방수여과술후 발생한 만발성 안내염

차순철(Soon Cheol Cha),이규원(Kyoo Won Lee),한덕기(Duk Kee Hahn) 대한안과학회 1988 대한안과학회지 Vol.29 No.1

가토의 초자체강내 주입한 Hyaluronidase ( Wydase(R) ) 가 망막에 미치는 영향

차순철(Soon Cheol Cha),한덕기(Duk Kee Hahn) 대한안과학회 1988 대한안과학회지 Vol.29 No.5

녹내장 환자에서 Nd : YAG 레이저 후낭절개술 후 안압 상승에 대한 Brimonidine 의 예방적 사용

차순철(Soon Cheol Cha),배상복(Sang Bok Bae),임흥식(Heung Sik Lim) 대한안과학회 1999 대한안과학회지 Vol.40 No.10

The Characteristics of Silla’s Gongbang

Cha Soon-cheol(차순철) 고려대학교 한국사연구소 2009 International Journal of Korean History Vol.14 No.-

본고에서는 삼국~통일신라시대까지 유지된 신라공방들에 대해서 살펴보았다. 발굴조사를 통해 확인된 사례는 전체에서 극히 일부를 차지하고 있으나 『삼국사기』 에 나타난 신라공방은 궁중수공업과 관련된 것으로 직물, 염색, 의복, 가죽가공 등과 같이 실제 생활과 관련된 생산작업들이 중심을 이루고 있었다. 또한 얼음과 같은 계절성 이 강한 물품을 보관하는 모습 등을 통해서 궁중수공업 공방의 모습을 확인할 수 있었다. 하지만 금속생산과 관련된 공방을 살펴본 결과 초기에는 궁중수공업과 관련된 관영공방(官營工房)의 성격을 지니고 있었지만, 점차 귀족들의 경제력이 커지면서 관영공방에 속한 장인(匠人) 들이나 개별적인 공장(工匠)들은 귀족들의 사영수공업(私營手工業) 공방으로 재편되면서 새로운 형태의 공방이 출현하게 된다. 즉 귀족들이 소유한사영공방(私營工房)이 등장하게 되면서 공방의 운영주체는 국가에서 개인으로 점차 변화해 나간다고 추정할 수 있다. 이러한 결과는 일본과의 무역에 있어서 양가(楊家), 무가(武家), 자초랑댁(紫草娘宅)과 같은 귀족 수공업 생산가의 이름이 확인되는 것을 통해서 확인할 수 있다. 이를 바탕으로 경주지역에 소재한 신라공방유적들에 대한 성격을 확인하고 그 의미를 살펴본 결과, 문헌자료에서 확인되는 다수의 공방들은 주로 소비재에 대한 수공업 생산을 중심으로 하는 궁중수공업 공방이며, 경주지역의 신라왕경 유적에서 발굴조사 된 공방들은 대부분 청동용기 제작과 관련된 공방들이거나 기와, 토기, 숯 등을 생산하였던 공방들이다. 따라서 개개 공방들은 운영주체에 따라서 차이가 있음을 알 수 있다. 즉 소규모의 궁중수공업을 위한 공방에서 대규모의 관영수공업을 위한 공방으로 발전을 했고, 이후 귀족세력의 등장에 따라 사영수공업으로 변화하였다. 공방운영에 있어서 관영수공업 단계에서는 대규모로 청동공방이 한 지역에 모여서 조업을 했으며, 사영수공업 단계에서는 시내 곳곳에 점점이 공방이 위치하는 모습으로 변화한다. 신라왕경 안에서 존재했던 여러 공방들의 존재를 통해서 우리는 당시의 기술력과 상품의 교역권, 생산지와 수급처의 관계를 확인할 수 있고, 당시 사회상을 알 수 있는 중요한 단서를 찾을 수 있다. 따라서 앞으로 공방 이외에도 공방 내부 출토유물들에 대한 자연과학적인 분석을 통해서 당시의 기술력과 유물에 대한 사실을 찾을 수 있다면 이들 공방에 대한 더 많은 사실들을 알 수 있을 것으로 생각된다.

수정체비늘증후군 환자에서 각막내피세포의 변화

노동현,임수호,차순철,Dong Hyoun Noh,MD,Su-Ho Lim,MD,Soon Cheol Cha,MD,PhD 대한안과학회 2012 대한안과학회지 Vol.53 No.11

Purpose: To compare the corneal endothelial cell changes in both eyes of Korean patients with clinically unilateral exfoliation syndrome using specular microscopy. Methods: A total of 144 eyes of 72 patients diagnosed with clinically unilateral exfoliation syndrome at Yeungnam University Hospital between March 2000 and February 2011 were retrospectively reviewed. Comparisons of corneal morphometric analysis were made including endothelial cell density, coefficient of variation, hexagonality, and central corneal thickness between the exfoliative and fellow non-exfoliative eyes in 72 patients with naive unilateral exfoliation syndrome. If patients received intraocular surgery during the follow-up periods, the number of intraocular surgeries and changes of the above-mentioned morphometric analysis were evaluated. Results: The paired exfoliative and fellow non-exfoliative eyes did not differ in endothelial cell density (2587.0 ± 391.0 vs. 2626.8 ± 354.6 cells/mm2, p = 0.321), in the coefficient of variation of cell size (35.9 ± 5.1 vs. 37.1 ± 4.7%), hexagonality (59.5 ± 7.3 vs. 57.8 ± 6.3%), and central corneal thickness (530.5 ± 37.6 vs. 532.0 ± 35.2 μm). However, the exfoliative eyes had significantly higher values for the number of intraocular surgeries (0.97 ± 0.78 vs. 0.28 ± 0.48, p < 0.001) and decrement of corneal endothelial cells (410.9 ± 538.7 vs. 19.0 ± 284.5 cells/mm2, p = 0.007). Conclusions: There were no significant morphologic differences in corneal endothelium between exfoliative eyes and fellow eyes in the present study. However, the authors suggest that specular microscopic examination be performed before intraocular surgery in eyes with exfoliation syndrome when considering the higher frequency of intraocular surgeries and the resultant corneal endothelial damages observed in the present study.

섬유주절제술 후 시행한 백내장수술이 수술 후 초기 안압 상승에 미치는 위험인자

구원모,임수호,차순철,Won Mo Gu,Su Ho Lim,Soon Cheol Cha 대한안과학회 2014 대한안과학회지 Vol.55 No.11

Purpose: In this study, we investigated the frequency and risk factors for early postoperative intraocular pressure (IOP) elevation after phacoemulsification in patients with a prior trabeculectomy. Methods: We performed a retrospective chart review of 200 eyes (172 patients, study group) with filtering bleb after previous trabeculectomy and 207 eyes (144 patients, control group) without previous trabeculectomy, who underwent temporal clear corneal phacoemulsification with posterior chamber lens implantation. Twelve possible risk factors including age, gender, glaucoma type, interval from trabeculectomy to phacoemulsification, axial length, preoperative IOP, preoperative bleb morphology (height, vascularity), glaucoma medication, and concomitant intraoperative procedures (iris manipulation, anterior vitrectomy, subconjunctival mitomycin C injection) were analyzed to identify independent risk factors using a multivariate logistic regression method. Early postoperative IOP elevation was defined as IOP value ≥ 25 mm Hg or an IOP increase ≥ 10 mm Hg the morning after surgery compared to the preoperative IOP. Results: There was a significant difference in the frequency of IOP elevation between the study group (25 eyes, 12.5%) and control group (6 eyes, 2.9%; <EM>p</EM> < 0.001). The mean early postoperative IOP (15.2 ± 6.7 mm Hg) was significantly higher than preoperative IOP (12.5 ± 4.4 mm Hg) in the study group (<EM>p </EM>< 0.001). Risk factors for early postoperative IOP elevation were low bleb height (odds ratio; OR = 9.995, <EM>p</EM> = 0.003) and iris manipulation (OR = 4.831, p = 0.026) in the study group while risk factors were preoperative use of glaucoma medication (OR = 3.492, <EM>p</EM> = 0.004) and iris manipulation (OR = 34.249,<EM> p</EM> = 0.009) in the control group. Conclusions: Phacoemulsification increases the risk of IOP spike in prior trabeculectomized eyes, especially those with low bleb height and intraoperative iris manipulation. We suggest intraoperative and postoperative efforts to minimize intraocular inflammation and earlier follow-up examination in these patients.J Korean Ophthalmol Soc 2014;55(11):1659-1668

녹내장이 발생한 Sturge-Weber 증후군 환자의 임상양상과 수술성적

박재휘,임수호,차순철,Jae Hwi Park,Su Ho Lim,Soon Cheol Cha 대한안과학회 2013 대한안과학회지 Vol.54 No.11

Purpose: To report clinical manifestations including neurocutaneous and ocular findings and to evaluate outcomes of trabeculectomy in patients with Sturge-Weber syndrome. Methods: The medical records of 10 eyes of 8 glaucoma patients with Sturge-Weber syndrome who were followed up for at least 1 year after trabeculectomy were reviewed retrospectively. We analyzed neurocutaneous and ocular findings, cumulative surgical success rates, and complications in patients with Sturge-Weber syndrome. Results: The mean patient age at the time of surgery was 12.6 ± 13.0 years and mean follow-up period was 71.6 ± 81.8 months. All patients showed various clinical findings including facial hemangioma (8 patients), seizure (6 patients), intracranial lesion (6 patients), developmental delay (4 patients), conjunctival/episcleral hemangioma (4 eyes), and choroidal hemangioma (4 eyes). Postoperative success was achieved in 8 out of 10 eyes (80.0%). Postoperatively, serous retinal detachment occurred in 2 out of 4 eyes with preoperative diffuse choroidal hemangioma. Conclusions: Management of glaucoma associated with Sturge-Weber syndrome requires multidisciplinary treatment because of systemic involvement. Trabeculectomy appears to be an effective and relatively safe surgical option for glaucoma associated with Sturge-Weber syndrome. However, serious complications such as serous retinal detachment should be considered when planning trabeculectomy for patients with diffuse choroidal hemangioma. J Korean Ophthalmol Soc 2013;54(11):1737-1747

인공수정체안에서 마이토마이신 섬유주절제술과 아메드 밸브삽입술의 임상 성적

이태윤,이정호,차순철,Tae Yoon Lee,Jung Ho Lee,Soon Cheol Cha 대한안과학회 2008 대한안과학회지 Vol.49 No.2

`Purpose: To compare the safety and efficacy of trabeculectomy using mitomycin C (MMC) with Ahmed valve implantation in pseudophakic glaucomatous eyes. Methods: We retrospectively reviewed the medical records of 68 pseudophakic glaucoma patients (68 eyes) who had undergone trabeculectomy with MMC (group T, 41 eyes) or Ahmed valve implantation (group A, 27 eyes). Intraocular pressure reduction rates, cumulative probabilities of surgical success, and postoperative complications were compared between two groups. Also, risk factors for surgical failures were analyzed. Results: Intraocular pressure levels at postoperative 12 months were significantly lower in group T (13.8±5.1 mmHg) than in group A (19.6±6.4 mmHg, p=0.001). Cumulative probabilities of surgical success at postoperative 12 months were significantly higher in group T (95.0%) than in group A (66.2%, p=0.000). No significant differences were noted in the occurrences of complications except hyphema in two groups. We found that a younger age (≤50 years) and Ahmed valve implantation were significant risk factors for surgical failures. Conclusions: Trabeculectomy with MMC can be more effective and preferable as a primary surgical option over Ahmed valve implantation for pseudophakic glaucomatous eyes.`

레이저홍채절개술 후 안압 상승의 예방을 위한 Brimonidine과 Apraclonidine의 사용

서원준 ( Won Jun Suh ),차순철 ( Soon Cheol Cha ) 대한안과학회 2002 대한안과학회지 Vol.43 No.5

정상안압녹내장과 알레르기비염과의 연관성: 제5기 국민건강영양조사 자료

정아름(Areum Jeong),차순철(Soon Cheol Cha) 대한안과학회 2018 대한안과학회지 Vol.59 No.10

목적: 인구기반 역학조사 자료를 이용하여 정상안압녹내장과 알레르기비염과의 관련성을 알아보고자 하였다. 대상과 방법: 제5기 국민건강영양조사(2010-2012)에 참여한 23,379명을 대상으로 후향적 단면조사를 시행하였다. International Society for Geographical and Epidemiological Ophthalmology에서 제시한 녹내장 진단 기준에 필요한 안과 검사와 알레르기비염의 진단을 위한 설문 결과의 분석이 가능하였던 40세 이상의 대상자 8,614명을 정상안압녹내장 환자(604명)와 비녹내장 참여자(8,010명)로 분류하였다. 두 군의 알레르기비염의 유병률을 비교해 보고, 정상안압녹내장과의 관련성을 분석하였다. 결과: 정상안압녹내장군에서 알레르기비염의 유병률은 29.1% (176/604)로 대조군의 25.0% (2,000/8,010)보다 유의하게 높았다(p=0.023). 정상안압녹내장과 알레르기비염은 교란변수(나이, 성별, 당뇨병, 고혈압, 가족 수, 가계수입, 외식빈도, 흡연 여부)를 통제한 비교 분석에서 의미있는 상관관계가 있었다(교차비=1.34; 95% confidence interval [CI]=1.12-1.62; p=0.002). 60대, 70대 나이군과 남성에서 높은 교차비를 보였다(교차비=1.62; 95% CI=1.16-2.26; p=0.005, 교차비=1.52; 95% CI=1.06-2.18; p=0.024, 교차비=1.42; 95% CI=1.10-1.83; p=0.007). 결론: 정상안압녹내장과 알레르기비염은 의미있는 연관성이 있었으며 특히 60대 이상의 고령과 남성에서 더욱 높은 관련성을 보였다. 이는 알레르기비염이 정상안압녹내장의 발생에 관련이 있을 수 있음을 암시하며, 알레르기비염 환자를 진료할 때 이러한 가능성을 염두에 두어야 할 것이다. Purpose: The purpose of this study was to investigate the association between normal-tension glaucoma (NTG) and allergic rhinitis in a population-based setting using data from the Korea National Health and Nutrition Exam Survey (2010-2012). Methods: The authors selected a total of 8,614 participants aged 40 years and older for this study. All participants completed an ophthalmic examination required for diagnosis of NTG based on the International Society for Geographical and Epidemiological Ophthalmology criteria. An interview regarding nasal symptoms was also performed. The included participants were classified into NTG (n = 604) and control (n = 8,010) groups. The authors compared the groups in terms of prevalence of allergic rhinitis and identified risk factors of NTG. Results: In NTG patients, allergic rhinitis prevalence was 29.1% (176/604), which was significantly higher than that of the control group (25.0%, 2,000/8,010; p = 0.023). There were significant associations between NTG and allergic rhinitis (odds ratio [OR]= 1.34, 95% confidence interval [CI] = 1.12-1.62, p = 0.002), even after adjusting for potential confounders (age, sex, diabetes, hypertension, number, of family members, household income quartile, frequency of eating out, and smoking status). In particular, patients with NTG aged 60-69 years, those aged 70-79 years, and those who were male had significantly higher ORs for prior allergic rhinitis compared with control subjects (OR = 1.62, 95% CI = 1.16-2.26, p = 0.005; OR = 1.52, 95% CI = 1.06-2.18, p = 0.024; and OR = 1.42, 95% CI = 1.10-1.83, p = 0.007, respectively). Conclusions: This study showed a significant association between NTG incidence and allergic rhinitis, especially in males and elderly patients (>60 years of age). These results suggested that allergic rhinitis may have a potential role in the development of NTG. Therefore, ophthalmologists and allergic rhinitis patients should remain vigilant to this potential risk factor.