눈물주머니에 생긴 혈관내피종 1예

길현경,함이룸,최용준,김성주 대한안과학회 2005 대한안과학회지 Vol.46 No.3

Purpose: To report a case of epithelioid hemangioendothelioma of the lacrimal sac. Methods: A 51-year-old woman was admitted to our hospital because of tearing on the left eye. Nasolacrimal duct stenosis was found on dacryocystogram. After observation of 2 months, the tearing became worse and a palpable mass at the medial canthal area was noted. Orbital computed tomography showed the tumor of the left lacrimal sac and complete excision of the tumor and sac was performed. Results: Pathologic diagnosis of the excised mass was epithelioid- hemagioendothelioma. There was no evidence of recurrence until last follow-up at postoperative 4 months.

초기 황반변성 환자에서 들쭉 추출물의 효과

길현경,송유미,전고이,Hyun Kyung Kil,You Mi Song,KoI Chun 대한안과학회 2013 대한안과학회지 Vol.54 No.8

Purpose: To evaluate the effect of Bog Bilberry (Vaccinium uliginosum) extract in eyes with early age-related macular degeneration (AMD). Methods: Forty- four eyes of forty four patients with early AMD were included in this randomized, double-blinded, and placebo- controlled study. All participants were randomly assigned to either the placebo group (n = 24), or the bog bilberry extract group (n = 20). Before drug administration, an ophthalmic examination which included slit lamp microscopy, best corrected visual acuity, and intraocular pressure was performed, and repeated 1and 3 months after treatment. Objective scatter index, glare and tear film break-up time were checked by Optical Quality Analysis System (OQAS, Visiometrics, Spain) and drusen volume, central macular thickness, and RPE and IS/OS junction thickness were investigated with spectral-domain optical coherence tomography (Spectralis, Heidelberg, Germany). Results: In the bog bilberry extract group, RPE and IS/OS junction thickness was significantly increased compared to the placebo group after 3 months of drug administration. Conclusions: Bog Bilberry extract may play a favorable role in preventing the atrophic change of RPE and IS/OS junction layer and the progression of early macular degeneration.

간암 환자에서 방종양성 증후군으로 발생한 시신경척수염 1예

길현경,이구은,홍혁진,박상종,신상건,Hyun Kyung Kil,Gu Eun Lee,Hyuk Jin Hong,Sang Jong Park,Sang Kun Sin 대한안과학회 2013 대한안과학회지 Vol.54 No.10

Purpose: We report a case of neuromyelitis optica (Devic’s syndrome) with hepatocellular carcinoma. Case summary: A 70‐year‐old male with hepatocellular carcinoma presented with bilateral visual loss. A relative afferent pupillary defect was not observed in either eye due to bilateral mydriasis. On brain MRI, there was no specific finding, however, on spine MRI, multiple and severe myelopathies were observed. After high‐dose methylprednisolone pulse therapy, the visual acuity was 0.03 in the right eye and counting fingers at 30 cm in the left eye. Conclusions: We encountered a case of neuromyelitis optica involving bilateral optic neuropathy in hepatocelluar carcinoma. Therefore, in patients with an optic neuropathy of uncertain etiology, clinicians should consider performing a systemic evaluation.

망막분지정맥폐쇄환자에서 유리체강내 트리암시놀론주입술의 효과

길현경 ( Hyun Kyung Ghil ) , 조성원 ( Sung Won Cho ) , 김순현 ( Soon Hyun Kim ) 대한안과학회 2004 대한안과학회지 Vol.45 No.12

망막박리에서 일차수술로 유리체절제술과 실리콘 주입술에 대한 임상결과 분석

길현경(Gyeong, Gil-Hyeon),이무식(Lee, Moo-Sik),황혜정(Hwang, Hye-Jeong) 한국산학기술학회 2009 한국산학기술학회논문지 Vol.10 No.12

본 연구는 망막박리에서 실리콘 기름주입술에 대한 임상적 결과를 분석한 것이다. 1999년부터 2002년까지 유리체절제술과 실리콘기름 주입술를 받은 44명 환자의 45안을 연구하였다. 결과는 다음과 같다. 1. 유리체절제술 후 시력이 두 줄 이상 호전된 경우는 45안 중 24안(53%)이었으며, 45안 중 18안(40%)에서는 시력의 변화가 없었다. 2. 실리콘기름 주입술 후 16안(6.3%)에서 실리콘기름을 제거하였으며 그 중 1안에서 망막박리가 재발되어 실리콘기름 재주입술을 시행하여 망막재유착을 이루었다. 3. 재수술을 포함하여 해부학적인 재유착은 45안 중 44안(97%)에서 이 루었다. 4. 실리콘기름주입 후 발생한 합병증은 백내장(16안), 녹내장(10안), 실리콘기름의 유화(5안), 각막병증(2안), 재발성 망막박리 (1안)이었다. 결론적으로 망막박리 환자에게 일차수술로 유리체 절제술 후 유리체 대용물로 실리콘 기름을 사용하는 것은 여러 합병증의 발생에도 불구하고 높은 해부학적 성공률과 시력 개선효과를 보여주었다. To evaluate clinical results of silicone oil injection for retinal detachment. The 45 eyes of 44 patients underwent vitrectomy and silicone oil injection from 1999 to 2002. 1.There were no history of previous retinal surgery and ocular trauma. In 24 of the 45 eyes(53%) visual acuity increased and stabilized in 18 of the 45 eyes(40%). 2. 1 of 16 eyes(6.3%) had recurred retinal detachment after silicone oil removal. 3. Final retinal reattachment was achieved in 44 eyes(97%). Postoperative complications were cataract(16 eyes), glaucoma(10 eyes), emulsification of silicone oil(5 eyes), keratopathy(2 eyes) and recurrent retinal detachment(1 eye). These results show that silicone oil injection for primary retinal detachment yields a high rate of anatomic success and the good visual outcome

망막분지정맥폐쇄환자에서 유리체강내 트리암시놀론주입술의 효과

길현경 ( Hyun Kyung Ghil ),조성원 ( Sung Won Cho ),김순현 ( Soon Hyun Kim ) 대한안과학회 2004 대한안과학회지 Vol.45 No.12

網膜剝離에서 一次手術로 유리체節制術과 실리콘기름 注入術을 시행한 患者의 臨床結果

길현경(Gyeong, Gil-Hyeon),이무식(Lee, Moo-Sik),나백주(Na, Bak-Ju),김철웅(Kim, Chul-Woung),황혜정(Hwang, Hye-Jeong) 한국산학기술학회 2009 한국산학기술학회 학술대회 Vol.- No.-

본 연구는 망막수술의 기왕력이 없고 고식적인 수술방법으로는 예후가 나쁠 것으로 예상되는 망막박리에서 유리체절제술과 일차적으로 실리콘 기름을 사용했을 경우의 초기적용의 유용성 및 합병증을 알아보고자 망막박리로 유리체절제술과 실리콘기름주입술을 시행하고 6개월 이상 추적관찰이 가능한 환자44명을 대상으로 연구하였다. 결과는 다음과 같다. 1. 유리체절제술 후 시력이 두 줄 이상 호전된 경우는 45안 중 24안(53%)이었으며, 18안(40%)에서는시력의 변화가 없었다. 2. 실리콘기름주입술 후 16안에서 평균 6.9개월에 실리콘기름을 제거하였으며 그중 1안에서 망막박리가 재발되어 실리콘기름 재주입술을 시행하여 망막재유착을 이루었다. 3. 재수술을포함하여 해부학적인 재유착은 45안 중 44안(97%)에서 이루었다. 4. 실리콘기름주입 후 발생한 합병증은백내장(16안), 녹내장(10안), 실리콘기름의 유화(5안), 각막병증(2안), 재발성 망막박리 (1안)이었다.

안내충전물로서 과불화탄소액을 이용한 거대 망막열공이 동반된 망막박리 환자 치료 증례 1예

장영석,길현경,김철구 대한안과학회 2008 대한안과학회지 Vol.49 No.3

`Purpose: To report a case of retinal detachment with a giant retinal tear, which was treated with perfluorocarbon liquid as an intraocular substitute. Case summary: A 37-year-old woman with a dislocated lens and a giant retinal tear underwent vitrectomy and lensectomy and was instructed to maintain a supine position after the operation. Perfluorocarbon liquid (Perfluoro-N-octane, C8F18) was used as a substitute in the vitreous cavity for 17 days. After 17 days, the perfluorocarbon liquid was removed and intraocular lens scleral fixation was performed. After removal of the perfluorocarbon liquid, the corneal endothelium was stable without other complications (including corneal edema, elevated intraocular pressure, ocular hypotony, macular pucker), and the best corrected visual acuity after intraocular lens scleral fixation was 0.4. Conclusions: Perfluorocarbon liquid is a useful surgical material in patients with a dislocated lens and retinal detachment with a giant retinal tear who have difficulty maintaining a prone position.`

자세변동에 따른 안압의 변화와 안구박동크기와의 관계

안재홍,길현경,이마빈 대한안과학회 2015 대한안과학회지 Vol.56 No.2

목적: 녹내장 및 녹내장의증 안에서 자세변동 후 시간에 따른 안압의 변화를 관찰하고 이러한 변화 양상이 안구박동크기 등의 안인자와 어떠한 상관관계를 보이는지 알아보고자 하였다. 대상과 방법: 총 46안을 대상으로 먼저 앉은 자세에서 골드만압평안압계, 파스칼안압계, TonoPen?瑛? 이용하여 안압과 안구박동크기를 측정한 뒤 똑바로 누운 자세에서 누운 직후, 누운 지 10분 후 그리고 30분 뒤 안압을 TonoPen?瑛막? 측정하여 앉은 자세에서의 안압과의 차이를 측정하였다. 이러한 안압의 변화가 안구박동크기 등 여러 가지 안인자와 어떤 상관관계를 보이는지 알아보았다. 결과: 앉아서 측정한 TonoPen?獰횡隙? 16.6 ± 2.9 mmHg였으며 안구박동크기는 2.57 ± 0.89 mmHg였다. TonoPen?瑛막? 와위를취한 직후, 10분 뒤 그리고 30분 뒤 측정한 안압은 각각 17.6 ± 2.9 mmHg, 18.2 ± 3.7 mmHg, 17.5 ± 2.7 mmHg이었다. 각 자세변화와 시간에 따른 안압은 모두 통계적으로 의미 있는 차이를 보였으며 누운 후 10분 뒤 안압의 변화가 가장 컸다. 누운 뒤 10분 후의 안압 변화는 안구박동크기(R=0.340) 및 굴절이상정도(R=0.330)와 양의 상관관계를 보였으며 안축장(R=-0.410)과는 음의 상관관계를 보였다. 결론: 자세변동 후 시간에 따라 안압이 상승하는 양상을 보이다가 다시 상승 정도가 줄어드는 것을 확인할 수 있었으며 또한 자세변동에 따른 안압변동은 안구가 클수록(안축장이 길수록) 적으며 안구박동크기가 클수록 컸다. Purpose: To investigate the postural change of intraocular pressure (IOP) from sitting to supine position and determine the relationship to other ocular parameters including ocular pulse amplitude (OPA) in glaucoma suspect and open angle glaucoma patients. Methods: The present study included 46 eyes of 46 patients. First, we measured IOP and OPA using Goldmann applanation tonometer(GAT), Pascal dynamic contour tonometer and TonoPen??. Using TonoPen??, the IOP was measured immediately after the subjects were placed in a supine position and 10 minutes and 30 minutes thereafter. We also investigated the correlation between positional change of IOP and axial length (AL), refractive error (RE), and OPA. Results: IOPs of patients in a sitting position measured with GAT and TonoPen?? were 15.3 ± 3.3 mm Hg and 16.6 ± 2.9 mm Hg,respectively, and OPA was 2.57 ± 0.89 mm Hg. IOPs measured with TonoPen?? were 17.6 ± 2.9 mm Hg immediately after position change, 18.2 ± 3.7 mm Hg after 10 minutes and 17.5 ± 2.7 mm Hg after 30 minutes. Each IOP change was statistically significant and the largest change was after 10 minutes. Changes of IOP after 10 minutes were positively correlated with OPA (R =0.340) and RE (R = 0.330) and negatively correlated with AL (R = -0.410). Conclusions: When placed in a supine position, the IOP of patients increased and then decreased over time. Positional IOP change was influenced by AL and OPA and variable hemodynamic factors and apparently influenced OPA and ocular perfusion pressure.

내장 유충 이행증과 안구 유충 이행증이 동시에 발현된 개회충증

박지은 ( Ji Eun Park ),오미정 ( Mi Jung Oh ),오동현 ( Dong Hyun Oh ),오인명 ( In Myung Oh ),유경화 ( Kyoung Hwa Yoo ),임성규 ( Sung Gyu Im ),길현경 ( Hyun Kyung Ghil ) 대한내과학회 2012 대한내과학회지 Vol.83 No.4

Toxocariasis is an infection in a human host caused by Toxocara canis or Toxocara cati larvae. Clinical manifestations are classified according to the organs affected, such as visceral larva migrans (VLM) and ocular larva migrans (OLM). Epidemiological evidence suggests that OLM tends to occur in the absence of systemic involvement and vice versa, which has led to two manifestations of this infection being reclassified as VLM and OLM. No case of a patient with VLM combined with OLM has been reported in Korea. Here, we report a case of VLM combined with OLM in a 51-year-old female caused by massive ingestion of raw cow meat, manyplies, and liver. (Korean J Med 2012;83:543-549)