Two cases of malignant histiocytosis, in which skin involvement was a prominent finding at initial clinical presentation, are reported. 1nteresting histopathologic findings, including Langerhans granule in one case and numerous eosinophils in another, were observed. In one case remission was achieved with BACOP chemotherapy (Bleomycin, Adriamycin, Cyclophosphamide, Vincristine, and Prednisone). In the other case, the patient died nine months after the onset of the disease without any treatment.
Cyclophosphamide ; Doxorubicin ; Drug Therapy ; Eosinophils ; Histiocytic Sarcoma* ; Humans ; Skin ; Vincristine

No abstract available.
Leg*

In order to compare the corneal sensation after phacoemulsification and the planned extracapsular cataract extraction(p-ECCE), we studied 40 eyes of 31 patients prospetively. A Cochet-Bonnet esthesiometer was used to measure corneal sensitivity preoperatively and at one day, three day, one week, one month, and two months postoperatively, by the same surgeon using the same technique. There was no difference in corneal sensation between phacoemulsification and p-ECCE group preoperatively. The mean corneal sensitivity at 10:00(2:00) o`clock in phacoemulsificantion/p-ECCE was 17.3+/-7.0(18.2+/-6.7)/9.9+/-1.5(10.3+1.9), 22.1+/-6.9 (23.2+/-6.3)/14.1+/-2.3(14.3+/-2.3), 29.4+/-7.7(30.6+/-7.2)/17.7+2.2(18.7+/-2.2), 37.7+/-9.3(37.8+/-9.4)/26.3+/-7.9(27.7+/-8.4), 56.3+/-7.6(56.3+7.9)/59.2+/-3.8(59.4+/-2.7)mm after 1, 3, 7, 30, 60 days, respectively. Corneal sensation at the center and the 3, 6, and 9 o`clock positions was not changed in all eyes. Corenal sensitivity was significantly more recovered in phacoemulsification group than the p-ECCE group at postoperative onemonth(p<0.05). However, there were no statistically significant difference in recovery of corneal sensation between phacoemulsification group and p-ECCE group at postoperative two months. Conclusively corneal sensation returned to peroperative level at two months postoperatively in both groups.
Cataract Extraction* ; Cataract* ; Humans ; Phacoemulsification* ; Sensation*

The aims of this paper are to identify where the quality research activity has been and is carried out in Korea, and to examine weather the Korean plastic surgeons have sufficient capacity to place their official journal "The Journal of Korean Society of Plastic and Reconstructive Surgeons(KPRS)" to international databases. We investigated the publication productivity of all departments of plastic surgery in Korean medical colleges, hospitals, and clinics as measured by the number of papers in journals indexed in SCI(Science citation index). The 27 year period from 1974 to 2000 is covered. A total of 195 papers is published in SCI journals by the plastic surgeons in Korea. The first SCI paper was published in 1985; the number of publication has gradually increased. Since 1998, over 30 papers are annually published in SCI journals by Korean plastic surgeons. The production of SCI papers are concentrated in a few universities. About seventy percent of SCI journal papers is published by top seven medical schools; 25.6% by Yonsei university. In 1985, only one medical school was involved in the production of SCI journal papers. After 1997, however, more than 10 medical school and some surgeons in local clinics published SCI journal papers. The percent of SCI journal papers among all papers written by the Korean plastic surgeons increased recently: About 15% are published in SCI journals in 1999 and 2000 respectively. These data suggest that Korean plastic surgeons have enough capacity to place their official journal KPRS into international data bases.
Efficiency* ; Korea ; Publications* ; Schools, Medical ; Surgery, Plastic ; Weather

The ethmoid mucocele, resulting in the proptosis, is known a rare benign lesion. There are a number of ophthalmic manifestations of cystic lesion arising from the ethmoid sinus, which has destroyed the lamina papyracea and invaded the orbit. It is demonstrated by simple orbit X-ray and orbit CT scan. We experienced a case of a ethmoid mucocele in a 36-year-old man. which was associated with frontalgia, proptosis and transient intraocular pressure elevation and was improved after intranasal ethmoidectomy.
Adult ; Ethmoid Sinus* ; Exophthalmos ; Humans ; Intraocular Pressure* ; Mucocele* ; Orbit ; Tomography, X-Ray Computed

We injected tPA into the anterior chamber of 43 pesudophakic eyes with moderate to severe fibrinous membrane which had developed following cataract surgery from January, 1990 to August, 1990 at St. Mary's hospital. The results were as follows: 1. Intraocular tPA injection was resulted in complete fibrinolysis within 1 hour in 38 of 43 eyes and patial fibrinolysis in 5 of 43. 2. No corneal endothelial cell loss was found, and tPA did not appear to cause a significant rise in intraocular pressure. 3. Complications of tPA injection included mild, transient, periocular pain(3 eyes), anterior chamber fibrin debris(2 eyes) and anterior chamber hemorrhage(1 eye). The results indicated that tPA is dramatically effective for the clearance of fibrinous membrane after cataract surgery.
Anterior Chamber ; Cataract* ; Corneal Endothelial Cell Loss ; Fibrin* ; Fibrinolysis ; Intraocular Pressure ; Membranes* ; Tissue Plasminogen Activator*

No abstract available.
Choledochal Cyst*

One hundred and twenty-three cases of planned ECCE with biconvex posterior chamber lens implantation were performed in St. Mary's Hospital from April 1988 to February 1990, were followed up for more than 6 months. We also analyzed 123 cases of planned ECCE with convex-plano posterior chamber lens implantation during the same period. The results were as follows: 1. The difference of visual acuity between the two groups was not statistically significant. 2. Of the 123 eyes with biconvex lens, 106 eyes (86%) were within +/- 0.50 spherical equivalent diopter compared to 55 of 123 eyes (44.7%) with convex-plano lens. This difference is statistically signficant (p<.001). 3. Eight out of the 123 eyes with biconvex lens (6.5%) developed after-cataract and two of these eight eyes were of the central type: 36 out of the 123 eyes (29.3%) with convex-plano lens developed after-cataract and 31 of the these 36 eyes were of the central type. This difference is statistically significant(p<.001).
Cataract* ; Visual Acuity

PURPOSE: To report a case of corneal ulcer caused by Leclercia adecarboxylata in an immunocompetent patient. CASE SUMMARY: A previously healthy 43-year-old female presented with right ocular pain and was referred to our clinic under the impression of corneal abrasion and secondary infection. The patient was treated at a local clinic for 3 days using artificial tears, therapeutic contact lens, topical antibiotics, and anti-inflammatory eye drops but showed no improvement. Gram staining, bacterial and fungal cultures and antibiotic sensitivity test were performed from a corneal scrape. The cultures revealed growth of Leclercia adecarboxylata. The patient was treated with moxifloxacin and ofloxacin eye drops. After 2 weeks of treatment, the infection resolved without remaining scars. CONCLUSIONS: Reportedly, Leclercia adecarboxylata affects humans only as an opportunistic pathogen or part of polymicrobial infections. However, in the present case, Leclercia adecarboxylata was isolated as a single pathogen in an immunocompetent patient which is the first clinical report of this microorganism found in an ocular sample. Therefore, if antibiotic-susceptible gram-negative bacilli are found in opthalmologic samples, the above bacteria should be considerd in the diagnosis.
Adult ; Anti-Bacterial Agents ; Bacteria ; Cicatrix ; Coinfection ; Corneal Ulcer* ; Diagnosis ; Enterobacteriaceae* ; Female ; Humans ; Ofloxacin ; Ophthalmic Solutions

BACKGROUND AND PURPOSE: We performed this study to explore the various diagnostic roles of video-EEG monitoring (VEM) and to assess the outcome after VEM. METHODS: 1749 patients who underwent VEM in the adult epilepsy section were included. We classified purposes of VEM and assessed outcome after VEM or epilepsy surgery guided by VEM. The outcome was assessed according to seizure frequency during the previous 12 months from the day of follow-up evaluation. RESULTS: The purposes of VEM were presurgical evaluation (68.5%), confirmation of epilepsy (15%), classification of seizures (9.4%), diagnosis of pseudoseizures (5.5%), and detection of nonconvulsive status epilepticus (1.7%). The efficiency of VEM was 89.2%, highest for presurgical evaluation (97.1%) and lowest for confirmation of seizures (66.0%). The number of events detected and the number of days needed differed according to the purposes of VEM. Epilepsy surgery was performed in 629 patients. The outcome of patients with epilepsy surgery was significantly better compared with patients without surgery despite presurgical evaluation (p<0.0001). Various other illnesses with transient symptoms as well as various epileptic syndromes were diagnosed by VEM. Better outcomes were observed in patients in whom VEM was used for classification and confirmation of seizures compared with patients in whom VEM was used for presurgical evaluation. CONCLUSIONS: VEM is a useful tool for various purposes. The efficiency, number of events and days of VEM differed according to the purposes. Patient outcome was also dependent on the purpose of the VEM as well as on treatment modalities.
Adult ; Epilepsy ; Follow-Up Studies ; Humans ; Seizures ; Status Epilepticus