The most common complication of cataract surgery, posterior capsular opacification is known to arise from the lentivular epithelial proliferation. The simple mechanical elimination of the lenticular epithelial cells by irrigation and asiration is most widely used now. Recently, the defenite size of continous curvilinear capsulorhexis(C.C.C.) and the effect of partial mechanical removal of lens epi thelial cells is under the discussion. We used 15 Neuzealand white rabbits(30 eyes) to examine the appropriate capsulotomy size and the effect of simple irrigation and aspiration on the posterior capsular opacification for 3 months after operation. The results from by using the slit lamp and the ophthalmoscope examination showed that the posterior capsular opacificaiton grade score was lower in the small(3~4mm) capsulotomy with irrigation and aspiration group(1.7) than in the small capsulotomy(3~4mm) group without irrigation and aspiration group(2.3) or the large capsulotomy (6~7mm) group without irrigation and aspiration(2.4). The optical power meter and posterior eye evaluation technique also presented the same results of posterior capsular opacification grade as those of slit lamp and ophthalmoscope examination which was done on the eneuc1eated eyes at postoperative 3 months.
Cataract ; Epithelial Cells* ; Ophthalmoscopes

The purpose of this study is to establish the criteria to discriminate whether the difference of the optic disc parameters compared actually reflects the progress of the disease or it is merely caused by the intraexaminer or interexaminer error. Using the confocal scanning laser ophthalmoscope (TopSS), one eye of each of 20 healthy adults were exmained by the same examiner and one eye of each of 10 adults were examined by different examiners for two consecutive days. The results out of these repeated examinations were analysed to obtain 95%confidence intervals by analysis of the change of the 12 optic disc parameters, and to determine whether the results have been influenced by the disc size or the disc tilt. The criteria to differentiate actual progression of disease from potential errors of the test were obtained. In addition, it was confirmed that changes in the parameters were not influenced by the disc size or the contour tilt. In conclusion,the outcomes of this study can be utilized as a guiding criteria when judging the relevance of the parameter changes to the progress of the disease.
Adult ; Humans ; Ophthalmoscopes

Asteroid hyalitis is a condition in which many creamy or dull-white opacities are suspended in the vitreous. The author has recently encountered a case of asteroid hyalitis in a 68 year old Korean woman. The asteroid bodies are small discrete particles, disc-shaped or spherical, sometimes marshalled in strands and columns sometimes in bundles, but more usually showing no roderly arrangement. With the ophthalmoscope, they are seen by reflected light as creamy or white and shiny, looking like snowballs or stars in the night sky. A brief review of the literature is described.
Aged ; Female ; Humans ; Ophthalmoscopes

The scanning laser ophthalmoscope was used to measure arm-retinal time(ART) and arteriovenous passage time(AVP) in 27 non-proliferative diabetic retinopathic eyes(NPDR eyes) and 22 normal controls. The ART in NPDR eyes(12.10 +/- 4.21 sec) was similar to that in normal eyes(12.79 +/- 3.59 sec). The AVPs measured from each quadrant were significantly longer in all quadrants in the NPDR eyes (2.41 +/- 0.85 sec in superior temporal quadrant (ST), 2.29 +/- 0.63 sec in inferior temporal one(IT) , 2.41+/-0.88 see in superior nasal one (SN), and 2.30 +/- 0.72 sec in inferior nasal one(IN)) than in normal eyes(1.73 +/- 0.61 sec in ST, 1.81 +/- 0.75 sec in IT, 1.83 +/- 0.58 sec in SN, and 1.83 +/- 0.58 sec in IN). This results suggest that retinal blood flow and its velocity are reduced in NPDR.
Diabetic Retinopathy* ; Ophthalmoscopes* ; Retinaldehyde*

We analysed the optic nerve head of 151 normal eyes with 8 confocal scanning laser ophthalmoscope (TopSSTM, Laser Diagnostic Technologies, Inc.), and obtained the normal values of each parameters. As the optic disc size increases, the cup shape, effective area, 1/2 depth area, C/D ratio, neuroretinal rim area, volume above, volume below, and 1/2 depth volume also increase. Therefore we obtained the normal values of these parameters according to the optic disc size. The entire subjects were divided into four groups according to the disc area, each group of 1. 5mm2-2.0mm2, 2.0mm2-2.5mm2, 2.5mm2-3.0mm2, and 3.0mm2-3.5mm2`, respectively. The normal values of other parameters such as contour variation, rnean contour depth, average depth, maximum depth, average slope, and maximum slope which are not affected by optic disc size were obtained without grouping. This may minimize the error in evaluating the optic disc parameters and may be useful in the early detection of glaucomatous optic disc changes.
Ophthalmoscopes ; Optic Disk ; Reference Values*

It has been reported that the number of optic nerve fibers decrease with age, and the C/D ratio increases as the optic disc size increases. Consequently, the normal values of the optic disc parameters measured by an optic disc analyser may change according to the optic disc size or age. We attempted to investigate the effect of individual variations in optic disc size or age on interpretation of optic disc parameters. Topographic disc parameters of 104 normal subjects aged 40 to 69 were measured using a confocal scanning laser ophthalmoscope (TopSSTM , Laser Diagnostic Technologies, Inc.). Fourteen parameters were evaluated according to the optic disc size or age. Statistical analysis was done by regression analysis. With an increase in optic disc size, the increase in cup shape, effective area, 1/2 depth area, C/D ratio, neuroretinal rim area, volume above, volume below, and 1/2 depth volume were statistically significant (p<0.05). However, contour variation, mean contour depth, average depth, maximum depth, average slope, and maximum slope were not affected (p>0.1). Age did not show any statistically significant influence on optic disc parameters (p>0.1). In conclusion, optic disc size, but not age, should be considered in the interpretation of optic disc parameters.
Ophthalmoscopes ; Optic Nerve ; Reference Values

This study was designed to evaluate the association between rhegmatogenous retinal detachment and retinal circulation times. We observed retinal circulation times in 30 patients with rhegmatogeneous retinal detachment before and after operation using the scanning laser ophthalmoscope. We measured arm to retina time(ART) and arteriovenous passage time(AVT) before the operations and after(average 2.5 weeks) successful reattachment of detached retina. Preoperative ART and AVP were 13.83 +/- 3.08 see and 2.91 +/- 0.69 see respectively, whereas postoperative ART and AVP were 13.60 +/- 2.99 see and 2.90 +/- 0.63 see in detached areas. There was no statistically significant difference between pre- and post-operative ART and AVP in detached retina(P>0.05). Preoperative ART and AVP in flat retinal area were 13.82 +/- 3.08 and 2.91 +/- 0.69 see respectively. There was no statistically significant difference between flat and detached area preoperatively (P>0.05). No significant correlation was noted between retinal circulation times and rhegmatogeneous retinal detachments by scanning laser ophthalmoscope.
Arm ; Humans ; Ophthalmoscopes ; Retina ; Retinal Detachment* ; Retinaldehyde*

PURPOSE: To evaluate the clinical usefulness, convenience, and possibility of using the medical records of fundus photography with a smartphone. METHODS: We used an ophthalmoscope to examine the images using a smartphone (iphone 6, Apple Inc., Cupertino, CA, USA) and +20D and +28D condensing lenses. Twenty-four subjects were selected for comparison with the conventional funduscopic camera. The posterior pole of the 45° range of the right eye and the fundus photograph taken using the smartphone were analyzed. We measured the distances between specific points on three photographs taken of the patient and calculated the photographing range. RESULTS: The +20 D lens was 0.80 ± 0.06 times smaller than that of the fundus camera and +1.12 ± 0.06 times bigger than that of the fundus photograph. When the area of the funduscope was converted to 45°, +20 D could visualize an area of 36.10 ± 2.82°, and +28 D could visualize a 50.56 ± 2.68° area. CONCLUSIONS: Without expensive equipment, a smart phone and a condensing lens can be used to easily perform fundus examination without the need for a special technique. Therefore, this technique is not only useful clinically, but also is very convenient for keeping medical records as fundus photographs.
Humans ; Medical Records ; Ophthalmoscopes ; Ophthalmoscopy ; Photography* ; Smartphone*

PURPOSE: To evaluate the relation between recovery of visual function and microperimetric fixation area in eyes with idiophthic macular hole after vitrectomy. METHODS: We used SLO (Scanning laser microscope, Rodenstock, Germany) microperimetry to examine foveal retinal function and fixation area in 14 eyes with idiopathic macular hole following pars plana vitrectomy. The relation between those preoperative and postoperative best corrected visual acuity and fixation area was studied. RESULTS: The macular hole size was correlated with preoperative visual acuity (p=0.026) and the closure of hole was related to the size of fixation area (p=0.003). The postoperative visual acuity was related to symptom duration before the vitrectomy (p=0.03), but not related to preoperative macular hole size. The fixation area correlated with the postoperative best corected visual acuity (p=0.043) and the direction of movement was variable. In most eyes, fixation area was located above the horizontal meridian. CONCLUSIONS: The fixation area was correlated with postoperative visual acuity and we think functional macular hole closure as well as anatomical closure were useful parameter of the success of macular hole surgery.
Ophthalmoscopes* ; Retinal Perforations* ; Retinaldehyde ; Visual Acuity ; Vitrectomy*

The purpose of this study is to evaluate the status of fundus torsion in 48 patients with unilateral inferior oblique overaction(IOOA) and the results were compared with that in 182 patients who showed normal inferior oblique function by an indirect ophthalmoscope under general anesthesia before strabismic surgery. In 48 eyes with unilateral IOOA, 35 eyes(72.9%) showed extorsion in the same eye. We could also find extorsion in 9 normal fellow eyes(18.7%). Among 182 horizontal strabismic patients(364 eyes) with normal inferior oblique function, there were 23 eyes(6.3%) of extorsion and 1 eye (0.3%) of intorsion. We compared the degree of extorsion with that of IOOA in 48 patients with unilateral IOOA: a mild extorsion were observed in 2 of 10 eyes with IOOA+1. A mild and moderate extorsion were observed in 13(72.2%) and 3 (16.7%) of 18 eyes with IOOA+2, respectively. A mild and moderate extorsion were observed in 9(45%) and 8(40%) of 20 eyes with IOOA+3 respectively. These findings showed that the greater IOOA produces the greater extorsion(p<0.01). On our results the fundus indirect ophthamoscopy before strabismic surgery seems to be helpful in the diagnosis of cyclotorsion.
Anesthesia, General* ; Diagnosis* ; Humans ; Ophthalmoscopes ; Ophthalmoscopy* ; Strabismus*