The authors experienced a case of the monomorphic adenoma of lacrimal gland. Monomorphic adenoma is an extremely rare salivary gland tumor. A fifty eight year old Korean female was admitted to our Dept. of Ophthalmology because of multiple small nodular masses on her right upper eyelid and a large hard solitary mass in the supraorbital area since one year ago. On B-scan ultrasonogtaphy, round echo-free zone was detected in the superiortemporal orbit. Well defined hyperdense, enhanced round extraconal mass in the superiororbital area was detected by orbital CT scan. Two large well encapsulated, dark brown colored masses were extracted by supraorbital approach and lateral orbitotomy under general anesthesia. After removal of the masses, histopathologic examination confirmed the lacrimal monomorphic adenoma.
Adenoma* ; Anesthesia, General ; Eyelids ; Female ; Humans ; Lacrimal Apparatus ; Ophthalmology ; Orbit ; Salivary Glands ; Tomography, X-Ray Computed

We performed vitreous surgery for stage 3 or 4 idiopathic macular holes and assessed the efficacy of basal retinal pigment epithelial scraping in postoperative healing of macular holes. Twelve eyes of 12 patients were included. Mean duration of symptom was 12.75 months and mean age was 65.7 years. 9 patients(75%) were female and three eyes(25%) had macular holes larger than 1/3 disc diameter. The preoperative visual acuity was 0.1 or worse in eleven eyes(92%). Postoperatively, hole closed in ten eyes(83%) and the visual acuity improved two line or more in all eyes(100%) with mean follow-up time of 12.8 months. In 5 eyes(42%), the visual acuity improved 0.3 or better. Anatomical success seemed to be related to the preoperative hole size, which statistically had no significant relationship(p=0.0593). Retinal pigment epithelial alteration was notified in three eyes(25%). This result suggests retinal pigment epithelial scraping may become adjunctive therapy in macular hole surgery and, however, care has to be taken to prevent from inducing retinal pigment epithelial alteration.
Female ; Follow-Up Studies ; Humans ; Pilot Projects* ; Retinal Perforations* ; Retinal Pigment Epithelium* ; Retinaldehyde* ; Visual Acuity

The Rieger's syndrome is characterized by the ocular anomalies include posterior embryotoxon(a prominent Schwalbe's line), tissue strands across the anterior chamber angle and variable degrees of iridic distortion and systemic defects most often involve the teeth and facial bones. These disorders are typically bilateral, are usually diagnosed at birth or in early childhood, and most have genetic basis of autosomal dominant inheritance. A large number of patients have glaucoma due to developmental defects of the anterior chamber angle structures. The authors experienced two cases of Rieger's syndrome which were occurred in a 13-year-old female in one family and in a 21 year-old male in the other family who had characteristic ocular and other systemic abnormalities associated with developmental glaucoma.
Adolescent ; Anterior Chamber ; Facial Bones ; Female ; Glaucoma ; Humans ; Male ; Parturition ; Tooth ; Wills ; Young Adult

We performed pars plana vitrectomy combined with anterior capsule-sparing lensectomy on forty three eyes WJth coexisting cataract and vitreoretinal disease and followed up more than 6 months. Preoperative vitreoretinal diseases consisted of nondiabetic vitreous hemorrhage (thirteen eyes), retained metallic intraocular foreign bodies (nine eyes), posterior uveitis (nine eyes), proliferative diabetic retinopathy (seven eyes) and rhegmatogenous retinal detachment (five eyes) . Thirty six eyes (84%) revealed the visual acuity of 0.1 or less before operation. Thirty eight eyes (88%) could get a better visual acuity after operation than before operation. Posterior chamber intraocular lenses were implanted to thirty eight eyes. The severity of anterior capsular opacity showed a statistically significant difference between the eyes with injection of intraocular gas or silicone oil and them without injection of that (p=0.004). In this study, we can find that the technique of pars plana vitrectomy combined with anterior capsule-sparing lensectomy would be recommendable and the anterior capsular opacity may have relation with intraocular gas or silicone oil.
Cataract ; Diabetic Retinopathy ; Foreign Bodies ; Lenses, Intraocular ; Retinal Detachment ; Silicone Oils ; Uveitis, Posterior ; Visual Acuity ; Vitrectomy* ; Vitreous Hemorrhage

PURPOSE: To determine the clinical characteristics and visual prognosis of intraocular foreign bodies (IOFBs). METHODS: We analyzed the patients with surgical removal of IOFB and follow-up of 4 months or longer. RESULTS: Of all 126 eyes of 126 patients, 118 patients (93.6%) were men and mean age was 42.7 years. The cause was lawn mower in 49 eyes (38.9%). Metal composition was in 114 eyes (90.5%), corneal inlet was present in 101 eyes (80.2%) and posterior location was in 97 eyes (73.0%) were there. Visual acuity was worse than 0.04 in 77 eyes (61.1%) before operation and in 36 eyes (28.6%) at the final visit. The final visual acuity was significantly related with initial visual acuity (criterion: 0.1, P=0.001), wound length (criterion: 3 mm, P< 0.001), location (anterior vs. posterior location, P< 0.001) and size (criterion: 3mm, P< 0.001) of IOFB, traumatic cataract (P=0.011), vitreous hemorrhage (P=0.001) and retinal tear (P< 0.001), respectively. CONCLUSION: Lawn mower is the main cause of IOFB and the countermeasure should be needed for it. Initial visual acuity, location and size of IOFB, wound length, vitreous hemorrhage and retinal tear may be the important factors on visual prognosis of IOFB.
Bays ; Cataract ; Follow-Up Studies ; Foreign Bodies* ; Humans ; Male ; Prognosis* ; Retinal Perforations ; Visual Acuity ; Vitreous Hemorrhage ; Wounds and Injuries

Trabeculectomy with mitomycin C was performed on three patients with traumatic dislocate crystalline lens and refractory secondary glaucoma, combined with pars plana vitrectomy, intravitreal phacofragmentation and scleral fixation of the IOL. Over nine months after operations, intraocular pressures were well controlled not only without any antiglaucomatous medications and special complications but also with good visual recovery in all patients . Trebeculectomy combined with pars plana vitrectomy may be useful in some patients wit hvireoretinal disease and glaucoma.
Glaucoma ; Humans ; Intraocular Pressure ; Lens, Crystalline ; Mitomycin ; Trabeculectomy* ; Vitrectomy*

Pigmented vitreal cyst is a benign and uncommon entity with uncertain etiology. A floating intravitreal material was incidentally noticed in a 44-year-old man. Visual acuity was 1.2 and intraocular pressure 16 millimeters of mercury in both eyes. All other ophthalmic examination were normal. On posterior segment examination, a free-floating, brownish, round cyst of about two disc diameter in size was demonstrated in the inferior vitreous cavity of the left eye without any other abnormalities. During the follow-up examination for thirty months, the shape, size, color, and location of the cyst was not changed with the same visual acuity and IOP. Pigmented vitreal cyst is benign with no change for a long time, and then generally need no special treatment unless it blocks visual axis
Adult ; Axis, Cervical Vertebra ; Follow-Up Studies* ; Humans ; Intraocular Pressure ; Visual Acuity

PURPOSE: To determine the difference among the results of three kinds of methods for the treatment of simple retinal detachment. METHODS: We analyzed the patients undergoing primary pars plana vitrectomy(Group I: January to June, 1997), scleral buckling(Group II: January to June, 1996) and pneumatic retinopexy(Group I: January to June, 1995) to treat simple retinal detachments with retinal breaks located in peripheral retina, smaller than one clock hour, breaks in the superior eight clock hours, multiple breaks extending less than two clock hours and no severe retinal traction. RESULTS: The final visual acuity was 5/200 or more(functional success) in 19 eyes(100%) of Group I, 19 eyes(100%) of Group cII and 20 eyes(90.9%) of Group I. Primary retinal reattachment(anatomical success) was in 17 eyes(89.5%) of Group I, 19 eyes(100%) of Group II and 18 eyes(81.8%) of Group I with no statistically significant difference among the three groups. The final retinal reattachment rate was 100% in all groups. CONCLUSIONS: This result suggests the scleral buckling might be a little bit better for the treatment of simple retinal detachment, though each of three surgical methods showed no statistical difference of functional and anatomical results.
Humans ; Retina ; Retinal Detachment* ; Retinal Perforations ; Retinaldehyde* ; Scleral Buckling ; Traction ; Visual Acuity

Result and complications were evaluated in 28 eyes of 28 patients who had undergone pneumatic retinopexy for rhegmatogenous retinal detachment from December 1994 to May 1995 and were followed for at least 4 months. Twenty four eyes were phakic, one eye aphakic and three eyes pseudophakic. 0.3mlof perfluoropropane(4 eyes)or 0.45ml of sulfur hexafluoride(24 eyes)was injected. Mean follow-up time was 33.3 months. Perioperative complications included subconjunctival gas in 2 eyes, subretinal gas in 1 eye and delayed absorption of subretinal fluid in 5 eyes. Retinal reattachment was obtained in 22 eyes(79%) and final reattachment rate was 100% with an additional procedure of scleral buckle(4 eyes)or pars plana vitrectomy(2 eyes). Final visual acuity improved in 25 eyes(89%), and decreased in 2 eyes. Postoperatively following complications were noted;mild proliferative vitreoretinopathy(3 eyes), epiretinal membrane(1 eye), central retinal artery occlusion(1 eye), nucleosclerosis(4 eyes)and cataract operation(2 eyes). This result suggests that pneumatic retinopexy could be a good method for the treatment of rhegmatogenous retinal detachment.
Absorption ; Cataract ; Follow-Up Studies ; Humans ; Retinal Artery ; Retinal Detachment ; Retinaldehyde ; Subretinal Fluid ; Sulfur ; Visual Acuity

Bietti's crystalline retinopathy is a rare form of tapetoretinal degeneration characterized by yellow, polygonal, glistening intraretinal crystals in the posterior pole and in the superficial paralimbal cornea, which may be due to a systemic abnormality of lipid metabolism, and has been to have a autosomal recessive pattern.Also lots of the reports described similar cases without any corneal changes. 56 years-old female with complaint of progressive visual decrease had corrected visual acuity of 0.1 in her right eye and 1.0 in her left eye.Yellow intraretinal crystals with retinal pigment epithelial (RPE)dystrophy and choroidal sclerosis were noticed without any corneal changes.During follow-up for thirty months, visual acuity gradually decreased to counting fingers in her right eye and 0.7 in her left eye, and RPE degeneration and choroidal sclerosis worsened with no change in intraretinal crystals.
Choroid ; Cornea ; Crystallins* ; Female ; Fingers ; Follow-Up Studies ; Humans ; Lipid Metabolism ; Middle Aged ; Retinaldehyde ; Retinitis Pigmentosa ; Sclerosis ; Visual Acuity