외상 후 안혼(眼昏) 환자 1례 보고

조원준,황보민,지선영,이상곤,황순이,Cho, Won-Joon,Hwang-Bo, Min,Jee, Seon-Young,Lee, Sang-Kon,Hwang, Sun-Yi 대한한방안이비인후피부과학회 2006 한방안이비인후피부과학회지 Vol.19 No.3

Ocular injury is one of the commonest causes of eye diseases, but its patterns and incidences are variable according to the environment. Blunt Ocular Trauma is one of causes of ocular injury. Visual disturbance by Blunt Ocular Trauma is rarely reported and we do not know the exact convalescence and healing method of that. We treated a patient suffered from visual disturbance by blunt ocular trauma with herbal medicine, acupuncture, cupping treatment. We diagnosed as Blood stasis and noxious water disease. We report a case of visual disturbance by blunt ocular trauma after treatments, we observed the improvement. Based on this study, it is considered that oriental medical treatment can be applied to the management of visual disturbance.

Visual Disturbance Caused by a Nail Gun-Induced Penetrating Brain Injury

( Jin Bong Ye ),( Young Hoon Sul ),( Se Heon Kim ),( Jin Young Lee ),( Jin Suk Lee ),( Hong Rye Kim ),( Soo Young Yoon ),( Jung Hee Choi ) 대한외상학회 2021 大韓外傷學會誌 Vol.34 No.3

Penetrating brain injury caused by a nail gun is an uncommon clinical scenario reported in the literature. A 36-year-old male presented with a nail that had penetrated through the occipital bone. He was alert and neurologically intact except for visual disturbance. Computed tomography (CT) of the brain showed the nail lodged at the occipital lobe and the parietal lobe, with minimal intracerebral hemorrhage. The nail was placed in the occipital lobe close to the superior sagittal sinus. We removed the nail with craniotomy since the entrance of the nail was close to the superior sagittal sinus. There were no newly developed neurological deficits postoperatively. Immediate postoperative CT showed no newly developed lesions. The patient recovered well without any significant complications. Two weeks postoperatively, magnetic resonance imaging showed no remarkable lesions. The visual disturbance was followed up at the outpatient department. To summarize, we report a rare case of penetrating head injury by a nail gun and discuss relevant aspects of the clinical management.

정상면역환자에서 발생한 매독성 포도막염 1예

원인식,박예민,조현정,김형수,서종구,김진용,남동흔,박윤수,서일혜,조용균 대한감염학회 2009 감염과 화학요법 Vol.41 No.4

Syphilis is re-emerging worldwide due to the HIV epidemic. Prior to the introduction of penicillin, syphilis was the second most common primary cause of all cases of uveitis. Today, ocular syphilis is a rare disease, especially in an immunocompetent patient. Variable manifestation without pathognomonic signs of ocular syphilis often lead to delayed diagnosis, resulted in irreversibile loss of vision. In Korea, syphilitic uveitis has not been reported in an immunocompetent patient since 1984. We experienced a case of syphilitic uveitis in an immunocompetent man with visual deterioration. As the incidence of syphilis is increasing in these days, a high degree of clinical suspicion should be considered in patients with unexplained ocular inflammation and visual disturbances.

정상면역환자에서 발생한 매독성 포도막염 1예

원인식,남동흔,서일혜,조용균,박윤수,박예민,조현정,김형수,서종구,김진용 대한감염학회 2009 Infection and Chemotherapy Vol.41 No.4

Syphilis is re-emerging worldwide due to the HIV epidemic. Prior to the introduction of penicillin, syphilis was the second most common primary cause of all cases of uveitis. Today, ocular syphilis is a rare disease, especially in an immunocompetent patient. Variable manifestation without pathognomonic signs of ocular syphilis often lead to delayed diagnosis, resulted in irreversibile loss of vision. In Korea, syphilitic uveitis has not been reported in an immunocompetent patient since 1984. We experienced a case of syphilitic uveitis in an immunocompetent man with visual deterioration. As the incidence of syphilis is increasing in these days, a high degree of clinical suspicion should be considered in patients with unexplained ocular inflammation and visual disturbances.

만성 골수성 백혈병의 뇌수막 괴립구육종 1예

신성훈 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.3

과립구 육종은 골수성 백혈병 세포의 국소적 증식으로 야기되는 골수 외 고형 종양으로 정의된다. 이 중 만성 골수성 백혈병 환자에서 발생하는 뇌수막 과립구육종은 극히 드문 것으로 알려져 있다. 몇몇 증례에서 수술이나 방사선 치료로 호전된 사례를 보고하고 있기는 하나 전반적인 예후가 극도로 나빠 대개 수개월 안에 사망한다. 글리벡 치료 도중 발생한 골수 외 과립구 육종 증례를 경험하였기에 보고한다. 만성 골수성 백혈병 글리벡 치료과정 중 발생한 과립구육종은 나쁜 예후를 시사하며 혈액학적 관해가 유지되고 있다 하더라도 발생 가능함을 경험하였다. 그리고 발생 부위가 생명 증후와 직접 연관되는 연수, 뇌간 인근일 경우 병의 진행으로 또는 방사선치료의 추가적인 부종으로 생명이 위험할 수 있으므로 조기 수술적 뇌압 감압술 시행 후 추가적인 방사선 치료와 항암치료를 시행할 것을 고려해야 한다. Granulocytic sarcoma is an extramedullary solid tumor which results from the localized proliferation of myelogenous leukemic cells. Leptomeningeal involvement of granulocytic sarcoma is very rare in chronic myelogenous leukemia (CML). Some patients improve after surgery and radiotherapy but the prognosis is so poor that most patients die within months. The author experienced a case of chronic myelogenous leukemia associated with a leptomeningeal granulocytic sarcoma. The patient was a 27 year-old female and she was admitted with acute visual disturbance. She was diagnosed as extramedullary progressive disease of CML 1 year after Imatinib therapy. Therefore, the author report this case with literature review.

전상돌기에 발생한 점액낭종 1예

박병후,이근익,김해유,김용완 대한이비인후과학회 부산,울산,경남 지부회 2020 임상이비인후과 Vol.31 No.2

Sinus mucocele is epithelial lined benign cystic lesion usually due to obstruction of the sinus ostia. It is commonly seen in frontal and ethmoidal sinus, although rarely, in sphenoid sinus. Anterior clinoid process is bony process on the superolateral aspect of the sphenoid sinus and its pneumatization is observed approximately 9.5% in sphenoid sinus. An anterior clinoid process mucoceles account for merely 1% of paranasal sinus mucoceles and can lead to optic neuropathy, or even dysfunction of third, fourth, sixth cranial nerves due to its proximity to optic canal. There have only been 19 cases of anterior clinoid mucocele causing visual disturbance. We report a case of mucocele in anterior clinoid process in a 53-year-old man who presented with visual disturbance and ocular pain 1week ago.

Neurocysticercosis Involving the Pituitary Stalk : Case Report and Literature Review

Cheong, Jin-Hwan,Kim, Jae-Min,Kim, Choong-Hyun The Korean Neurosurgical Society 2010 Journal of Korean neurosurgical society Vol.48 No.1

Neurocysticercosis (NCC) is the most common parasitic infestation of the central nervous system. Most cases of NCC are to related and/or associated with inflammation within the cerebral parenchyma. A 71-year-old woman presented with a 4-year history of visual disturbance. This symptom had become aggravated 4 weeks earlier. Her visual acuity gradually decreased and superior hemianopsia was noted. Magnetic resonance imaging (MRI) revealed an enhanced and thickened pituitary stalk accompanying a suspicious mass. The provisional diagnoses were lymphoma, glioma, or other inflammatory conditions. Laboratory studies, including blood and hormonal studies, showed normal findings. Surgical resection was performed. In the pathological examination, degenerated parasitic wall structure was seen and its contents were composed of completely degenerated focal globular structures suggesting the scolex of cysticercus. We report an unusual case of NCC involving the pituitary stalk which was presented with a juxtasellar tumor. The possible underlying mechanisms are discussed with a review of pertinent literature.

안와부 자가지방이식술 후 시력 저하에 대한 증례보고

전영우,김성수,하상욱,이영대,설철환,탁관철,조을제,유원민 대한성형외과학회 2007 Archives of Plastic Surgery Vol.34 No.5

Purpose: Autologous fat injection into the facial area is a frequently used technique in aesthetic plastic surgery for augmentation of the soft tissue. Fat injection is a very safe procedure because of the advantage of being autologous tissue. Minimal foreign body reaction or infections are noted after fat injection. However, there may be some complications including those as severe as blindness. There have been some case reports on visual disturbances after autologous fat injection reported in the literature. Methods: A 21-year-old female patient underwent autologous fat injection into left eyebrow area to correct depression of soft tissue. Immediately after injection of autologous fat, she complained sudden visual loss on the left eye. She had come to our emergency room and ophthalmologic evaluation showed that the patient could only recognize hand motion. There was no abnormality of the optic nerve on magnetic resonance imaging. Suspecting an ischemic optic neuritis from fat embolism of the central retinal artery, the patient was treated conservatively with occular massage, antiglaucomatic agent, anti-inflammatory drugs and antibiotics. Visual field examination showed visual defect of half the lower hemisphere.Results: While maintaining antiglaucomatic agents and non steroidal anti inflammatory drugs, fundoscopic examination showed no abnormalities on the second day of admission. Visual field examination showed an improvement on the fourth day along with decreased eyeball pain. Significant improvement of vision was noted and the patient was discharged on the fifth day of admission. The patient was followed-up 2 days afterwards with improved vision and visual field defect.Conclusion: We describe an unusual case of sudden unilateral visual disturbance following autologous fat injection into periorbital area.

임목생산방법에 따른 토양교란 영향 평가

이은재 ( Eunjai Lee ),( Qiwen Li ),유송 ( Song Eu ),한상균 ( Sang-kyun Han ),임상준 ( Sangjun Im ) 한국임학회 2017 한국산림과학회지 Vol.106 No.2

중장비를 이용한 임목생산작업은 산림 내 토양교란을 유발하며, 산림토양은 토양침식에 취약한 구조를 가지게 된다. 임목생산방법 및 장비에 따라 토양교란 유형 및 토성 변화 정도는 다르게 나타난다. 따라서 이 연구에서는 국내에서 이루어지고 있는 우드그랩을 이용한 단목생산방법과 스윙야더를 이용한 전목생산방법에 따른 토양교란 영향을 평가하였다. 이를 위하여 토양교란 유형은 시각적 평가방법을 이용하여 분류하였으며, 교란 유형에 따른 토양의 물리성 변화는 토양시료캔에 의한 샘플링 방법을 이용하였다. 단목과 전목생산작업지에서 관찰된 극심한 교란(deep disturbance)과 토양답압(compacted) 유형은 각각 48%와 23%로 나타났다. 또한, 임목생산작업에 따른 토양의 물리성 변화는 중장비 차량이 통행한 곳에서 차이가 발생하였다. 반면 차량 통행과 관련 없는 토양교란 유형에서는 임목수확작업 전 · 후의 토양의 용적밀도 및 공극률은 통계적으로 차이가 없었다. 이 연구를 통해 산림 내에서 중장비의 통행으로 인하여 주로 토양 교란 및 훼손이 발생함을 알 수 있었다. Soil disturbance caused by timber harvesting is widely recognized as a potential threat to forest utilization. The degree and extent of soil disturbance is believed to vary with respect to harvesting methods and logging machines. This study has conducted to assess the degree of soil disturbance associated with ground-based cut-to-length (GC) and cable yarding with whole tree (CW) harvesting methods. Soil disturbance was classified using a visual assessment of harvest unit. The properties of soils in different disturbance levels were also evaluated to understand the influence of timber harvesting on soil structure with soil core sampling method. The deep disturbance and soil compaction were observed in sites by 48% and 23% through harvesting areas for GC and CW logging methods, respectively. The results showed that logging machine and number of machine passage had significant influences on soil bulk density and porosity. Soil disturbance types such as rutted, slash cover, and compact were influenced by equipment travel trends in a GC method.

단안의 시력감소과 비전형적인 시야장애를 보인 뇌하수체 종양 1예

조양경(Yang Kyeung Cho) 대한검안학회 2011 Annals of optometry and contact lens Vol.10 No.1

목적: 뇌하수체 종양의 임상양상이 단안의 시력과 시야장애를 보이는 경우는 드물며 본 증례와 같은 비전형적인 시야장애를 보이는 경우는 국내에 보고된 바가 없어서 저자들은 1예를 보고하고자 한다. 대상과 방법: 65세 남자가 약 2개월 전부터 진행되는 우안의 시력장애를 주소로 내원하였다. 시력은 우안의 교정시력이 0.32였고 좌안의 교정시력이 0.6이었다. 양안의 경도의 백내장이 관찰되었으나 안저검사 및 시신경에서는 특이한 이상이 없었고, 좌안은 전혀 시력이나 시야장애를 호소하지 않았다. 반복된 시력검사와 시야검사, 시유발전위검사에서 점점 악화되는 양상을 보여 우측 구후 시신경염이나 시신경의 종양을 의심하고 안와 전산화 단층촬영을 실시하였다. 우측 안구 및 시신경에는 이상소견이 없었으나 몇 개의 단층에서 뇌하수체의 비정상적인 음영을 관찰하여 뇌자기공명영상을 다시 하여 뇌하수체 종양으로 확진되었다. 환자는 신경외과의 절제 수술 후 경과관찰 중이다. 결과: 뇌하수체 종양은 다양한 임상양상과 시야변화를 보일 수 있으나 단안에 국한된 주증상을 보이는 경우는 매우 드물며 본 증례와 같은 시야결손을 보이는 경우는 안과 의사의 진단이 매우 중요할 것으로 사료된다. Purpose: We report a rare case of pituitary tumor showing decreased visual acuity and atypical visual field defect in one eye. Methods: A 65-year-old patient presented with decreasing visual acuity in right eye. There were mild cataratous change of lens in both eyes and no abnormal findings of retina and optic nerve in fundus examination except mild epiretinal membrane in left eye. And there showed an atypical constricted visual field and abnormal wave in visual evoked potential in right eye. Orbit CT was done to observe optic nerve lesion but there was no abnormality in optic nerve. But we found an abnormal enhancement in pituitary gland. Pituitary tumor was confirmed in brain MRI and the patient was undergone neurosurgical excision of tumor. Results: Pituitary tumor shows variable clinical signs and visual field defect. But signs confined to unilateral eye is rare and visual field defect such as our case is atypical. So ophthalmologists need more attention in diagnosis of patients with atypical visual field defect.