We had performed eight incision radial keratotomy employing the American technique on 247 eyes of 166 patients from July, 1986 to December, 1987. The clinical results including postoperative uncorrected visual acuity, refractive power, and keratometric power were followed up at 6 months on 92(37.2%) of 247 cases. The results were as follows; 1. The mean postoperative uncorrected visual acuity was 0.595 and 60.9% of all cases had 20/40 or better uncorrected visual acuity. 2. The mean reduction in postoperative refractive power was 3.26 diopters. 3. The mean reduction in postoperative keratometric power was 3.08 diopters. 4. Operative and postoperative complications were visual fluctuation(142 eyes), photophobia(52 eyes), microperforation(7 eyes), transient increase of IOP(5 eyes), changes of peripheral cornea(6 eyes), and one case of postoperative cataract with persistent hypotony and uveitis.
Cataract ; Humans ; Keratotomy, Radial* ; Postoperative Complications ; Uveitis ; Visual Acuity

PURPOSE: This study was undertaken to evaluate the clinical results of pars plana vitrectomy on posterior segment complications in posterior uveitis. METHODS: We reviewed the records of 20 eyes of 19 uveitis patients who were followed up for 6 months or more after vitrectomy. RESULTS: The mean follow-up period was 20 months. Final visual acuity improved in 10 eyes (50%), was maintained in 6 (30%), and decreased in 4 (20%). The mean improvement of vision was 1.6 lines (p=0.019). Detached retina was reattached in 8 (80%) among the 10 eyes with primary surgery. Postoperative complications were cataract (7 eyes), macular degeneration (2 eyes), retinal detachment (2 eyes), and recurrence (1 eye). CONCLUSIONS: These results suggest that pars plana vitrectomy may be a safe and effective treatment for posterior segment complications in posterior uveitis, but that early and complete vitrectomy should be considered for a better visual prognosis.
Cataract ; Follow-Up Studies ; Humans ; Macular Degeneration ; Postoperative Complications ; Prognosis ; Recurrence ; Retina ; Retinal Detachment ; Uveitis ; Uveitis, Posterior* ; Visual Acuity ; Vitrectomy*

Adolescent ; Female ; Humans ; Mucocutaneous Lymph Node Syndrome ; complications ; Uveitis, Anterior ; etiology

The authors report the result of cryo-extraction of the lens in 50 eyes (44 cases) which were operated in B.N.D. Hospital from January 1978 to April 1980. The results are as follows: 1. The incidences of complication during operation were hyphema(8%), vitreous loss and rupture of the lens capsule(2%). Hyphema was the most common complication during operation. 2. The incidences of early postoperative complication were striate keratitis(26%), hyphema (2%), shallow anterior chamber(2%) and uveitis. 3. The incidences of late postoperative complication were vitreous prolapse into anterior chamber (6%), updrawn pupil(6%), macular edema(4%) and posterior synechia (2%), corneal degeneration with abnormal tissue growth into anterior chamber (2%), iris atrophy (2%) and vitreous opacity (2%). 4. The postoperative final visual acuity more than 0.5 were 37 eyes(74%) and less than 0.1 were 2 eyes(4%).
Anterior Chamber ; Atrophy ; Cataract* ; Hyphema ; Incidence ; Iris ; Postoperative Complications ; Prolapse ; Rupture ; Uveitis ; Visual Acuity

Adult ; Behcet Syndrome ; complications ; drug therapy ; Drugs, Chinese Herbal ; therapeutic use ; Humans ; Male ; Uveitis ; complications ; drug therapy

We evaluated preoperative characteristics, intraoperative problems, and postoperative complications among the patients who underwent phacoemulsification and posterior chamber intraocular lens implantation by one surgeon. Eyes with postoperative visual acuity was lower than preoperatively or less than 0.4 on Han`s visual acuity chart were designated Group A, 68 eyes (16.4%), and the remaining eyes were Group B, 46 eyes (83.6%). Preoperative characteristics in Group A were uveitis (16.2%), diabetic retinopathy (13.2%), glaucoma (11.8%), macular abnormality (11.8%), etc. Intraoperative complications, posterior capsule reptures with vitreous loss occurred in 21 eyes (5.1%). 8 eyes (11.8%) of the 21 eyes were Group A, 13 eyes (3.8%) were Group B, and the difference between both groups were statistically significant (p<0.01). Postoperatively, cystoid macular edema was occurred in 12 eyes (2.9%). 11 eyes (16.2%) of 12 eyes were Group A, 1 eye (0.3%) was Group B, and the difference between both groups were statistically significant (p<0.01) and 4 eyes were preceded by posterior capsule rupture. From the above results, we recognized the importance of avoiding posterior capsule rupture with vitreous loss. If it does occur, we recommend that meticulous anterior vitrectomy be performed. Following these guidlines should reduce the rate of unsuccessful cataract sugery.
Cataract* ; Diabetic Retinopathy ; Glaucoma ; Humans ; Intraoperative Complications ; Lens Implantation, Intraocular ; Macular Edema ; Phacoemulsification ; Postoperative Complications ; Rupture ; Uveitis ; Visual Acuity ; Vitrectomy

We reviewed the hospital records of 104 consecutive eyes in 101 patients who underwent pars plana vitrectomy at Presbyterian Medical Center from January 1993 to December 1995 and studied the postoperative visual acuity and postoperative complications. Possible indications for pars plana vitrectomy were follows: complications of proliferative diabetic retinopathy (30.7%),complications of other types of proliferative retinopathy except proliferative diabetic retinopathy(25.0%),complications of anterior segment surgeries (14.4%), complex retinal detachments(8.7%), intraocular inflammations and uveitis (8.7%), macular diseases (6.7%), and complications of ocular trauma (5.8%), Regarding postoperative final visual acuity, 53 eyes(51.0%) were improved, 30eyes(28.8%) were stabilized, 21eyes(20.2%) were worsened. Intraoperative or postopertive cataract, retinal breaks or retinal detachment were most frequent complications. We expected that pars plana vitrectomy might be indicated in various ocular diseases containing proliferative diabetic retinopathy.
Cataract ; Diabetic Retinopathy ; Hospital Records ; Humans ; Inflammation ; Postoperative Complications ; Protestantism ; Retinal Detachment ; Retinal Perforations ; Retinaldehyde ; Uveitis ; Visual Acuity ; Vitrectomy*

Choroideremia is a rare hereditary disease with characteristic fundus that causes night blindness and peripheral visual field loss. The authors encounter choroideremia accompanied by recurrent uveitis. This paper is designed to give a description of the condition, along with an investigation of the literature. Ophthalmological tests and treatments were performed. Characteristic fundus, night blindness, peripheral visual field loss, electroretinography and other manifestations led us to a diagnosis of choroideremia. The anterior uveitis was managed with medication.
Adult ; Choroideremia/*complications/diagnosis ; Electroretinography ; Fluorescein Angiography ; Fundus Oculi ; Human ; Male ; Night Blindness/etiology ; Recurrence ; Uveitis, Anterior/*complications ; Vision Disorders/etiology ; Visual Fields

Posterior chamber intraocular lenses were implanted into 40 eyes with inadequate capsular or zonular support by securing both haptics of the lenses to the sclera at ciliary sulcus with 10-0 prolene sutures. Our follow-up of 36 eyes with scleral fixated posterior chamber intraocular lenses ranged from 2 months to 8 months(average 4.6 months). At the last follow-up visit. 31 eyes(86%) had a vision of 0.5 or better. Mean refractive error was -1.15 +/- 1.13D. which was -0.67 +/- 0.99D more myopic than predicted (p<0.05). Measurement of anterior chamber depth showed deeper than the control group of posterior chamber intraocular lenses without scleral fixation suture(4.18 +/- 0.42mm, 3.96 +/- 0.29mm, respectively), but which was not statistically significant(p>0.05). Additionally, the difference of postoperative axial length between two groups was not statistically significant(23.39 +/- 0.87mm, 23.42 +/- 0.75mm, respectively). In 4 eyes(ll %), minor intraoperative bleeding oceured but was absorbed spontaneously without any sequelae. One eye(3%) of minimal decentration of PCL, one eye(3%) of subluxation of PCL, and one eye(3%) of exposed scleral fixation suture were noted, but no serious postoperative complication, such as corneal edema, glaucoma, persistent uveitis, or retinal detachment was detected.
Anterior Chamber ; Corneal Edema ; Follow-Up Studies ; Glaucoma ; Hemorrhage ; Lenses, Intraocular* ; Polypropylenes ; Postoperative Complications ; Refractive Errors ; Retinal Detachment ; Sclera ; Sutures* ; Uveitis

This study is based on the results of cryo-extraction of the lens in 123 eyes(98 cases) which were operated in Chosun University Hospital between Jan. 1979 and Feb. 1981. The results are summarized as follow: 1. The cryo-extraction have been done for 41 males and 57 females of the 98 patients. 2. The incidences of complication during operation were capsule rupture (5.7%), vitreous loss (4.9%), iris prolapse (1.6%). 3. The incidences of early postoperative complication were hyphema (12.1%). updra wn pupil (8.9%), corneal edema (6.5%), flat anterior chamber (4.9%). 4. The incidences of late postoperative complication were vitreous bulging (5.7%), vitreous opacity (4%), glaucoma(2.4%), uveitis (0.8%), retinal detachment (0.8%). 5. The ccrrected visual acuities before discharge of hospital were: more than 0.5 ... 39.0% (48 eyes), 0.1-0.4 ... 48.8% (60 eyes), less than 0.1 ... 12.2% (15 eyes). 6. The major causes of visual acuity less than 0.1 were vitreous opacity (33.4%), secondary glaucoma (20%), proliferative diabetic retinopathy (20%), corneal opacity (13.4%), retinal degeneration (13.3%).
Anterior Chamber ; Cataract* ; Corneal Edema ; Corneal Opacity ; Diabetic Retinopathy ; Female ; Glaucoma ; Humans ; Hyphema ; Incidence ; Iris ; Male ; Postoperative Complications ; Prolapse ; Pupil ; Retinal Degeneration ; Retinal Detachment ; Rupture ; Uveitis ; Visual Acuity