Ultrasonograms were obtained from 27 cases of intraocular and 10 cases of orbital diseases with S.K.L containing a general transducer(A-mode), 1~3 MHz in its frequency and 15mm in its diameter. The authors summerized that these ultrasonograms would provide some benefits in supplementary clinical diagnosis, especially in confirming the presence of intraocular tumors, differential diagnosis of primary and secondary retinal detachment and deciding the location and surgical procedure preoperatively in the orbital tumors.
Diagnosis ; Diagnosis, Differential ; Orbit* ; Orbital Diseases* ; Retinal Detachment ; Ultrasonography*

Posterior scleritis must be one of the most underdiagnosed treatable conditions in ophthalmology, partly because its manifestations are so protean and partly because the diagnosis is rarely considered. Although ultrasonography and computer tomogram are ancilliary tests, a careful examination of the posterior segment of the eye including the area of the ora serrata, macula and disc is essential to discover the presence of a posterior scleritis. We experienced prolonged retinal pigment epithelial detachments which had appered at early phase of posterior scleritis.
Bruch Membrane ; Diagnosis ; Ophthalmology ; Retinal Detachment* ; Retinaldehyde* ; Scleritis* ; Ultrasonography

Malignant melanoma is the most common intraocular tumor in whites but rare in orientals. We experienced a case of malignant melanoma of the choroid in 39-year-old female who had decrease of vision of her right eye. Slit lamp examination through the dilated pupil showed a well delineated pigment mass in the vitreous cavity and ophthalmoscopic examination showed a large inferior retinal detachment. Diagnosis was made by ultrasonography and computerized tomography. The right eye was enucleated and was found to have a large pigmented mass of the choroid. Histopathologic examination of the choroidal mass disclosed a malignant melanoma composed of epitheloid cells. At the last visit, 4 months after enucleation, the patient was doing well.
Adult ; Choroid* ; Diagnosis ; Female ; Humans ; Melanoma* ; Pupil ; Retinal Detachment ; Ultrasonography

Stickler syndrome is a genetic disorder characterized by ophthalmologic, craniofacial, audiologic, and joint problems. In this report, we describe a 10-year-old boy presenting with a flat face, high myopia, retinal detachment, arthropathy, short stature, and mental retardation. Sequencing of the COL2A1 gene revealed a novel mutation, c.3055C > T (p.Pro1019Ser), consistent with a diagnosis of Type 1 Stickler Syndrome.
Child ; Diagnosis ; Humans ; Intellectual Disability ; Joints ; Male ; Myopia ; Retinal Detachment

The Neurosensory retinal detachment contributes to the visual loss in the idiopathaic macular holes. Vitrectomy can be performed to reattach the retina by removing anterior-posterior and tangential traction between cortical vitreous and macular surface. Also bioadhesives, like autologous serum or platelets aggregates are used to flatten of surrounding rim detachment of macular holes. Among 22 eyes that underwent vitrectomy for the treatment of macular holes, anatomic success was achieved in 12 eyes (59.1%), and visual improvement in 10 eyes (45.5%). The time interval between diagnosis and operation was well-correlated to the functional success rate, while the type of surgical procedures was not. Postoperative complications included 2 cases of cataract, and 1 case of retinal detachment.
Cataract ; Diagnosis ; Postoperative Complications ; Retina ; Retinal Detachment ; Retinal Perforations* ; Traction ; Vitrectomy*

Traumatic hyphema accounts for about 6.7% of ocular trauma and its visual threatening associated ocular injuries are commotio retinae, retinal detachment, macular hole. cataract and rebleeding. The authors reviewed the medical records of 98 patients (98 eyes) having been admitted to the Joongang Gil Hospital between March 1989 and February 1991 with the diagnosis of nonperforating traumatic hyphema. Prospective study was performed as to the effect of epsilon-aminocaproic acid (EACA) in the clearance time of blood clot in the anterior chamber and the frequency of rebleeding. The avlrage clearance time of blood clot was significantly longer in the EACA treated group (5.8 days) than in the control group (3.5 days)(t-Test P<0.01). The frequency of rebleeding was not statistically significantly different between the EACA treated group (3.9%, 2/52 patients) and the control group (87%, 4/46 patients)(X2-Test P>0.05).
Aminocaproic Acid ; Anterior Chamber ; Cataract ; Diagnosis ; Humans ; Hyphema* ; Medical Records ; Prospective Studies ; Retina ; Retinal Detachment ; Retinal Perforations

PURPOSE: To analyze retinal tears and to compare the clinical outcomes between retinal tear and rhegmatogenous retinal detachment (RRD) as the cause of dense non-diabetic vitreous hemorrhage in patients who underwent vitreoretinal surgery. METHODS: In a retrospective case series, the medical records of patients who presented dense non-diabetic vitreous hemorrhage and who underwent vitreoretinal surgery between January 2005 and June 2009 were reviewed. Among the 134 patients, 27 patients had dense vitreous hemorrhage caused by retinal tears. The first group had retinal tears only and the second group had accompanying RRD. A comparison of clinical features and postoperative prognoses between the two groups was performed. RESULTS: Among the 27 eyes with non-traumatic retinal tear and RRD, 18 were categorized into the retinal tear group and 9 to the RRD group. The demographic findings between the two studied groups exhibited no significant differences except for time between onset of symptoms and diagnosis. However, the time to diagnosis was significantly delayed in the group with RRD (22.67 +/- 37.47 days) compared to the retinal tear group (5.00 +/- 3.41 days) (p = 0.035). The amount of visual improvement was also greater in the retinal tear group than the RRD group (p = 0.002). CONCLUSIONS: Retinal tears are a major cause of non-diabetic vitreous hemorrhage. Vitreous hemorrhage caused by retinal detachment may result in delayed diagnosis and poor visual recovery. Therefore, early examinations in suspicion of RRD and appropriate treatments are needed in non-diabetic vitreous hemorrhage.
Delayed Diagnosis ; Eye ; Humans ; Medical Records ; Prognosis ; Retinal Detachment ; Retinal Perforations ; Retinaldehyde ; Retrospective Studies ; Vitreoretinal Surgery ; Vitreous Hemorrhage

PURPOSE: To analyze the clinical characteristics and factors affecting visual outcome after surgery in rhegmatogenous retinal detachment resulting from blunt trauma. METHODS: We retrospectively reviewed the medical records of 122 patients (122 eyes) who were diagnosed with rhegmatogenous retinal detachment after blunt trauma and who had been under regular observation for at least six months. RESULTS: The frequency of traumatic rhegmatogenous retinal detachment was 122 eyes out of 989 total eyes with rhegmatogenous retinal detachment (12.3%). The mean age was 36.3 years (7-66): 93 (76.2%) male, 29 (23.8%) female. The most common type of retinal break was a horseshoe-shaped retinal tear (31.1%), and the most common location was the superotemporal quadrant (32.8%) and on the retinal equator or anterior to the equator (90.2%). Patients older than 50 years had a shorter latent period from the traumatic event to the symptom presentation (p=0.028). Whether the retinal detachment involve the macula, the extent of detachment, the initial visual acuity and the time interval from symptom presentation to treatment influenced on the postoperative visual recovery. CONCLUSIONS: Traumatic rhegmatogenous retinal detachment had a favorable visual recovery in cases of early diagnosis. Therefore, detailed and frequent examinations of the retinal periphery after ocular trauma are important if vision is to be preserved. Older patients showed a tendency to advance into traumatic rhegmatogenous retinal detachment more rapidly after trauma than did younger patients. Therefore, elderly patients will require special intensive treatment following traumatic retinal detachment.
Aged ; Early Diagnosis ; Eye ; Female ; Humans ; Male ; Medical Records ; Retinal Detachment ; Retinal Perforations ; Retinaldehyde ; Retrospective Studies ; Vision, Ocular ; Visual Acuity

PURPOSE: To analyze the clinical characteristics and factors affecting visual outcome after surgery in rhegmatogenous retinal detachment resulting from blunt trauma. METHODS: We retrospectively reviewed the medical records of 122 patients (122 eyes) who were diagnosed with rhegmatogenous retinal detachment after blunt trauma and who had been under regular observation for at least six months. RESULTS: The frequency of traumatic rhegmatogenous retinal detachment was 122 eyes out of 989 total eyes with rhegmatogenous retinal detachment (12.3%). The mean age was 36.3 years (7-66): 93 (76.2%) male, 29 (23.8%) female. The most common type of retinal break was a horseshoe-shaped retinal tear (31.1%), and the most common location was the superotemporal quadrant (32.8%) and on the retinal equator or anterior to the equator (90.2%). Patients older than 50 years had a shorter latent period from the traumatic event to the symptom presentation (p=0.028). Whether the retinal detachment involve the macula, the extent of detachment, the initial visual acuity and the time interval from symptom presentation to treatment influenced on the postoperative visual recovery. CONCLUSIONS: Traumatic rhegmatogenous retinal detachment had a favorable visual recovery in cases of early diagnosis. Therefore, detailed and frequent examinations of the retinal periphery after ocular trauma are important if vision is to be preserved. Older patients showed a tendency to advance into traumatic rhegmatogenous retinal detachment more rapidly after trauma than did younger patients. Therefore, elderly patients will require special intensive treatment following traumatic retinal detachment.
Aged ; Early Diagnosis ; Eye ; Female ; Humans ; Male ; Medical Records ; Retinal Detachment ; Retinal Perforations ; Retinaldehyde ; Retrospective Studies ; Vision, Ocular ; Visual Acuity

PURPOSE: To analyze the preoperative clinical characteristics, surgical methods, outcomes and visual prognosis of retinal detachment following congenital cataract surgery. METHODS: We retrospectively analyzed the medical records of 16 patients (16 eyes) who had undergone an operation for retinal detachment following congenital cataract surgery. Anatomical success was considered to have occurred if the retina was well attached in fundus exam at postoperative 6 months. RESULTS: There were more male (81.3%) patients than female patients. The average age of cataract surgery was 19.3 years, and the mean interval between cataract surgery and retinal detachment was 7.7 years. The most common type of the retinal break was a round hole and the most common location of retinal break was the inferotemporal quadrant. Total retinal detachment was 56.2% and the macula was detached in 87.5% of patients. The anatomical success rate of the primary operation was 43.8% and the final success rate was 87.5%. Postoperative visual acuity increased in 43.8% of patients. CONCLUSIONS: Retinal detachment following congenital cataract surgery had a poor success rate compared to that of other retinal detachments due to difficulties in finding the retinal break (37.5%) and frequent total retinal detachment. Early diagnosis, prompt surgery, vitrectomy and intraocular tamponade for primary operation would increase the success rate and improve postoperative visual prognosis.
Cataract* ; Early Diagnosis ; Female ; Humans ; Male ; Medical Records ; Prognosis ; Retina ; Retinal Detachment* ; Retinal Perforations ; Retinaldehyde* ; Retrospective Studies ; Visual Acuity ; Vitrectomy