Therapeutic keratoplasties for 7 patients (7 eyes) with the corneal perforation were performed at St. Mary's Hospital, Catholic University Medical College, from November 1988 to December 1991 for about 3 years. The causative diseases of corneal perforation were herpes simplex keratitis in 2 eyes (28.6%), corneal ulcers after trauma in 2 eyes (28.6%), and keratitis of unknown etiology in 3 eyes (42.9%). Postoperative complications were cataract (2 eyes; 28.6%), synechiaes(2 eyes; 28.6%), glaucoma (1 eye; 14.3%)' endophthalmitis (1 eye; 14.3%) and graft failure (1 eye; 14.3%). Among the 7 grafted corneas, clear corneas were noted in 2 eyes (28.6%), but opaque corneas developed in 4 eyes (57.1 %), and eVIsceration was performed in 1 eye (14.3%) due to endophthalmitis. After keratoplasty, the visual acuity was over 0.1 in lout of the 6 eyes. In the corneal perforation, it was good to delay keratoplasty until the intraocular inflammation was subsided, but we preferred to do the keratoplasty immediately for large perforation or removal of the causative disease.
Cataract ; Cornea ; Corneal Perforation* ; Corneal Transplantation ; Endophthalmitis ; Glaucoma ; Humans ; Inflammation ; Keratitis ; Keratitis, Herpetic ; Keratoplasty, Penetrating* ; Postoperative Complications ; Transplants ; Ulcer ; Visual Acuity

No abstract available.
Giant Cell Tumors* ; Giant Cells* ; Spine*

Retrobulbar hemorrhage is a rare complication following cardiopulmonary bypass surgery, which has never been reported in Korea. Our cardiac surgery tearn diagnosed a case of 30 year-old female patient as atrial septal defect and performed direct closure for it. Proptosis of the right eye was developed during surgery and she was consulted to Department of Ophthalmology, St. Mary's Hospital, Catholic University Medical College. We confirmed the evidence of the proptosis of the right eye with Hertel's exophthalmo meter and diagnosed this case as retrobulbar hemorrhage that orbital CT showed a large ovoid shaped non-enhancing hyperdense mass shadow at superior portion of the right orbit. So we report our case with a brief review of the literature related to retrobulbar hemorrhage during cardiopulmonary bypass surgery.
Adult ; Cardiopulmonary Bypass* ; Exophthalmos ; Female ; Heart Septal Defects, Atrial ; Humans ; Korea ; Ophthalmology ; Orbit ; Retrobulbar Hemorrhage* ; Thoracic Surgery

OBJECTIVE: Endocervical infection of Chlamydia trachomatis is one of the most common sexually transmitted diseases(STD) in women, and it usually disseminates into the upper genital tract, especially at the uterine exploration. This study was performed to investigate the prevalence rate of endocervical Chlamydia trachomatis in infertile women with the application of polymerase chain reaction(PCR) for the detection of Chlamydia trachomatis DNA. METHODS: From March, 1996 to October, 1999, endocervical swabs were obtained in 101 infertile patients at SNUH. Chlamydia trachomatis DNA was extracted and amplified by a commercially available Amplicor Chlamydia trachomatis PCR kit(Roche Diagnostics, Branch burg, USA). The clinical characteristics of infertile patients were reviewed and analyzed. RESULTS: The mean age was 31.0 years old, and the mean duration of infertility was 43.4 months. The prevalence rate of endocervical Chlamydia trachomatis in infertile patients was 4.0%(4/101). There was no significant difference in the prevalence rate of Chlamydia trachomatis infection among the different infertility factor groups: 7.1%(2/28) in tubal-peritoneal factor group, 8.3%(1/12) in cervical factor group, and 8.3%(1/12) in unexplained infertility group. Two patients suffered from chronic cervicitis. CONCLUSION: The application of PCR for the detection of Chlamydia trachomatis DNA was a rather rapid and accurate diagnostic method. Therefore, it could be recommended as a diagnostic test applicable to the routine infertility work-up.
Chlamydia Infections* ; Chlamydia trachomatis* ; Chlamydia* ; Diagnostic Tests, Routine ; DNA* ; Female ; Humans ; Infertility ; Polymerase Chain Reaction* ; Prevalence* ; Uterine Cervicitis