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중심성 장액 맥락망막병증에서 빛간섭단층법을 이용한 장액성 액체의 정량적 측정 및 분석
최혁원,문상웅,김재석,이주화.Hyuck-Won Choi. M.D.. Sang-Woong Moon. M.D.. Jae-Suk Kim. M.D.. Joo-Hwa Lee. M.D. 대한안과학회 2008 대한안과학회지 Vol.49 No.2
`Purpose: To evaluate the correlation between the degree of serous fluid and best corrected visual acuity at the first visit in central serous chorioretinopathy using optical coherence tomography. Methods: Retrospective analysis was performed for 30 eyes of 30 patients with central serous chorioretinopathy. Cross-sectional retinal images through the center of the fovea were obtained from all eyes by optical coherence tomography. The height, sectional area, and the tangent of theta (tan θ) were estimated. They were statistically analyzed and correlated with best corrected visual acuity. Results: Mean (±SD) height of serous fluid was 341.40±120.60 ?m, mean (±SD) sectional area was 0.55±0.29 mm2, and mean (±SD) tan θwas 0.22±0.04. The correlation coefficients between best corrected visual acuity at the first visit and sectional area were r=-0.740 (P=0.001). Conclusions: Optical coherence tomography is useful for the quantitative evaluation of serous neurosensory retinal detachment and estimating visual acuity in central serous chorioretinopathy.`
당뇨황반부종에서 트리암시놀론 유리체강내 단독주입과 후테논낭하주입 병용요법의 효과 비교
황영훈,문상웅,Young Hoon Hwang,Sang Woong Moon,Ph,D 대한안과학회 2007 대한안과학회지 Vol.48 No.4
Purpose: To compare the effect of triamcinolone acetonide injection between intravitreal injection alone group and intravitreal injection in combintaion with posterior subtenon injection group in diabetic macular edema. Methods: Twenty-nine eyes of 29 patients with diabetic macular edema were randomly classified into two groups. Intravitreal injection of triamcinolone acetonide 4 mg was administered to 15 eyes and posterior subtenon injection of triamcinolone acetonide 20 mg in combination with intravitreal injection was administered to 14 eyes. Best corrected visual acuity (BCVA), macular thickness measured by optical coherence tomography were assessed 1, 3, 6, and 12 months after the procedure. Results: Baseline BCVA and macular thickness showed no differences between two groups. BCVA and macular thickness 1, 3, and 6 months after the procedure revealed significant improvement, but no significant differences between two groups were observed. Conclusions: Intravitreal injection of triamcinolone acetonide alone and intravitreal inejction in combination with posterior subtenon injection were equally effective, but had no significant differences.
조직플라스미노겐활성제를 이용한 유리체절제술시 제거된 내경계막의 구조
김동수,문상웅,유승영,곽형우,Dong Su Kim,Sang Woong Moon,Seung Young Yu,Ph,D,Hyung Woo Kwak,Ph,D 대한안과학회 2008 대한안과학회지 Vol.49 No.6
Purpose: This study evaluated the effect of tissue plasminogen activator (TPA) on adhesion between the internal limiting membrane and the vitreous cortex in patients with diabetic macular edema. Methods: This retrospective study included 14 eyes of 14 patients with diabetic macular edema without posterior vitreous detachment. The fourteen eyes were divided into two groups. In the first group, vitrectomy and internal limiting membrane (ILM) removal were performed after intravitreal TPA 0.1 cc (50 ug) injection the day before vitrectomy and in the second group, vitrectomy and ILM removal were performed without previous injection of TPA. We observed the ILM using electron microscopy and verified the effects of the TPA. Results: Spontaneous posterior vitreous detachment occurred in 3 of 7 eyes in the first group. Internal limiting membranes removed by vitrectomy showed a smooth surface in 4 of 7 eyes in the first group and in 1 of 7 eyes in the second group. Seven eyes of the first group and 6 eyes of the second group revealed decreased foveal thickness and increased visual acuity 90 days postoperatively. Conclusions: Preoperative intravitreal TPA injection was helpful for achieving posterior vitreous detachment and for decreasing possible postoperative complications involving in remnant vitreous cortex in patients with diabetic macular edema. J Korean Ophthalmol Soc 49(6):917-924, 2008
박인기,문상웅,한지상,신재호,In Ki Park,Sang Woong Moon,Ji Sang Han,Jae Ho Shin 대한안과학회 2010 대한안과학회지 Vol.51 No.12
Purpose: To report an extremely rare case of optic nerve involvement in Miller-Fisher syndrome. Case Summary: A 74-year-old woman presented to our clinic with decreased visual acuity in both eyes. Such symptoms started 1 month prior to her visit, after sudden onset of left-side motor power weakness and dysphasia. Following the initial symptoms, our patient consecutively experienced worsening dysphagia, ptosis, and lateral gaze limitation. We confirmed the diagnosis as Miller Fischer syndrome with a positive anti-GQ1b antibody serology. She received immunoglobulin treatment for 5 days in other departement. She visited our clinic due to continuing diplopia, decrease of visual acuity and gait disturbance. On initial examination, the corrected visual acuity was 0.5 in both eyes. Ptosis of both eyelids, esodeviation, limitation in ocular movement was noted. The fundoscopic examinations revealed relatively pale optic disc. There was decrease in color vision in both eyes. The visual evoked potential test showed low amplitude and delayed latency in P100 wave in both eyes. Two months after her initial visit to our department her symptoms started to improve, and after 4 months all the initial problems resolved completely and her corrected visual acuity checked out to be 0.8 in both eyes and VEP abnormality was recovered. Conclusions: It is extremely uncommon for Miller Fisher syndrome to involve the optic nerve. We present such a case of a 74-year-old woman whose symptoms improved 4 months after its first attack with treatment. J Korean Ophthalmol Soc 2010;51(12):1676-1680
황영훈,김동수,문상웅,이대영,Young Hoon Hwang,Dong Su Kim,Sang Woong Moon,Dae Young Lee 대한안과학회 2007 대한안과학회지 Vol.48 No.12
Purpose: To report a case of acute lens particle glaucoma with an intraocular foreign body that persisted for a long duration. Case summary: A 47-year-old man visited our clinic due to severe pain in his right eye. His uncorrected visual acuity was hand movement, and intraocular pressure (IOP) measured by a Goldmann applanation tonometer was 76 mmHg in the right eye. Severe corneal edema and floating lens materials in the anterior chamber were revealed by slit-lamp examination. An ultrasonography scan showed that the lens had dislocated into the vitreous cavity and revealed vitreous opacities. To remove lens materials and control IOP, anterior chamber irrigation and trans pars plana vitrectomy with lensectomy were performed under local anesthesia. During the operation, an intraocular foreign body was removed from the anterior chamber. Dislocated lens particles were removed by vitrectomy. After the operation, his best corrected visual acuity was 1.0, and intraocular pressure was 12 mmHg in the right eye. Conclusions: Close observation is needed in cases with lens particle glaucoma, because a long-persisting intraocular foreign body can be accompanied by lens particle glaucoma.
아크릴릭 인공수정체안에서 동공영역으로 증식하는 전낭하 상피세포
최계원,황영훈,문상웅,김재호,Gye Won Choi,M,D,Young Hoon Hwang,M,D,Sang Woong Moon,M,D,Jae Ho Kim,M,D,Ph,D 대한안과학회 2007 대한안과학회지 Vol.48 No.1
Purpose: To report upon two cases of anterior capsule opacification (ACO) proliferating into the pupillary region of the anterior surface of a single piece acrylic AcrySof? intraocular lens (IOL) (SA60AT, Alcon Laboratories, Inc., USA). The surgical removal of the ACO was also reported. Methods: An 80-year-old woman and a 75-year-old woman underwent phacoemulsification with implantation of a single piece foldable AcrySof? IOL in the posterior capsular bag. ACO proliferating from the opposite sides of the IOL along the central axis were found three months after surgery. To recover visual acuity in the 80-year-old woman`s eye, ACO was surgically removed with a Sinskey hook and irrigation and aspiration system. Results: The patient`s visual acuity was recovered after surgical removal of the ACO. Histopathologic findings of the removed tissues revealed fibroblastic proliferation of lens epithelial cells. The ACO in 75-year-old woman`s eye was not treated, as it was not associated with a visual disturbance. Conclusions: In eyes containing an AcrySof? IOL, clinically significant ACO proliferation into the pupillary region along the central axis can occur. Surgical removal can be beneficial for recovery of visual acuity.
김동수,최혁원,신준우,문상웅,김재석,이주화.Dong Su Kim. M.D.. Hyuk Won Choi. M.D.. Joon Woo Shin. M.D.. Sang Woong Moon. M.D.. Jae Suk Kim. M.D.. Joo Wha Lee. M.D. 대한안과학회 2007 대한안과학회지 Vol.48 No.3
Purpose: There has not been any reports of Ralstonia paucula causing any ophthalmologic disease. However, we have detected Ralstonia paucula in the lens washing agents of a corneal ulcer patient wearing contact lens. Methods: A 26-years-old female patient was admitted to our hospital complaining of loss of visual acuity and hyperemia. Slit lamp biomicroscopy and smear culture was done to the anterior segment of the eye and the lens cleansing agent. The patient was treated with antibiotic eye drop and intravenous antibiotic medication. Results: The results of both smear and culture showed the presence of Ralstonia pacula and responded well to antibiotics treatment with ceftazidime.