No abstract available.
Colon, Ascending* ; Leiomyosarcoma*

Although intraocular involvement in Hodgkin's disease is infrequent, there were reported iridocyclitis, exudative retinal detatchment, retinal hemorrhage, necrotizing retinitis, anterior and posterior uveitis, perivascular chorioretinitis. We report a 61 years old male patient with Hodgkin's disease who developed retinal lesion with decreased visual acuity in his right eye during a period of quiscence in his disease, 10 months since diagnosed. On first ophthalmic examination, best corrected vision of right eye was 0.6 and 1.0 on left eye. Fundus examination of the left eye was normal; however, the right eye revealed cotton wool patches, retinal edema, and intraretinal hemorrhage along the superior temporal venules. Fluorescein angiography showed blockage of choroidal flush in early phase and focal area of hyper fluorescence with perivascular leakage of dye in late phase. The results of TORCH test were negative, and the patient didn't have hypertension, diabetes mellitus, and bleeding tendency. Therefore we this case presumed perivascular retinitis associated with Hodgkin's disease.
Chorioretinitis ; Choroid ; Diabetes Mellitus ; Fluorescein Angiography ; Fluorescence ; Hemorrhage ; Hodgkin Disease* ; Humans ; Hypertension ; Iridocyclitis ; Male ; Middle Aged ; Papilledema ; Retinal Hemorrhage ; Retinaldehyde ; Retinitis* ; Uveitis, Posterior ; Venules ; Visual Acuity ; Wool

OBJECTIVE: This study was performed to evaluate the feasibility, safety, and tolerance of early postoperative oral feeding in gynecologic patients who have underwent intra-abdominal surgery. Thus, we investigated the clinical efficacy of early postoperative oral feeding in gynecologic patients, prospectively. METHODS: From September 1998 to March 1999, we studied 80 gynecologic patients undergoing laparotomy at Department of Obstetrics and Gynecology, Yonsei University College of Medicine, prospectively. After surgery, the patients were grouped into two arms; the first early oral feeding group began a clear liquid diet on the first postoperative day and advanced to regular diet as tolerated. the second control group received nothing by mouth until return of bowel function. RESULTS: Although more patients in the study group developed nausea, the incidence of vomiting and abdominal distension were comparable in both groups. Time to development of bowel sound and flatus were significantly shorter in study group. Postoperative complications including pneumonia, atelectasis, wound complications, and febrile morbidity occurred insignificantly in both group. Postoperative changes in hematologic indices and electrolytes were comparable in both group. CONCLUSION: Early postoperative oral feeding in gynecologic patients undergoing intra-abdominal surgery is safe, well tolerated. We believe that re-evaluation of postoperative surgical care may increase our knowledge and better serve our patients.
Arm ; Diet ; Electrolytes ; Flatulence ; Gynecology ; Humans ; Incidence ; Laparotomy ; Mouth ; Nausea ; Obstetrics ; Pneumonia ; Postoperative Complications ; Prospective Studies ; Pulmonary Atelectasis ; Vomiting ; Wounds and Injuries

No abstract available.
Captopril* ; Child* ; Humans ; Hypertension*

A cystic mass of lid is occasionally diagnosed as a sebaceous cyst. But 20% of the clinically diagnosed sebaceous gland cystic mass wasbenign tumors or inflammations. So final diagnosis of cystic mass was often made by histologic examination. Acinetobacter species are gram negative, anaerobic rods and mainly cause nosocomial infection. Most species are resistant to antibiotics so that careful selection of antibiotics is needed. We experienced a 12 year-old girl who had a palapable and tender mass on the right upper lid similar to sebaceous cyst. The mass was confirmed as a acinetobacter abscess. The authors present a case of acinetobacter infection of the upper lid that was treated with excision and antibiotics.
Abscess ; Acinetobacter Infections* ; Acinetobacter* ; Anti-Bacterial Agents ; Cellulitis ; Child ; Cross Infection ; Diagnosis ; Epidermal Cyst ; Female ; Humans ; Inflammation ; Sebaceous Glands

To evaluate the prediction of visual outcome in cataract patients, the authors compared the preoperatively measured vision using hand-held laser interferometry(HEINE LAMBDA 100, GERMANY) and Han's visual acuity chart with the postoperatively corrected vision. Among 40 patients, in the 12 cases with immature cataract and normal macula, the postoperative measured acuity was predicted within two lines in 7 cases(58%), and in the 27 cases with mature cataract including nuclear sclerosis, the disparity under -2 was only 6 cases(21%). In the 6 cases with macular abnormality, one patient showed positive disparity. These results indicate that the prediction of visual outcome for catarct sugery using the hand-held laser interferometer was reliable in immature catarct with normal macula.
Cataract* ; Hand* ; Humans ; Sclerosis ; Visual Acuity

To evaluate the predictability of visual outcome in vaculopathy patients after treatment, we compared the difference between the pre-treatment visual acuity measured by hand-held laser interferometer and the posttreatment corrected visual acuity using Han`s visual acuity chart. Disease distribution was as follows; BRVO(18 cases), CRVO(11 cases), CSCR(9 cases), posterior uveitis(4 cases). The mean up period was 3.45 months. Among 42 cases, 28 eyes showed positive disparity and 13 eyes showed negative disparity. The range of disparity was from -0.2 to +0.3(mean 0.113). The post-treatment visual acuity was predictable within 2 lines in 38 eyes(90%) We concluded that the hand-held laser interferometer is one of the reliable methods to predict the post-treatment visual acuity in maculopathy patients.
Humans ; Visual Acuity*

No abstract available.
Wilms Tumor*

We evaluated the effect of nitric oxide on the corneal neovascularization in diabetic rats. The NADPH-diaphorase histochemistry was used to investigate the relationship between the nitric oxide synthase activity and the corneal neovascularzation of disbetic rats. Sprague-Dawley rats of 6 weeks of age were use in this study. Streptozotocin(65mm/kg, Sigma, USA) was injected intraperitoneally to induce diabetes. N-heptanol was applied to the right eyes of the diabetic rats to induce neovascularization and the left eyes were remained uninjured. After four weeks, 5 eyes of the non-diabetic rats, 5 eyes of the diabetic rats, and 5 eyes of the neovascularized diavetic rats were enucleated. The enucleated eyes were stained with NADPH-diaphorase histochemistry method and examined under the light microscope. Neovascularized corneas showed intense expression of NADPH-diaphorase at the whole layer of epithelium, the superficial stroma, and the walls of new vessels. Corneas of the nondiabetic rats and uninjured those of diabetic rats showed only mild expression of NADPH-diaphorase, and there were no significant difference of expression between them. According to these results, we think that the increased expression of nitric oxide synthase or nitric oxide may be related to the corneal neovascularization in diabetic rats.
Animals ; Cornea ; Corneal Neovascularization* ; Epithelium ; Heptanol ; Nitric Oxide ; Nitric Oxide Synthase ; Rats* ; Rats, Sprague-Dawley ; Streptozocin*

Crossed renal ectopia with fusion is an unusual congenital anomaly, probably produced by abnormal development of the ureteral bud. The deformity itself produces no symptoms but it presents possible urinary tract infection, obstuction and stone formation, and other anomaly in body. Herein we report two cases of crossed fused renal ectopia complained of abdominal mass in 28 year old female and abdominal pain after trauma in 14 year-old boy.
Abdominal Pain ; Adolescent ; Adult ; Congenital Abnormalities ; Female ; Humans ; Male ; Ureter ; Urinary Tract Infections