• Journal of Yeungnam Medical Science
• /
• v.2 no.1
• /
• pp.259-264
• /
• 1985

Neuroblastoma is the most common extracranial solid tumor of childhood which presents various clinical symptoms depending on the primary and metastatic sites. However, it has been rarely reported that sudden onset of blindness was the chief complaint of neuroblastoma. A four years old boy was admitted to the Yeungnam University Hospital with the chief complaint of a sudden onset of blindness due to a distant metastasis of abdominal neuroblastoma to the sphenoid sinus. On admission, both side pupils were dilated without light reflex, fundoscopy showed pale optic disk, electroretinogram was subnormal and visual evoked potential showed no response. The liver was palpable in $3{\frac{1}{2}}$ finger breadth from the right costal margin and adult fist sized mass was palpable in the right flank. Skull X-ray showed destructed sphenoid bone and clinoid process and brain CT scan showed tumor mass in the sphenoid sinus and left orbit. Ultrasonogram and CT scan of the abdomen showed large tumor masses around the right kidney and para-aortic and retropancreatic lymph node. IVP showed displaced right calyceal system with preserved contour. Left supraclavicular lymph node which appeared after admission was biopsied and it showed poorly differentiated neuroblasts. He was treated according to the multiagent chemotherapy schedule for stage IV neuroblastoma patient of children's cancer study group. Abdominal tumor masses and sphenoid sinus mass were markedly reduced after 2 courses of the combination chemotherapy of cyclophosphamide, vincristine, DTIC, adriamycin and VM-26. Eventhough the blindness was not improved, the patient has been in good clinical condition.

• Archives of Craniofacial Surgery
• /
• v.23 no.4
• /
• pp.183-186
• /
• 2022

Plastic surgery around the eyes is usually performed under local anesthesia, using a mixture of lidocaine and epinephrine. Blindness is a rare but devastating complication after the injection of local anesthesia in this region. Most cases reported to date have been caused by occlusion of the ophthalmic artery or central retinal artery. In this case report, however, we present a highly unusual case of blindness caused by corneal edema after a local anesthetic injection. A patient visited the emergency room with a laceration on the eyebrow, and local anesthesia was injected before suturing. Immediately after the injection, severe corneal edema developed, making it impossible to observe the structures in the anterior chamber in detail or check the light reflex and visual acuity of the naked eye. An antibiotic (moxifloxacin hydrochloride) and high-concentration steroid eyedrops were promptly applied. High-concentration steroids were also administered orally. On day 13 post-injury, the visual acuity of the naked eye improved to 1.0, and no recurrence of corneal lesions was observed. Although the cause of corneal edema after the local injection could not be conclusively identified, we hope that this report will help raise clinicians' awareness of this complication and appropriate treatment methods.

• Maxillofacial Plastic and Reconstructive Surgery
• /
• v.16 no.4
• /
• pp.428-437
• /
• 1994

Optic nerve injury serious enough to result in blindness had been reported to occur in 3% of facial fractures. When blindness is immediate and complete, the prognosis for even partial recovery is poor. Progressive or incomplete visual loss may be ameliorated either by large dosage of steroid or by emergency optic nerve decompression, depending on the mechanism of injury, the degree of trauma to the optic canal, and the period of time that elapses between injury and medical intervention. We often miss initial assessment of visual function in management of facial fracture patients due to loss of consciousness, periorbital swelling and emergency situations. Delayed treatment of injuried optic nerve cause permanent blindness due to irreversible change of optic nerve. But by treating posttraumatic optic nerve injuries aggressively, usable vision can preserved in a number of patients. The following report concerns three who suffered visual loss due to optic nerve injury with no improvement after steroid therapy and/or optic nerve decompression surgery.

• Journal of Cerebrovascular and Endovascular Neurosurgery
• /
• v.20 no.4
• /
• pp.241-247
• /
• 2018

Treatment of paraclinoid aneurysms weather by surgery, or endovascular embolization has a risk of visual loss due to optic neuropathy, or diplopia due to cranial nerve palsies. Visual complications occur immediately after the clipping, whereas they can occur variable time after endovascular coiling. Recently, endovascular coiling for paraclinoid aneurysm is regarded as a safe and feasible treatment. But it still has risks of acute thromboembolic complication, or cranial nerve palsies. A 45-year-old woman was referred from local hospital to our hospital due to ruptured large ICA dorsal wall aneurysm. A total of 12 coils (195 cm) were used for obliteration of aneurysm. Postoperative diffusion weighted image showed no abnormal signal intensity lesion and magnetic resonance angiography demonstrated no sign of vasospasm, or vessel narrowing. But, she complained visual problem 23 days after coil embolization. Ophthalmologist confirmed the left optic disc atrophy on fundoscopy. Although steroid was started, but monocular blindness did not recover completely. The endovascular embolization of paraclinoid aneurysm, especially projecting superiorly with large irregular shape, has the risk of progressive visual loss because of the proximity to optic nerve.

• The Journal of Korean Institute of Electromagnetic Engineering and Science
• /
• v.30 no.3
• /
• pp.202-208
• /
• 2019

In this study, an active element pattern (AEP) of a printed dipole was analyzed in 1D and 2D arrays. First, an AEP of the printed dipole was obtained using the simulation in the 2D infinite array. The scan blindness in the 2D array occurred in the E-plane direction at around ${\pm}36^{\circ}$; however, it was barely observed in the 1D array. To analyze the cause of the scan blindness in the 2D array, the dispersion properties of a unit cell was obtained and compared with the scan blindness by frequency change. The difference between the scan blindness of the 1D and 2D arrays was clarified using the comparison of the Q value in the unit cell in the 1D and 2D arrays. Then, the coupling of the electric field in the E-plane direction was observed when nine elements were separated between the two ports in a linearly arranged dipole structure. Finally, the printed dipole array was fabricated, and an AEP was measured for the $11{\times}1$ and $11{\times}3$ sub arrays. The proposed theory was verified using these observations and by comparison with the simulation results.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.10 no.1
• /
• pp.13-23
• /
• 1983

The purpose of this study was to make a comprehensive study and provide information about the oral status of handicapped. 874 (male: 540, female: 334) persons who are housed by 12 institution aged from 4 to 28 years in Seoul area was examined by considering the DMF rate, periodontal condition and occlusion. The obtained results were as follows: 1. Cerebral palsy, poliomyelitis, mental retardation, and blindness groups had a significant higher DMF rate than that occurring in any of the remaining groups. 2. Prevalence of periodontal disease in blindness, mongolism, cerebral palsy, poliomyelitis groups showed higher than that of the remaining groups. 3. Mongolism group had a significantly higher incidence of malocclusion (69.23%).

• Journal of Veterinary Clinics
• /
• v.30 no.4
• /
• pp.324-328
• /
• 2013

A 5-year-old intact male Yorkshire terrier dog was referred with a 1-week history of blindness. In both eyes, menace responses and pupillary light reflexes were absent. The indirect ophthalmoloscopy revealed multiple small gray-white and discoloration lesion in mid-nontapetum area in both eyes. Electroretinograms showed diminished amplitude of a- and b-waves. Multifocal serous retinal detachments were detected with optical coherence tomography (OCT) over the small gray-white and discoloration lesion in the fundus. After one week of treatments, the indirect ophthalmoloscopy showed that irregular patches and hyperpigmentation in the center of hyperreflectivity area. Reattachment and retinal thinning were observed by the OCT. The results indicate that OCT scanning is considered to be a useful method for retinal evaluation in dogs with chorioretinitis.

• Proceedings of the Korean Society of Applied Pharmacology
• /
• 1998.11a
• /
• pp.114-117
• /
• 1998

Chinese traditional drugs have a long history to be used in clinics to treat various diseases and are confirmed to be effective approach through thousands of years of medical practice. Therefore, as a common understanding, the drug development from traditional Chinese medicines could be considered as a “shortcut” way with less blindness and more saving of time and money since development of new Chinese drugs has a different approach from that of western new drugs. Firstly, Chinese new drug development can be simplified as “from men to animal” process rather than “from animal to men” in western medicines. Hence the successful rate would be higher. Secondly, the original drugs or prescriptions from which the new drugs are planned to develop have been known what symptoms they are indicated for. Therefore, the developing procedure is actually a refine process with much less blindness than that of western drugs.

• Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
• /
• v.32 no.6
• /
• pp.571-580
• /
• 2014

To address unsolved issues of change detection in animated choropleth maps, we proposed the concept of 'gross change detection' and performed an experiment that empirically verifies the incidence of change blindness stems from the 'magnitude of change (MOC)', spatial distribution in animated choropleth maps. We generated experimental materials using the change-characterization arrays and the global Moran's I. Participants had 108 cases of changing maps with time duration (1 to 3 sec) and had questions. The results showed that MOC and duration affect gross change detection, but the most interesting result from our experiment was that different spatial distributions between two adjacent choropleth maps may lead the map reader to under- or over-estimate the level of gross change in the map. It implies that we should consider spatial distribution of change when we design animated choropleth maps.

• Journal of Genetic Medicine
• /
• v.18 no.1
• /
• pp.55-59
• /
• 2021

West syndrome (WS) presenting with infantile spasms, developmental delay, and hypsarrhythmia has genetic etiology in some patients. Movement disorders or visual impairment that share genetic underpinnings with infantile spasms can provide diagnostic clues for specific genetic mutations. Mutations of the GRIN1 gene encoding the glutamate receptor inotropic N-methyl-D-aspartate subunit can result in WS with hyperkinetic movements, cortical visual impairment, autistic features, and bilateral polymicrogyria. An 11-month-old boy with WS showed hyperkinetic movements and visual impairment. Brain magnetic resonance imaging and metabolic investigations revealed no abnormalities. Whole-exome sequencing revealed a novel likely pathogenic variant (c.1561_1563del; p.Asn521del) of GRIN1 (NM_007327.3). The proband was treated with vigabatrin and became seizure-free within one week. Notably, the cortical blindness improved within 3 months and the hyperkinetic movements resolved one year after the proband became seizure-free. To the best of our knowledge, this is the first report of GRIN1 encephalopathy in Koreans.