No Abstract Available.
Endothelial Cells* ; Vitrectomy*

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

The ocular manifestations of leukemic retinopathy can be divided into secondary manifestations due to hemorrhage and macular edema, and direct manifestations of leukemic infiltration. Case reports about leukemic infiltration of the optic nerve head are rare. We have experienced a case of leukemic retinopathy in a 16-year-old girl. She visited to our hospital due to sudden decrease of visual acutiy on both eyes and confirmed acute lymphocytic leukemia on bone marrow biopsy. In addition to macular edema and hemorrhage due to secondary manifestations of leukocytosis, there were sheathing noted about retinal arterioles, and disc edema were present on both eyes which seems to be the optic nerve head infiltration of leukemic cells.
Adolescent ; Arterioles ; Biopsy ; Bone Marrow ; Edema ; Female ; Hemorrhage ; Humans ; Leukemic Infiltration* ; Leukocytosis ; Macular Edema ; Optic Disk* ; Optic Nerve* ; Precursor Cell Lymphoblastic Leukemia-Lymphoma ; Retinaldehyde

In 1971, for purpose of reduction of peak stress occuring in cement and trabecular bone of the acetabulum, Harris reported a series of metal-backed acetabular components with removable polyethylene liners that could be replaced if excessive wear occured. Modular designs of hip prostheses have become popular recently, but they introduce the risk of disassembly of the components postoperatively. And introduce of loosening and infection of femoral or acetabular components by debris of polyethylene liner. We report a case of mechanical disassembly of polyethylene liner in cementless metal backed cup, and review previously reported articles.
Acetabulum ; Hip Prosthesis ; Polyethylene

No Abstract Available.
Alopecia*

To evaluate antioxidative effect of vitamin E, selenium and zinc sulfate on release of oxygen free radicals from polymorphonuclear leukocytes[PMNs], I measured the amount of superoxide release from human PMNs stimulated by phorbol myristate acetate[PMA]with addition of some antioxidant and antioxidative micronutrients using superoxide-dependent cytochrome c reduction.And to determine a protective effect of them on cultured bovine retinal pigment epithelial cells [RPE]from oxygen radicals, I measured a viability of bovine RPE using MTT assay after incubation with human PMNs and PMA. Vitamin E, selenuim and zinc sulfate are utilized at different concentrations of 1, 10 and 20 microM. Vitamin E and zinc sulfate inhibited superoxide production from PMNs stimulated by PMA from 10 microM concentration gnificantly. But in case of selenium, significant antioxidative effect was not found at each concentration.The antioxidative effect on cultured bovine RPE was evaluated using MTT assay.Among antioxidant and antioxidative micronutrients tested, vitamin E and zinc sulfate inhibited free radical damage to bovine RPE, they increased cell survival rate on culture at concentration of 1, 10 and 20 microM. In contrast, selenium did not increase cell survival rate significantly. With these results, it was found that vitamin E and zinc sulfate had antioxidative effect against superoxide release from PMNs and also protective effect of bovine RPE from free radical damages.Recent studies supported that peroxide may play an important role in causing tissue damage in human and experimental models of ocular inflammation and possibly in Behcet`s disease.It was suggested that antioxidant vitamins and minerals like vitamin E or zinc sulfate might be useful for management and/or prevention of these conditions.
Cell Survival ; Cytochromes c ; Epithelial Cells* ; Free Radicals ; Humans* ; Inflammation ; Micronutrients ; Minerals ; Models, Theoretical ; Myristic Acid ; Oxygen ; Reactive Oxygen Species ; Retinaldehyde* ; Selenium* ; Superoxides* ; Vitamin E* ; Vitamins* ; Zinc Sulfate* ; Zinc*

Central serous chorioretinopathy is a disease which causes decreased visual acuity and functional disturbance. As the subretinal fluid is absorbed, the visual acuity is improved but patient's complaint such as metamorphosia is remained. To assess the recovery of visual functional disturbance in response to absorption of the fluid, the hue discrimination and contrast sensitivity were tested in central serous retinopathy patients (N=30) at the first visit, first visit after the absorption of subretinal fluid, and final visit. At the first visit, there were stastically significant differences in the mean square root of total error score, blue-yellow and red-green partial error score between normal control group and central serous retinopathy group and stastically significant differences in all spatial frequency between normal group and central serous retinopathy group. First visit after the absorption of subretinal fluid, and final visit, there were stastically significant differences in the mean square root of total error score, blue-yellow and red-green partial error score between normal control group and central serous retinopathy group and stastically significant differences in mid-high spatial frequency between normal group and central serous retinopathy group.
Absorption ; Central Serous Chorioretinopathy* ; Contrast Sensitivity* ; Discrimination (Psychology)* ; Humans ; Subretinal Fluid ; Visual Acuity

No abstract available.
Nursing Homes* ; Nursing* ; Nutritional Status*

BACKGROUND: The purpose of our study was to evaluate the accuracy of reduction based on postoperative computed tomography (CT) images after arthroscopic stabilization using tightrope system for unstable distal clavicle fracture. METHODS: Twelve patients with distal clavicle fracture combined with coracoclavicular (CC) ligament injury (type II, V) who received arthroscopically assisted fixation using a flip button device were evaluated for accuracy of reduction using 3-dimensional postoperative CT scan by measuring the degree of distal clavicular angulation and clavicular shortening. RESULTS: Immediate postoperative plain radiograph confirmed restoration of the CC distance (CCD) in 10 patients. At final follow-up, the CCD remained reduced anatomically on plain radiographs in these patients. All patients showed excessive posterior angulation and shortening compared to the opposite side. The average Constant score recovered to 94.8 at final follow-up. CONCLUSIONS: Indirect reduction and arthroscopic subacromial approach with flip button fixation of unstable distal clavicle fractures demonstrated favorable clinical results despite unavoidable posterior angulation of distal clavicle and shortening the total length of clavicle.
Arthroscopy ; Clavicle ; Follow-Up Studies ; Humans ; Ligaments ; Tomography, X-Ray Computed

We report removing a large subretinal hemorrhage by means of vitrectomy combined with the use of tissue plasminogen activator(tPA) to facilitate clot removal. A 25-year-old man had a 4 days history of visual loss in the right eye after blunt trauma. The right fundus had a large subretinal hemorrhage involving macula. Surgery was performed the following day. A small retinotomy was made, through which tPA was injected into the subretinal space and through which the dissolved clot was removed. The use of tPA minimizes surgical manipulation of the retina and greatly reduces the size of the retinotomy reguired for evacuation of subretinal bood. Although the long-term prognosis is guarded, this case does suggest that tPA may be a useful adjunct in managing of subretinal hemorrhage.
Adult ; Hemorrhage* ; Humans ; Plasminogen ; Prognosis ; Retina ; Tissue Plasminogen Activator* ; Vitrectomy