No abstract available.
Child* ; Humans ; Tuberculosis*

No abstract availble.

PURPOSE: To determine the effect of polyurethane with sustained release dexamethasone in delayed adjustable strabismus surgery in rabbits. METHODS: After recession of the superior rectus muscle(SRM), balanced salt solution or polyurethane film with/without sustained release dexamethasone was applied beneath and over the SRM in the control group(group C), polyurethane-steroid group(group P-S) and polyurethane group(group P), respectively. Delayed adjustment was performed once on each SRM at four and six weeks postoperatively by a masked observer. The possible length to adjust and the necessary force required for the adjustment, as well as the degree of any adhesions, were also evaluated. RESULTS: In the control group, adjustment was impossible in all of the eyes at four and six weeks postoperatively. In group P-S, adjustment was possible in 11 out of 11(11/11) eyes four weeks postoperatively and in 10/11 eyes six weeks postoperatively. In group P, adjustment was possible in 9/11 eyes four weeks postoperatively and in 10/12 eyes six weeks postoperatively. In addition, the degree of adhesion was significantly less in group P and in group P-S compared to the control group. The degree of adhesion between the SRM and the sclera was marginally better(p=0.051) in group P-S four weeks postoperatively than in group P. CONCLUSIONS: Use of polyurethane film could delay adjustment in most of the rabbit eyes for up to six weeks postoperatively. Sustained release dexamethasone is helpful for delaying adjustment in rabbit eyes until six week postoperatively without the need for frequent topical instillation of steroids.
Dexamethasone* ; Masks ; Polyurethanes* ; Rabbits ; Sclera ; Steroids ; Strabismus*

No abstract available.
Caroli Disease*

No abstract available.

No abstract available.
Fructosamine*

Tracheobronchopathia osteochondroplastica is a rare and usually benign disorder characterized by cartilaginous and/or osseous submucosal nodules projecting into the laryngotracheobronchial lumen. It has been an incidental finding at autopsy but nowadays it is discovered during fiberoptic bronchoscopy or chest computed tomography. We describe a case of 61-year-old man who was diagnosed to have tracheobronchopathia osteochondroplastica due to unpredicted difficult intubation.
Autopsy ; Bronchoscopy ; Humans ; Incidental Findings ; Intubation ; Middle Aged ; Thorax

PURPOSE: To evaluate the outcomes of posterior chamber lens (PCL) exchange in patients with opacified foldable PCLs. METHODS: This study consisted of 31 patients (35 eyes) who had received phacoemulsification and implantation of foldable intraocular lenses in the bag or sulcus and developed late opacification of the PCL. All patients reported a reduction of visual acuity and deterioration in vision. The PCLs were explanted and replaced with new PMMA lenses. The perioperative complications and the best corrected visual acuities (BCVAs) before and after surgery were evaluated. RESULTS: The mean visual acuities (logMAR value) before and after IOL exchange were 0.59+/-0.80 and 0.21+/-0.27, respectively. The difference was statistically significant (p=0.005, paired t-test). Intraoperative complications included posterior capsule rupture in six patients, zonular dehiscence in three patients, and both in one patient. Postoperative complications included intraocular pressure elevation in five patients and cystoid macular edema in two patients. One patient showed hypopyon at 6 days postoperatively, which lasted for 3 months, but she showed good visual acuity. CONCLUSIONS: Intraocular lens exchange was a safe and effective treatment for patients whose PCLs were opacified.
Humans ; Intraocular Pressure ; Intraoperative Complications ; Lenses, Intraocular ; Macular Edema ; Phacoemulsification ; Polymethyl Methacrylate ; Postoperative Complications ; Rupture ; Vision, Ocular ; Visual Acuity

PURPOSE: We performed this study to evaluate the surgical outcome of exotropia in children younger than 10 years with a short, preoperative work-up. METHODS: The study subjects included 18 children who had received surgery for exotropia with preoperative work-ups less than 3 months. They were followed for more than 3 months after surgery. The age, symptoms, visual acuity, refractive errors, binocularity at surgery, and surgical results were analyzed. RESULTS: The average age of the subjects was 9.6 years old, and the preoperative angle of deviation was 25 prism diopters (PD). Most of them (89%) showed intermittent exotropia and myopia. None of them had amblyopia or anisometropia. Of the 18 patients, 16 (89%) were able to fuse at near and distance, and 14 patients showed good stereopsis equal to or less than 200 sec of arc by the Titmus test. The surgery was performed on the basis of the maximum angle, and inferior oblique myectomy was simultaneously performed in three patients. At the postoperative 15 months, 13 (72%) of the 18 patients showed a deviated angle less than 10PD, and exotropia recurred in 5 (28%) patients. CONCLUSIONS: The preoperative visual acuity and binocularity were relatively good, and the surgical outcome was also good in exotropic children younger than 10 years with a short preoperative work-up.
Amblyopia ; Anisometropia ; Child ; Depth Perception ; Exotropia ; Humans ; Myopia ; Refractive Errors ; Telescopes ; Visual Acuity

PURPOSE: To report the first case of central retinal vein occlusion (CRVO) in association with thyroid ophthalmopathy. METHODS: A 40-year-old woman was came to the ophthalmologic clinic due to conjunctival injection, lid swelling and decreased visual acuity in the left eye. She was ill with hyperthyroidism and was recovered completely. At the first visit, best corrected visual acuity of her left eye was 0.3. The left eye showed proptosis, episcleral vessel dilation, and moderate limitation of ocular movement. Orbit MRI revealed the enlargement of extraocular muscles. Fundus examination showed diffuse retinal hemorrhages with macular edema and retinal veins were dilated and tortuous. Fluorescein angiogram showed the diffuse leakage from the retinal vessels on the posterior pole, but nonperfusion area was not seen. RESULTS: One month after the first visit, best corrected visual acuity of her left eye was improved to 0.6. Proptosis and limitation of ocular movement was improved, and retinal hemorrhages with macular edema were decreased remarkably. CONCLUSIONS: Possible retinal vascular complications such as CRVO may occur in patients with thyroid ophthalmopathy. Therefore, in these cases, fundus examination along with other ophthalmologic examinations are necessary.
Adult ; Exophthalmos ; Female ; Fluorescein ; Humans ; Hyperthyroidism ; Macular Edema ; Magnetic Resonance Imaging ; Muscles ; Orbit ; Retinal Hemorrhage ; Retinal Vein* ; Retinal Vessels ; Retinaldehyde ; Thyroid Gland* ; Visual Acuity