Biomedical subjects

Jeehee Kim

Publications and source records attributed to Jeehee Kim.

3 recordsLinked to original sources

PubMed2004

Keratoconus associated with hyperimmunoglobulin E syndrome.

PURPOSE: To report a case of keratoconus in a patient with hyper-IgE syndrome. METHODS: A case report of a 28-year-old man with hyperimmunoglobulin E syndrome (HIES) who presented with chronic eczematous dermatitis of the eyelids and severe eye itching. RESULTS: Best corrected visual acuity was 20/25 in the right eye and 20/30 in the left eye. There was a scissoring reflex in both eyes with retinoscopy. Biomicroscopy of the cornea was normal, but corneal topography showed bilateral keratoconus. CONCLUSIONS: It is difficult to establish a direct correlation between keratoconus and HIES due to the rarity of the latter disorder. It is, however, important to consider this association and obtain a corneal topography to rule out corneal ectasia in patients with HIES.

Adult↗

PubMed2003

Subluxation of transscleral sutured posterior chamber intraocular lens (TSIOL).

PURPOSE: To evaluate factors related to late-onset transscleral sutured posterior chamber intraocular lens (TSIOL) subluxation. METHODS: Retrospective observational case series. Analysis of subluxated TSIOLs in seven eyes from seven patients treated between May 1999 and May 2001. RESULTS: Mean age at the time of TSIOL surgery was 33 +/- 6 years. Mean time from TSIOL surgery to its subluxation was 78 +/- 19 months. Initial diagnoses requiring TSIOL surgeries were previous history of trauma and Marfan syndrome. Subluxation of TSIOLs was associated with blunt trauma in three eyes, whereas the other four eyes experienced spontaneous lens dislocation. CONCLUSION: Subluxation of TSIOL is not uncommon in younger patients with history of trauma or Marfan syndrome.

Adult↗

PubMedDate not supplied

Fungal keratitis after photorefractive keratectomy: delayed diagnosis and treatment in a co-managed setting.

PURPOSE: To report a case of fungal keratitis following photorefractive keratectomy (PRK) in a co-managed setting. METHODS: A 35-year-old man with a preoperative refraction of -13.00 +3.75 x 18 degrees OD, and -12.50 +2.50 x 70 degrees OS underwent bilateral simultaneous PRK. On postoperative day 16, the patient presented with complaints of decreased vision and foreign body sensation. Examination by the co-managing optometrist revealed a visual acuity of 20/200, and a central corneal ulcer. Cultures were not taken and the patient was started on topical ofloxacin and prednisolone acetate 1% every hour. The patient was instructed to follow-up with another optometrist closer to the patient's home. Tobradex (tobramycin 0.3% combined with dexamethasone 0.1%) was added to the treatment regimen on postoperative day 23, but the ulcer continued to worsen. The patient was then referred to an ophthalmologist where corneal cultures were performed, but came back negative. RESULTS: Despite treatment with fortified antibiotics, the ulcer perforated, requiring penetrating keratoplasty. Bacterial and fungal cultures were negative. Pathology examination of the specimen revealed fungal hyphae. CONCLUSIONS: Although co-management of refractive patients may be a common practice, it is not without risks. In this case, delayed diagnosis and inappropriate treatment resulted in a poor final outcome.

Adult↗