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

We retrospectively investigated long-term visual prognosis following successful retinal reattachment in eyes with rhegmatogenous retinal detach-ment involving the macula. We operated 852 eyes using scleral buckling technique between May 1983 and May 1995. Among them 20 patients with macular detachment had been followed for more than three years postoperatively. The age range of patients was between 13 and 37 years[mean 23.6 +/-8.0]. Among 10 eyes, the best-corrected visual acuity at 3 years after surgery improved by one line than best-corrected visual acuity at 3 months postoperatively[improved group]. Among the other 10 eyes, no interval change was found during the period[unimproved group]. Improvement of long-term postoperative visual acuity was found to be statistically correlated with shorter duration of macular detachment[< or =30 days]and the location of detachment[inferior][p<0.05]. According to this study, surgeon should be aware that the visual function of reattached retina may improve during the long postoperative peroid, especially in eyes with above features.
Humans ; Prognosis ; Retina ; Retinal Detachment* ; Retinaldehyde* ; Retrospective Studies ; Scleral Buckling ; Visual Acuity*

PURPOSE: To investigate the efficacy of anterior chamber paracentesis in intravitreal triamcinolone acetonide injection (IVTA). METHODS: A prospective, randomized clinical trial was conducted on 30 eyes of 30 patients undergoing IVTA. Eyes were randomly divided into two groups, those which had undergone anterior chamber paracentesis (Group 1, 15 eyes) and those which had not (Group 2, 15 eyes). We analyzed postoperative changes in intraocular pressure (IOP) in each group. RESULTS: In group 1, the mean preoperative IOP was 15.33+/-1.72 mmHg; postoperative IOP at 2 and 15 minutes was 7.80+/-1.47 and 11.73+/-1.67 mmHg, respectively. In group 2, there was significant elevation of IOP (46.73+/-8.26 mmHg) 2 minutes after the injection, although this was reduced to the normal range (16.13+/-2.61 mmHg) within 15 minutes. CONCLUSIONS: Routine anterior chamber paracentesis seems to be inappropriate considering the brief elevation in IOP that immediately follows IVTA.
Anterior Chamber* ; Humans ; Intraocular Pressure ; Intravitreal Injections ; Paracentesis* ; Prospective Studies ; Reference Values ; Triamcinolone Acetonide ; Triamcinolone*

Exfoliation syndrome(XFS)has rarely been reported in Korea even though its worldwide distribution. The purpose of this study is to report clinical manifestations of XFS in Korea and to determine its relationship to the development of glaucoma in patients with XFS. We retrospectively reviewed the medical records of 31 patients with XFS presenting over a 6-year period at Yeungnam university hospital. Patients were considered to have XFS if characteristic fibrillar exfoliative materials were visualized on the anterior lens capsule. We investigated clinical features such as gender, age, combined systemic disease, laterality, presence of cataract or glaucoma, methods of treatment and complications. We could identify 24 males and 7 females with XFS. All the cases were aged 60 years or more except one case, with the peak in the eighth decade(mean 71.5, range from 37 to 92 years). In 11 patients(35%), XFS was bilateral. Cataract was associated in 28 eyes(67%)out of the total 42 eyes and cataract extractions were performed in 8 eyes. Glaucoma developed in 17(55%)out of the total 31 patients, with the predilection toward the case with bilateral involvement(73%)of XFS, and 44%of glaucomatous eyes required trabeculectomy. The clinical features of XFS in Korea were similar to previous reports from other parts of the world, but interestingly male predominance was a unique finding in this study. Our study suggests that XFS occurs not uncommonly among the Korean population.
Cataract ; Cataract Extraction ; Exfoliation Syndrome* ; Female ; Glaucoma ; Humans ; Korea* ; Male ; Medical Records ; Retrospective Studies ; Trabeculectomy

The Valsalva maneuver is described as an expiratory effort against a closed glottis or airway. It leads to elevation of retinal venous pressure and may result in retinal hemorrhage. A fifty two-year-old man presented with an acute reduction of central visual acuity in his right eye which occurred after considerable straining at stool. Detailed past medical history revealed that he suffered from chronic constipation and hypertension. There were one disc sized subhyaloid hemorrhage and three small intraretinal hemorrhages around the fovea at the dilated fundus examination. After three months of follow-up without any treatment, the retinal hemorrhages resolved without any sequelae. Here we report a patient with sudden visual loss and retinal hemorrhage.
Constipation ; Follow-Up Studies ; Glottis ; Hemorrhage ; Humans ; Hypertension ; Retinal Hemorrhage ; Retinaldehyde ; Valsalva Maneuver ; Venous Pressure ; Visual Acuity

Medical records of 27 patients(34 eyes)with upper and lower eyelid retraction were reviewed to evaluate the surgical efficacy from September 1987 through September 1999 at the Department of Ophthalmology, Yeungnam University College of Medicine. The causes of 23 patients(28 eyes)with the upper eyelid retraction revealed ptosis overcorrection(12 eyes), thyroid ophthalmopathy(7 eyes), trauma(6 eyes)and congenital deformity(3 eyes). Recession of upper eyelid retractors was performed in all cases and combined M u llerectomy was carried out in 4 eyes of thyroid ophthalmopathy. Preserved sclera was used as a spacer in 2 eyes. For the 4 patients(6 eyes)with lower eyelid retraction, recession of lower eyelid retractors was performed and preserved sclera was used in 4 eyes. After the follow-up periods of 6 to 60 months(mean 27 months), 25 eyes(89%)of the upper eyelid retractions and all of the 6 lower eyelid retractions showed good cosmetic appearance. Postoperative problems included asymmetry of upper eyelid contour(1 eye), overcorrection(4 eyes), and undercorrection(2 eyes). Advancement of levator aponeurosis was performed in 2 overcorrected cases with good result. Recession of the upper or lower eyelid retractors with or without M u llerectomy allowed satisfactory appearance for the patients with upper and lower eyelid retraction. Spacer material of the preserved sclera was used for the patients with severe eyelid retraction.
Eyelids* ; Follow-Up Studies ; Humans ; Medical Records ; Ophthalmology ; Sclera ; Thyroid Gland

PURPOSE: To compare the efficacy of photodynamic therapy (PDT) depending on the degree of hyperfluorescence based on indocyanine green angiography (ICGA) for treating chronic central serous chorioretinopathy (CSC). METHODS: Twenty-three eyes of 23 patients with chronic CSC were recruited for the present study. The minimum follow-up period was six months. The total energy of PDT was reduced to 25 J/cm2 for 83 seconds. The baseline middle-phase ICGA findings were classified as intense or low hyperfluorescence depending on the degree of hyperpermeability from choriocapillaris. The change in mean best-corrected visual acuity, the resolution of subretinal fluid, recurrence rate, and complication were analyzed in relation to each ICGA finding at baseline. RESULTS: The baseline ICGA findings showed intense hyperfluorescence in 11 eyes (47.8%) and low hyperfluorescence in 12 eyes (52.2%). The subretinal fluid resolved completely one month after a single application of low-fluence PDT in both groups. The subretinal fluid recurred in one of 12 eyes (8.3%) with low hyperfluorescence and in no eyes (0%) with intense hyperfluorescence. There was no statistically significant difference in the rate of recurrence between the two groups. CONCLUSIONS: Low-fluence PDT appears to be an effective and safe treatment option for long-standing chronic CSC regardless of the degree of hyperfluorescence based on the ICGA.
Angiography ; Central Serous Chorioretinopathy ; Choroid ; Eye ; Follow-Up Studies ; Humans ; Indocyanine Green ; Photochemotherapy ; Recurrence ; Subretinal Fluid ; Triazenes ; Visual Acuity

PURPOSE: To report the clinical finding of 3 patients with focal choroidal excavation in the macula detected by spectral-domain optical coherence tomography (SD-OCT). CASE SUMMARY: Five eyes of 3 patients with focal choroidal excavation detected by SD-OCT were enrolled in the present study. All patients had myopia (average refractive power -5.60 diopter). Two of the 3 patients had focal choroidal excavation in both eyes. All 5 eyes revealed foveal pigmentary changes on fundus examination. The excavation area in the autofluorescence image was hypofluorescent. Fluorescein angiographic finding was normal to various degrees of hyperfluoresence. Indocyanine green angiography revealed hypofluoresence at the excavation area. The excavation involoved from the retinal pigment epithelium layer to the external limiting membrane or outer nuclear layer and average choroidal thickness at excavation were statistically thinner than the uninvolved area based on SD-OCT (p = 0.002). Retinoschisis, serous pigment epithelial detachment and choroidal neovascularziation (CNV) were detected individually in 3 eyes. The other 2 eyes had no specific abnormalities. CONCLUSIONS: During the follow-up period, the choroidal excavation remained relatively stable in 4 of 5 eyes, but CNV developed in 1 eye. Therefore, intravitreal bevacizumab injection was performed. Longer follow-up periods are necessary to determine the etiology, clinical course and visual prognosis of eyes with focal choroidal excavation.
Angiography ; Choroid* ; Fluorescein ; Follow-Up Studies ; Humans ; Indocyanine Green ; Membranes ; Myopia ; Prognosis ; Retinal Pigment Epithelium ; Retinoschisis ; Tomography, Optical Coherence* ; Bevacizumab

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