No abstract available.

No abstract available.
Alcoholism* ; Mass Screening*

PURPOSE: To report a case of subconjunctival foreign body migration in both eyes after collagen-containing filler injection. CASE SUMMARY: A 51-year-old female, who had been treated with collagen-containing filler in her eyelid, nose, and forehead for cosmetic complaints four months earlier, presented to our clinic with decreased visual acuity and foreign body sensation in both eyes. Slit lamp examination revealed moderate nucleosclerosis and subcapsular opacity in her crystalline lens, in addition to scattered subconjunctival foreign body infiltration in both eyes. Cataract extraction with posterior chamber lens implantation was performed, and the subconjunctival foreign body was also partially removed. Biopsy of the remaining foreign body was performed, and examination revealed foreign material and multivacuolated cells in the conjunctiva. CONCLUSIONS: Clinicians and patients should be aware of the risk of migration of collagen-containing filler inject at or near the eyelid, to the eyeball, including the conjunctiva.
Biopsy ; Cataract Extraction ; Collagen ; Conjunctiva ; Cosmetics ; Eye ; Eyelids ; Female ; Forehead ; Foreign Bodies ; Foreign-Body Migration ; Humans ; Lens, Crystalline ; Middle Aged ; Nose ; Sensation ; Visual Acuity

PURPOSE: To evaluate the surgical results of vitrectomy for macular hole, according to the hole size. METHODS: Fifty-six patients (58 eyes) who had macular hole surgery without any complication influencing visual acuity were included in this study. They were divided into three groups by the size of the hole: Group 1 (smaller than 1/4 disc diameter), Group 2 (1/4 disc diameter or larger but smaller than 1/2 disc diameter), and Group 3 (1/2 disc diameter or larger). We compared the anatomical and functional results of these groups. RESULTS: The mean follow-up durations after surgery were 14.4 months (Group 1), 15.9 months (Group 2), and 27.5 months (Group 3) months. In 3, 6, and 3 cases in each group respectively, the holes were re-opend and among them, 2, 4, and 3 cases were closed by reoperation. Mean pre-operative visual acuity was 0.15, 0.09, 0.08 and the percentage of the cases achieving 2 lines or more improved visual acuity after surgery was 69.2%, 76.5%, and 72.7%, but the mean post-operative best corrected visual acuity was 0.45, 0.30, 0.17 for the three groups, respectively. This shows that smaller holes had the better post-operative visual acuity. The percentage of hole-occlusion in the three groups was 84.6%, 94.1%, and 90.9%, and that of invisible holes was 76.9%, 82.4%, and 72.7% respectively. CONCLUSIONS: This study shows that the size of macular holes does not significantly influence surgical results. but large-sized macular holes lead to poor post-operative visual acuity.
Follow-Up Studies ; Humans ; Reoperation ; Retinal Perforations* ; Visual Acuity ; Vitrectomy*

PURPOSE: To report a case of endophthalmitis treated with surgical removal of the inflammatory endothelial plaque. CASE SUMMARY: A 61-year-old male was transferred to our clinic due to corneal laceration of the left eye. An emergency operation for the lacerated cornea was performed. After the operation, the patient had no specific symptoms for 8 months but then visited our clinic with sudden decreased visual acuity. On slit lamp examination, the patient had some chamber reactions. Anterior chamber reactions exacerbated after 2 months and the best corrected visual acuity was decreased from 1.0 to 0.08. An inflammatory corneal endothelial plaque and endothelial precipitates had developed. The posterior segment was not visualized due to the severe anterior chamber inflammatory reaction. No growth was observed on bacterial or fungal cultures. However, administration of eye drops and oral voriconazole were initiated based on a clinical impression suspicious of fungal infection. Despite the treatment, the infection did not respond. Voriconazole was then directly injected into the vitreous and anterior chamber. Although the patient's best corrected visual acuity slightly improved, the inflammatory reactions of the anterior chamber and vitreous did not. The inflammatory endothelial plaque on the patient's cornea was then surgically removed and the best corrected visual acuity improved to 1.0. Mycelium was detected on the KOH smear of the endothelial plaque. There were no further inflammatory reactions in the anterior chamber or vitreous after surgical removal of the endothelial plaque.
Anterior Chamber ; Cornea ; Emergencies ; Endophthalmitis ; Endothelium, Corneal ; Eye ; Humans ; Lacerations ; Male ; Middle Aged ; Mycelium ; Ophthalmic Solutions ; Pyrimidines ; Triazoles ; Visual Acuity

No abstract available.
Abscess* ; Bacteria, Aerobic* ; Quinolones* ; Virulence*

The purpose of this study is to review epidemiological and clinical characteristics of diverticular disease of the colan in Korea and to discuss the difference of the findings from those in other countries. Reviewing all thebarium enema films taken at the Seoul National University Hospital retrospectively for the last 8 years. that is, from January 1, 1980 to December 31, 1987, we observed the annual and overall incidence of the disease, the number and location of the diverticula, and the presenting symptoms of the cases. The results are summarized as follows: 1) Out of the patients examined, 237 cases had one or more diverticula in the colon, the overall incidence being 1.32%, 2) The annual incidence increased progressively for the last 8 years, from 0.25% in 1980 to 2.53% in 1987. 3) The mean age of the patients at the time of diagnosis was 51 years. The male to female ratio was 2.5. 4) The diverticula were located on the right side in 81.0% of the cases, on the left side in 10.6%, and on both sides in 8.4%. 5) In 82 cases (34.6%) single diverticulum was found, whereas 34 cases (14.3%) had more than 10 diverticula. 6) The most frequent symptoms for taking barium enema were abdominal discomfort and pain (34. 2%) and changes in bowel habits (33.8%}, whereas 45 casea (19.0%) had the examination just for a routine health check. In conclusiion, the diverticular disease of the colon is still uncommon in Korea as compared with in western countries, and the right colon type is far more freqtaent than the left colon type. However in recent years the incidence increases quite rapidly and the left colon type is getting more common.
Barium ; Colon* ; Diagnosis ; Diverticulum ; Enema ; Female ; Humans ; Incidence ; Korea* ; Male ; Retrospective Studies ; Seoul

BACKGROUND: Crucial to the success of fiberoptic awake tracheal intubation is proper preparation of the patient; this technique will work well in most patients when they are quiet and cooperative and have a larynx nonreactive to physical stimuli. We have attempted to ascertain how well these conditions are achieved with a low-dose infusion of propofol, because of its pharmacological profile. METHODS: Thirty patients, physical status by American Society of Anesthesiologists (A. S. A.) I-II, scheduled for oral and maxillofacial surgery, were randomly assigned to receive either propofol infusion 1 mg kg-1 h-1 preceded by a 1 mg kg-1 bolus (Group P) or intravenous fentanyl 1ug kg-1 and midazolam 0.05 mg kg-1 (Group F). These two groups were compared in terms of hemodynamic profile, sedation score, condition for intubation, coughing and swallowing. RESULTS: There were no statistically significant differences in mean arterial blood pressures according to time between two groups. But in Group F, heart rates were significantly increased in immediately after transtracheal injection of lidocaine, immediately before the fiberoscopy was started, 1, 2 minutes after start of fiberoscopy, compared to Group P (p<0.05). The patients in Group P were more sedated than those in Group F (p<0.05) but there were no significant differences in condition for intubation, reflex of coughing and swallowing, duration of fiberoptic intubation. CONCLUSIONS: We conclude that propofol is useful sedative agent in fiberoptic awake intubation with similar efficacy to midazolam and fentanyl but with more profound sedation and stable hemodynamic profile. These represent significant advantages for severe anxious or hypertensive patients and prolonged procedure of intubation.
Arterial Pressure ; Cough ; Deglutition ; Fentanyl* ; Heart Rate ; Hemodynamics* ; Humans ; Intubation* ; Larynx ; Lidocaine ; Midazolam* ; Propofol* ; Reflex ; Surgery, Oral

We report a case of Waardenburgs syndrome in 18-year-old male patient who has total deafness of the right ear, heterochromia irides, hypopigmented patches on the face and trunk, and disseminated lentigines on the entire body surface since birth. His 51-year-old mother also has total deafness, heterochromia irides, white foreloek, and disseminated lentigines on the entire body surface. The patient with this disorder may complain of pigmentary abnormalities, and we believe dermatologists should pay more attention to systemic signs of the congenital pigmentary disorders.
Adolescent ; Deafness ; Ear ; Humans ; Lentigo ; Male ; Middle Aged ; Mothers* ; Parturition ; Waardenburg Syndrome*

PURPOSE: This study examined factors influencing subjective quality of life in baby boom generation men. METHODS: This was a descriptive survey study. Data were collected from 279 baby boom generation men from September to October 2012. The instruments used included a subjective quality of lifescale, a self-esteem scale, a spiritual well-being scale, a communication with spouse scale, a social support scale, and a job satisfaction scale. Data were analyzed using descriptive statistics, t-test, one-way ANOVA and Scheffe test, Pearson's correlation coefficients, and Hierarchical multiple regression. RESULTS: All variables were positively correlated with subjective quality of life. As a result, factors influencing subjective life of quality were self-esteem (beta=.21, p<.000), social support (beta=.20, p<.002), job satisfaction (beta=.19, p<.001), communication with spouse (beta=.15, p<.004), spiritual well-being(beta=.16, p<.004), and family income (beta=.15. p<.023). These factors accounted for 61% of the total variances. CONCLUSION: The findings indicate a need to develop nursing intervention programs for community health nurses in consideration of these variables to improve the subjective quality of life for baby boom generation men.
Humans ; Job Satisfaction ; Male* ; Nursing ; Population Growth* ; Quality of Life* ; Spouses