• Archives of Craniofacial Surgery
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• v.20 no.2
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• pp.121-125
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• 2019

Merkel cell carcinoma is a rare cutaneous carcinoma, featured by an aggressive clinical course and a mortality rate of 28% at 2 years. A 71-year-old female was affected by a 4.1-cm-wide locally advanced Merkel cell carcinoma of the upper eyelid, previously misdiagnosed as chalazion, with involvement of the extraocular muscles. Although the tumor showed a macroscopic spontaneous regression in size after the incisional biopsy, the mass was treated with neoadjuvant chemotherapy and surgical excision. Good functional and aesthetic result with preservation of the eyeball and absence of tumor recurrence were achieved at 3-year follow-up. In our experience, the combination of the inflammatory cascade due to the incisional biopsy and neoadjuvant chemotherapy led to the regression of a locally advanced large Merkel cell carcinoma of the eyelid.

• Parasites, Hosts and Diseases
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• v.60 no.6
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• pp.429-432
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• 2022

Inflammatory eyelid symptoms are common in primary care and there have been several reports on Demodex blepharitis. In the present study, we evaluate the 9 patients with Demodex blepharitis, who showed inflammation of the eyelids, dry eye, and cylindrical dandruff at the base of the eyelashes. The causative species from all patients was Demodex folliculorum of either the adult or nymph stage. Two patients had recurrent chalazion and 3 patients had keratitis. Weekly lid scrubs with 50% tee tree oil were performed for 6 weeks. After treatment, the symptoms of blepharitis and keratitis had improved in all patients. This case report provides clinical reference source for the proper treatment of ocular demodicosis.

• Journal of Korean Ophthalmic Optics Society
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• v.19 no.3
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• pp.403-406
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• 2014

Purpose: In this study, we studied ocular disease by age in Ulsan. Methods: We checked medical record of 300 patients who visited eye clinic in Ulsan. Results: The main ocular disease on the age of 10 was keratitis, that of 20 was dry eye syndrome & keratitis, that of 30 was chalazion & conjunctivitis, that of 40~50 was conjunctivitis, that of 60 was conjunctivitis & cataract. Conclusions: The main cause of ocular disease of 10~20's are unsuitable wear of contact lenses & long-time use of smart phone as well as computer. That of 30~50's are allergic conjunctivitis and chemical material reaction as well as other several factors. Especially, attack rate of conjunctivitis of 30~50's is higher than city because of industrial area (Ulsan). The main cause of ocular disease in 50~60's is a kind of senility. Therefore, based on the results of this study, it could be used the basic data of education on ocular disease prevention in Ulsan.

• Parasites, Hosts and Diseases
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• v.54 no.6
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• pp.787-792
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• 2016

Cutaneous leishmaniasis (CL) is a protozoan disease which is endemic in Iran. It is transmitted by the Phlebotomus sand fly. The eyelid is rarely involved possibly because the movement of the lids impedes the sand fly from biting the skin in this region. Here, we report 6 rare cases of eyelid CL. The patients were diagnosed by skin scraping, culture, and PCR from the lesions. Skin scraping examination showed Leishmania spp. amastigotes in the cytoplasm of macrophages. Culture examination was positive for Leishmania spp. PCR was positive for Leishmania major and Leishmania tropica. The lesions were disguised as basal cell carcinoma, chalazion, hordeolum, and impetigo. The patients were treated with intramuscular meglumine antimoniate (20 mg/kg/day) for at least 3 weeks. They showed a dramatic response, and the lesions almost completely disappeared. We emphasized the importance of clinical and diagnostic features of lesions, characterized the phylogenetic relationship of isolated parasites, and reviewed the literature on ocular leishmaniasis.