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RISS 인기검색어
- 검색키워드
- 저자 : Yeo Jue Byun (검색결과 2 건)
- 무료
- 기관 내 무료
- 유료
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김선웅,변여주,김응권,김태임,Sun Woong Kim,M,D,Yeo Jue Byun,M,D,Eung Kweon Kim,M,D,Tae-im Kim,M,D 대한안과학회 2007 대한안과학회지 Vol.48 No.2
Purpose: To present the result of a new technique for compressing the flap with amniotic membrane patch to manage epithelial ingrowth following a lacerated or microperforated flap near the visual axis during laser in situ keratomileusis (LASIK) surgery. Methods: Four patients having epithelial ingrowth involving the visual axis were treated as follows: Under a surgical microscope, 3~5 landmark sutures were located at the margin of the flap and the flap was lifted carefully. After removing epithelial cells, preplaced corneal sutures were tied to fix the flap and a prepared amniotic membrane patch was tightly sutured to the sclera to compress the entire cornea. The amniotic membrane overlay was maintained for about a week and then removed. Results: All four eyes achieved a best corrected visual acuity of 20/25 or better and no eyes have shown signs of recurrence within 3 months. Conclusions: Amniotic membrane patch can be a useful way to secure the flap in the treatment of epithelial ingrowth threatening the visual axis, especially when direct sutures are deemed difficult.
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김선웅,변여주,김응권,김태임.Sun Woong Kim. M.D.. Yeo Jue Byun. M.D. Eung Kweon Kim. M.D. Ph.D.. Tae-im Kim. M.D. 대한안과학회 2007 대한안과학회지 Vol.48 No.2
Purpose: To improve the understanding of infectous keratitis after LASIK by analyzing our clinical experiences. Methods: We retrospectively reviewed the records of 12 eyes of 9 subjects who developed infectious keratitis after LASIK, and compared them in terms of onset of symptoms, microbiologic profile, medical and surgical interventions, and final visual acuities. Results: Among them, one eye was found to have culture-proven bacterial infection, five eyes with non tuberculous mycobacterial infection, one eye with Nocardial infection, one eye with fungal keratitis and four eyes of two subjects with unisolated microorganisms. Bacterial infections included unisolated cases presenting 2 days after LASIK, mycobacteria presented at an average of 14.4 days after LASIK, Nocardia presented 4 months after LASIK (7 days after trauma), and fungus presented 3 days after LASIK. Bacterial infections were diagnosed immediately after onset of symptoms, and resolved 30 days after treatment. Mycobacterial infections were diagnosed 14 days (6-55 days) after onset and resolved after 6.2 months of treatment, which included flap amputation in 4 of 5 eyes. Fungal infections were diagnosed 30 days after onset, and resolved after 2.5 months of treatment. Norcardial infections were diagnosed 17 days after onset, and resolved after 3 months. Final visual acuities were over 0.5 in 4 of 5 cases of bacteria, in 3 of 5 cases of mycobacteria, in the 1 case of Nocardia and light perception in fungal keratitis. Conclusions: Bacterial infections tended to present within two days, whereas mycobacteria presented about 14 days after LASIK. Mycobacterial infections required the longest duration of treatment, however the visual outcome was the worst in fungal keratitis.
KCI
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