The effect of 1% apraclonidine(Lopidine) in preventing transient rising of intraocular pressure following argon laser peripheral iridotomy or argon laser trabeculoplasty was evaluated in a prospective, randomised, double-masked study. Forty-two eyes(42 patients) with glaucoma underwent argon laser peripheral iridotomy or argon laser trabeculasty. They were randomised into two groups; the apraclonidine group(twenty-one eyes) receiving 1% apraclonidine hydrochloride, and the control group(twenty-one eyes). The apraclonidine group was treated with one drop of 1% apraclonidine hydrochrolide one hour before and immdiately after laser surgery. We measured intraocular pressure before the operation and hourly for the first three hours after the operation, after one day, and after one week. Elevation of intraocular pressure after laser surgery was found in 13 eyes(61.9%) of the control group and 5 eyes(23.8%) of the apraclonidine group. Elevation greater than 10 mmHg was found in 3 eyes of the control group but none in the apraclonidine group.
Argon* ; Double-Blind Method ; Glaucoma* ; Intraocular Pressure* ; Laser Therapy* ; Prospective Studies ; Trabeculectomy

Complete proximal ureteral avulsion owing to blunt trauma is quite rare. Prompt diagnosis and repair are important in saving the kidney. Herein is reported the observation on one case of traumatic ureteral avulsion which has been treated successfully by end-to-end ureteroureterostomy.
Diagnosis ; Kidney ; Ureter*

A clinical observation was made on 31 cases of traumatic urethral injury in the Department of Urology, Wonju Christian Hospital, during the period from March 1979 to June 1982. The results were as follows: 1. The rate of the urethral injury to total genitourinary tract was 46.3%. 2. Age distribution of urethral injury was the highest in the age of 21-10 (54.8%). 3. In anterior urethral injury, the most common cause was industrial accident (63.6%), the mode of injury was blunt injury (46.5%). In posterior injury, the most common cause was traffic accident (40.0%), the mode of injury was blunt injury (80%). 4. Results from the present study show that the perineal end-to-end anastomosis performed primarily or secondarily showed higher success rate (75%)than other procedures.
Accidents, Occupational ; Accidents, Traffic ; Age Distribution ; Gangwon-do ; Urology ; Wounds, Nonpenetrating

OBJECTIVE: Inflammation has long been recongnized as notoriously difficult to measure both in clinical practice and in the laboratory methods. The methods used to clinical assess rheumatoid arthritis should share the following four parameters : validity, sensitivity, reliability and simplicity. Our purposes were evaluate mehtods of accurately reflecting disease activity in rheumatoid arthritis. METHODS: We examed 32 cases(male : 4, famale:28 and mean age : 51 years) of rheumatoid arthritis. The clinical assessment included the following : (1) performance scales including grip strength, button test, and 7.5 M walking time. (2) activity of daily living(ADL) questionnaires. (3) articular indices including Ritchie, ARA and restricted joint index. (4) Laboratory assessment, Made on at the same time with the clinical assessment, included fellwing: erythrocyte sedimentation rate and CRP. RESULTS: 1. Performance scale scores were well correlated with articular indeces but ARA index showed the most frequent and strongest correlations with performance scale. 2. Performance scale score were well correlated with ADL score but ADL pain score showed the most frequent and the strongest correlation. 3. Performance scale score were more strongly correlated with CRP than with ESR. CONCLUSION: The performance scale score appear to provide useful data for quantitatire assessment of inflammatory activity of joints in the routine care of RA.
Activities of Daily Living ; Arthritis, Rheumatoid* ; Blood Sedimentation ; Hand Strength ; Inflammation ; Joints ; Surveys and Questionnaires ; Walking ; Weights and Measures

A 29 year old male patients had long pendulous and bulbous urethral stricture after trauma. Patient was treated with modified Orandi vasculized island skin flap urethroplasty for pendulous urethra and Blandy-Singh vasculized island skin flap urethroplasty for bulbous urethra simultaneously. The result was relatively good for follow up on month.
Adult ; Follow-Up Studies ; Humans ; Male ; Skin* ; Urethra ; Urethral Stricture*

Colorectal polypectomy is an effective method for prevention of colorectal cancer. Many endoscopic instruments have been used for colorectal polypectomy, such as snares, forceps, endoscopic clips, a Coagrasper, retrieval net, injector, and electrosurgery generator unit (ESU). Understanding the characteristics of endoscopic instruments and their proper use according to morphology and size of the colorectal polyp will enable endoscopists to perform effective polypectomy. I reviewed the characteristics of endoscopic instruments for colorectal polypectomy and their appropriate use, as well as the basic principles and settings of the ESU.
Colorectal Neoplasms ; Electrosurgery ; Methods ; Polyps ; SNARE Proteins ; Surgical Instruments

We experienced a case of D3 proliferative vitreoretinopathy complicated with a shortened retina in a 31-year-old male which was managed using 360-degrees circumferential retinotomy technique and a case of D1 proliferative vitreoretinopathy complicated with a shortened retina in a 26-year-old female which was managed using 260-degrees circumferential retinotomy technique. We report these cases with a review of the literature
Adult ; Female ; Humans ; Male ; Retina* ; Vitreoretinopathy, Proliferative