No Abstract Available.
Central Serous Chorioretinopathy* ; Retina* ; Retinal Detachment* ; Retinaldehyde*

Various kinds of multifocal intraocular lenses(IOLs) have been developed for the improvement of near and far visual acuity after cataract operation. This prospective study was performed to compare a function of AMO ARRAY multifocal IOL(Array group) with conventional monofocal IOL(Mono group). Each type of IOL was implanted into 25 eyes and uncorrected visual acuity(UCVA) and best corrected visual acuity(BCVA) at near, intermediate and far distance were evaluated before and 2 months after operation in both groups. Contrast sensitivity, photophobia and glare were also evaluated as subjective symptoms in both groups. Mean UCVA at distant and near distance before operation was 0.23+/-0.15 and 0.25+/-0.20 in mono group, and 0.13+/-0.11 and 0.14+/-0.11 in Array group. Mean UCVA/BCVA at distant and near distance 2 month after operation was improved to 0.79+/-0.28/0.87+/-0.27 and 0.34+/-0.15/0.82+/-0.26 in mono group and 0.83+/-0.19/0.86+/-0.19 and 0.50+/-0.15/0.79+/-0.15 in Array group. The difference of UCVA at near distance was statistically significant(P<0.05), while that of BCVA at near and far distance was not statistically significant between two groups(P<0.05). Array group had less contrast sensitivity at all spatial frequencies(1.5, 3, 6, 12, 18 cycles/degree) and more glare than the mono group after operation. AMO ARRAY multifocal IOL induces a good result of visual rehabilitation in both near and far distance, but it may cause more glare and less contrast sensitivity than the monofocal IOL.
Cataract ; Contrast Sensitivity ; Glare ; Lenses, Intraocular* ; Photophobia ; Prospective Studies ; Rehabilitation ; Visual Acuity

PURPOSE: To evaluate the causes of low uncorrected visual acuity below 20/40 after LASIK (laser in situ keratomileusis). METHODS: 289 eyes (more -6.0 D myopia) that had LASIK between July 1997 and December 1999 by one surgeon were observed for at least 6 months. We evaluated their uncorrected visual acuity and ocular state. RESULTS: 51 eyes (17.64%) of 289 eyes have lower uncorrected visual acuity than 20/40 after LASIK. The causes were myopic regression (22/51), decentering (10/51), undercorrection of myopia (5/51), corneal ectasia (5/51), undercorrection of astigmatism (4/51), central island (2/51), free flap (1/51), postoperative flap displacement (1/51) and incomplete keratome pass (1/51). CONCLUSION: Although LASIK is a safe and effective procedure, many patients had lower uncorrected visual acuity less than 20/40 after LASIK. We must be able to manage correctable factors among the causes above.
Astigmatism ; Dilatation, Pathologic ; Free Tissue Flaps ; Humans ; Keratomileusis, Laser In Situ* ; Myopia ; Visual Acuity*

No abstract available.
Genitalia* ; Humans ; Male*

No abstract available.
Classification* ; Humans ; Spinal Cord* ; Urodynamics*

No abstract available.
Hemorrhoidectomy*

BACKGROUND AND OBJECTIVES: Organizing hematoma of the maxillary sinus can be developed by organizing procedure of hematoma in the unaerated maxillary sinus. To our knowledge, this is the second article describing organizing hematoma in the maxillary sinus. We experienced 7 cases recently, and aimed to describe clinical features, radiologic characteristics, and pathological findings. MATERIALS AND METHODS: Seven patients were diagnosed as organizing hematoma pathologically. We reviewed computed tomography (CT) and medical records to find out clinical features of organizing hematoma of the maxillary sinus. Of seven patients, five were male and two were female. Their mean age was 49 years. RESULTS: All patients had a history of frequent epistaxis without bleeding tendency. They also complained of nasal obstruction, hyposmia, headache, and cheek swelling. Rhinoscopy revealed obliterated nasal cavity due to bulging lateral wall. CT scans showed soft-tissue densities expanding the maxillary sinus with the minimal contrast enhancement. Destruction of the bony wall was observed in two patients. Endoscopic sinus surgery, Caldwell-Luc's operation, and Denker's operation were applied for the treatment singly or in combination, and resulted in successful outcome. CONCLUSION: Organizing hematoma should be included in the differential diagnosis when patients have frequent epistaxis and expansile lesion in the maxillary sinus.
Cheek ; Diagnosis, Differential ; Epistaxis ; Female ; Headache ; Hematoma* ; Hemorrhage ; Humans ; Male ; Maxillary Sinus* ; Medical Records ; Nasal Cavity ; Nasal Obstruction ; Tomography, X-Ray Computed

Background: The largest outbreak of enterohemorrhagic Escherichia coli (EHEC) O157:H7 occurred at a preschool in South Korea from June 12 to 29, 2020. This study aimed to analyze the epidemiological and clinical characteristics of EHEC infection in this outbreak. Methods: Epidemiological investigation was performed on all 184 children and 19 workers at the preschool using a standard questionnaire to assess symptoms, food intake, attendance, and special activity history. Pulsed-field gel electrophoresis analysis of confirmed cases was performed to determine genetic relevance. Results: During this outbreak, 103 children were affected, whereas only one infection was identified in adults. Of the 103 pediatric patients, 85 had symptoms (82.5%), including diarrhea, abdominal pain, bloody stool, fever, and vomiting. Thirty-two patients (31.1%) were hospitalized, 15 (14.6%) were diagnosed with hemolytic uremic syndrome, and 4 (3.9%) received dialysis treatment. Pulsed-field gel electrophoresis analysis identified 4 genotypes with high genetic relevance (92.3%). Epidemiological investigation revealed that this outbreak might have occurred from ingesting foods stored in a refrigerator with a constant temperature above 10°C, which was conducive to bacterial growth. Despite several measures after outbreak recognition, new infections continued to appear. Therefore, the preschool was forced to close on June 19 to prevent further person-to-person transmission. Conclusion Our findings from the response to the largest outbreak will help prepare countermeasures against future EHEC outbreak.

PURPOSE: We studied the effect of the duration of diabetes or the severity of diabetic retinopathy on the development posterior capsular opacity in patients with PMMA or silicone intraocular lens (IOL) implan-tation following continuos capsulorhexis and phacoemulsification. METHODS: 41 eyes of diabetic patients (DM group) and 74 eyes of non-diabetic patients (control group) who had undergone Nd-YAG capsulotomy from January 1997 to May 2000 were included. RESULTS: The average interval from cataract surgery to Nd-YAG capsulotomy was 36.3+/-14.1 months with PMMA IOL and 25.3+/-11.8 months with silicone IOL in DM group (p<0.05). In control group, it was 38.0+/-15.1 months with PMMA IOL and 23.4+/-11.8 months with silicone IOL (p<0.05). There was no difference between DM and control groups. The severity of DM retinopathy did not influence the duration from cataract operation to posterior capsulotomy in DM group. Among the patients with diabeters for 10 years or longer, the mean interval from cataract operation to capsulotomy was longer in PMMA IOL group compared with silicone IOL group (P<0.05). CONCLUSION: Diabetics with PMMA IOL may maintain good vision for longer duration without posterior capsulotomy than those with silicone IOL. The silicone IOL group of more than 10-year DM duration needed posterior capsulotomy earlier than PMMA IOL group or the silicone IOL group of less than 10-year DM duration.
Capsulorhexis ; Cataract ; Diabetic Retinopathy ; Humans ; Lenses, Intraocular ; Phacoemulsification ; Polymethyl Methacrylate* ; Posterior Capsulotomy ; Silicones*

The reconstruction of soft tissue defects on the leg remains a difficult challenge for plastic surgeons. If the defect is large and complicated by bone or joint defects, and excellent result can be obtained with free tissue transfer. In cases with no bony problem, no severe osteomyelitis and small medium-sized defects local flap is more acceptable than free tissue transfer because of its simple onestage and reliable operation. Fasciocutaneous turnover flaps revolve around the lack of criteria for safely designing these random pattern flaps as well as the risk of donorsite problems. Vertically-based deep fascia turnover flaps nourished by the subfascial plexus within deep fascia were used successfully for reconstruction of the leg in 5 patients. A vertically-based deep fascia turnover flap consists of deep fascia of the leg and its subfascial and epifascial plexus. As musculofascial, septofascial and periosteofascial branches these contribute to a richly anastomosing vascular network within deep fascia. Unlike adipofascial turnover flaps, the transversely-oriented deep fascia turnover flap keeps its subcutaneous layer with its intact vascular plexus so that the overlying skin is adequately perfused, even in patients with sizable flaps or extremely thin skin. Between March 1998 and February 1999, five cases underwent this procedure to reconstruct soft tissue defect on the leg. The advantages of this method are fast, safelyelevated preservation of the superficial vascular plexus, thus preserving the shape of the leg minimizing donor site scar and hypertrophy.
Cicatrix ; Fascia* ; Humans ; Hypertrophy ; Joints ; Leg* ; Osteomyelitis ; Skin ; Tissue Donors