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      • KCI등재

        사시 환자의 수술 전 기대와 두려움 및 술 후 일상생활로의 복귀 과정에 관한 연구

        김중훈,김승현,조윤애,Joong-Hun Kim,Seung-Hyun Kim,Yoonae A Cho 대한안과학회 2012 대한안과학회지 Vol.53 No.3

        Purpose: To investigate preoperative concerns and expectations of caretakers and patients who underwent strabismus surgery and the patients course of return to daily life. Methods: Eighty-five strabismus surgery patients were enrolled in this study. We performed a questionnaire survey including 11 questions about the concerns, expectations of strabismus surgery and the course of return to daily life after surgery. In total, 25 adult patients and 60 children with their caretakers were asked to fill out the questionnaire. Results: The results showed that 77% of all patients and their caretakers expected that the strabismus would be cured after a single operation. The greatest concern before surgery was the possibility of strabismus recurrence (60%). Fifty five percent of the patients reported the use of an eye patch for 2 weeks to 1 month after surgery and 88% of them showed a 75-100% increase in performance after the operation. The most common reason for decreased performance was the use of an eye patch (61%). Most patients returned to normal daily activities within 1 to 2 weeks after surgery. Conclusions: Proper preoperative explanation about the possibility of recurrence may reduce concerns and false expectations about surgical outcomes. It appears to take 1 to 2 weeks for patients to return to their daily lives. J Korean Ophthalmol Soc 2012;53(3):440-445

      • KCI등재

        갑상선 안병증에서 병의 경과에 영향을 미치는 요인들에 관한 연구

        김중훈,이태수,Joong-Hun Kim,MD,Tae Soo Lee,MD,PhD 대한안과학회 2011 대한안과학회지 Vol.52 No.3

        Purpose: To investigate the risk factors related to the course of Graves’ ophthalmopathy (GO). Methods: This is a retrospective study of 125 patients who were referred to our clinic and diagnosed with GO from March 2006 to August 2008. Ophthalmic examinations and a thyroid function test including TSI were performed at the time of diagnosis and every 3 months after diagnosis. All patients were classified as having a mild or severe course of GO, according to Clinical Activity Score (CAS) and NOSPECS classifications. Results: This statistical analysis of each group revealed that female sex (p = 0.04), age (p = 0.0004), smoking (p = 0.003), and high TSI level (p = 0.009) were significant factors for severe course of GO at the time of diagnosis. TSI levels at each of the 3 visits during the follow-up were significantly higher in patients with a severe course of GO, as compared to patients with a mild course of GO (first visit: p = 0.003, second visit: p = 0.002, third visit: p = 0.006). Conclusions: Female sex, age, smoking, and high TSI level appear to be the risk factors that can predict the severity of GO at the time of diagnosis. Additionally, the TSI level can reflect the severity of GO during the follow-up periods. J Korean Ophthalmol Soc 2011;52(3):255-260

      • KCI등재후보

        역설머리기울임을 보인 선천상사근마비 환자의 수술 결과

        김중훈(Joong-Hun Kim),하석규(Suk-Gyu Ha),김승현(Seung-Hyun Kim) 대한검안학회 2018 Annals of optometry and contact lens Vol.17 No.4

        Purpose: We report the surgery outcome of three cases with congenital superior oblique palsy (SOP) with paradoxical head tilt after conducting ipsilateral inferior oblique (IO) recession. Case summary: Case 1 was a 4-year-old boy with right head tilt noted since about 3-4 months of age. He demonstrated right hypertropia of 6 prism diopters (PD). Case 2 was a 4-year-old girl who demonstrated left hypertropia of 6 PD and exotropia of 18 PD. She had shown intermittent left head tilt since about 3 months of age. Case 3 was a 8-year-old boy with right head tilt noted since about 1 year of age. He demonstrated right hypertropia of 10 PD. Case 1 underwent left IO recession and left lateral rectus recession. Case 2 and 3 underwent right IO recession. Conclusions: Ipsilateral IO weakening was also the effective surgery in congenital SOP with paradoxical head tilt as well as in the one manifesting usual head tilt.

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