitan area for one year, 1,000 subjects includeing a simple random sample and an oldest-old subpopulation participated in baseline study. All subjects are older than 65 years (76.3+/-14.8, 65~98 years). We surveyed their general characteristics and symptoms related physical function and examined physical function, functional disabilities, balance function and quality of life with standardized assessment tools. RESULTS: The strengths of quadriceps were preserved over the functional level, but BMI was significantly reduced according to age irrespective of sex. Physical function and quality of life were consistently decreased according to age in female elderly, especially over 80 years. On the contrary, male elderly under 85 years preserved their physical function. In 85~89 year group, they showed the remarkable disabilities related to musculoskeletal conditions or pain and decrease of balance. Elderly people had greater disabilities and lesser confidence for balance, lower quality of life irrespective of sex. CONCLUSION:Significant gender differences in Korean elderly were found in the patterns of functional decline. Physical dysfunctions and disabilities are main factors lowering quality of life.
Aged* ; Aging* ; Cohort Studies ; Female ; Humans ; Longitudinal Studies* ; Male ; Prospective Studies ; Quality of Life*