The visual acuity changes following strabismus surgery are generally short-lived and tend to disappear with time. However, some cases of persistent decreased vision is considered to be caused by changes of corneal curvature following strabismus surgery, resulting in increased corneal astigmatism. To investigate the amount and frequency of corneal astigmatiy changes following horizontal strabismus surgery, the authors periodically examined pre-and postoperative corneal curvature using keratometer in 56 eyes of 34 patients who had undergone horizontal strabismus surgery from March, 1987 to February, 1989 at Gyeongsang National University Hospital and Masan Koryo General Hospital. An average of 0.41D in horizontal curvature and an average of 0.05D in vertical curvature was decreased at 8 weeks after operation. The changes of +0.5D or more were present in 53.6% in horizontal curvature and 42.9% in vertical curvature. In comparison of one muscle operation with two muscle operation in one eye, both horizontal and vertical curvature showed no significant changes statistically(p>0.05).
Astigmatism* ; Hospitals, General ; Humans ; Strabismus* ; Visual Acuity

Hallermann-Streiff Syndrome is a rare congenital anomaly characterized by dyscephalia, dental anomalies, hypotrichosis, congenital cataract, bilateral microphthalmia and has characteristic feature of bird face due to marked mandibular hypoplasia and beaked nose. The authors have experienced a case of Hallermann-Streiff Syndrome combined with bilateral aphakia and glaucoma in a 34 years old woman and we report this case with the review of literatures.
Adult ; Animals ; Aphakia ; Beak ; Birds ; Cataract ; Female ; Glaucoma ; Hallermann's Syndrome ; Humans ; Hypotrichosis ; Microphthalmos ; Nose

Hemophilia A is a hemorrhagic disease caused by coagulation factor VIII deficiency. In head and neck cancer surgery, especially during a reconstructive one, complications can occur. These include hematomas due to bleeding which can then lead to flap ischemia, necrosis, and impaired wound healing. There are fewer cases of reconstructive surgery in patients with hemophilia A. Here in we report, a reconstructive surgery that involved mass resection, partial glossectomy (right), selective neck dissection (right, Levels I, II, III, IV), and reconstruction at the lateral arm free flap (left) in a 25-year-old man with hemophilia A. The surgery was successfully performed without any complications after pretreatment with Factor VIII concentrate, which has not been reported earlier.

Hemophilia A is a hemorrhagic disease caused by coagulation factor VIII deficiency. In head and neck cancer surgery, especially during a reconstructive one, complications can occur. These include hematomas due to bleeding which can then lead to flap ischemia, necrosis, and impaired wound healing. There are fewer cases of reconstructive surgery in patients with hemophilia A. Here in we report, a reconstructive surgery that involved mass resection, partial glossectomy (right), selective neck dissection (right, Levels I, II, III, IV), and reconstruction at the lateral arm free flap (left) in a 25-year-old man with hemophilia A. The surgery was successfully performed without any complications after pretreatment with Factor VIII concentrate, which has not been reported earlier.

Complex regional pain syndrome (CRPS) is rare, characterized by pain from diverse causes, and presents as extreme pain even with minor irritation. General anesthesia may be required for dental treatment because the pain may not be controlled with local anesthesia. However, treatment under general anesthesia is also challenging. A 38-year-old woman with CRPS arrived for outpatient dental treatment under general anesthesia. At the fourth general anesthesia induction, she experienced severe pain resulting from her right toe touching the dental chair. Anesthesia was induced to calm her and continue the treatment. After 55 minutes of general anesthesia, the patient still complained of extreme toe pain. Subsequently, two administrations for intravenous sedation were performed, and discharge was possible in the recovery room approximately 5 h after the pain onset. The pain was not located at the dental treatment site. Although the major factor causing pain relief was unknown, ketamine may have played a role.
Adult ; Anesthesia ; Anesthesia, General ; Anesthesia, Local ; Complex Regional Pain Syndromes ; Dental Care ; Female ; Humans ; Ketamine ; Outpatients ; Pain Management ; Recovery Room ; Toes