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설보람,곽상인,김성준,Bo Ram Seol,Sang In Khwarg,Seong-Joon Kim 대한안과학회 2014 대한안과학회지 Vol.55 No.3
Purpose: To report the results obtained after fixation of the eyeball to the periosteum over the posterior lacrimal crest in 5 cases of inveterate exotropia. Methods: From September 2011 to January 2013, 5 patients with inveterate exotropia and a history of surgery for exotropia underwent fixation of the eyeball to the periosteum over the posterior lacrimal crest. Results: The mean preoperative exotropia of 35 ± 10.61 PD changed to esotropia of 5.8 ± 17.28 PD at the one week postoperative visit and exotropia of 13.2 ± 11.34 PD at the final postoperative visit (mean, 6.05 months after surgery). At the final postoperative visit, 2 patients who had ocular adhesion due to trauma showed 25 PD exotropia. None of the patients showed injuries to the lacrimal system, but 2 patients showed conjunctival granuloma. Conclusions: Fixation of the eyeball to the periosteum over the posterior lacrimal crest is an effective approach for the management of inveterate exotropia, except in cases of exotropia combined with ocular adhesion. J Korean Ophthalmol Soc 2014;55(3):408-415
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미용적 눈꺼풀테 문신술 후 발생한 마이봄샘 분비 장애 1예
설보람,권지원,위원량,한영근,Bo Ram Seol,MD,Ji Won Kwon,MD,PhD,Won Ryang Wee,MD,PhD,Young Keun Han,MD,PhD 대한안과학회 2013 대한안과학회지 Vol.54 No.8
Purpose: To report a case of meibomian gland dysfunction as a chronic complication of eyelid tattooing and the corneal epithelial defect as an acute complication of eyelid tattooing well healed with proper treatment. Case summary: A 31-year-old woman presented with severe eye pain, irritation and epiphora in both eyes. The patient underwent an eyelid tattooing procedure 2 hours before and dark pigments were placed on the inner eyelid margin. Slit lamp examination showed conjunctival injection and inferior corneal epithelial defect in both eyes. After 2 months, dry eye symptom still remained although the cornea was completely epithelialized. After 1 year, the patient improved completely, but still showed decreased tear film breakup time (TBUT). Conclusions: Due to the increased number of people who undergo cosmetic eyelid tattooing procedures, the number of reports associated with complications has increased and acute complications such as corneal epithelial defect can occur. Moreover, chronic discomfort associated with dry eye syndrome can occur when pigmentation is placed on the eyelid inner margin and lead to the destruction of meibomian glands. Thus, eyelid tattooing should be performed after careful consideration of possible complications.
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녹내장 정도에 따라 망막전막이 망막신경섬유층, 신경절세포층, 황반부 두께에 미치는 영향
한희용,설보람 대한안과학회 2023 대한안과학회지 Vol.64 No.12
목적: 파장가변 빛간섭단층촬영을 이용하여 망막전막이 녹내장 환자의 시신경유두 주위 망막신경섬유층 두께(peripapillary retinal nerve fiber layer thickness, pRNFLT)와 황반부 신경절세포 및 내망상층 두께(macular ganglion cell-inner plexiform layer thickness, mGCIPLT), 황반부 두께(macular thickness, MT)에 미치는 영향을 알아보고, 녹내장 중등도에 따라 차이가 있는지 확인해보고자 한다. 대상과 방법: 녹내장 환자 중 망막전막을 진단받은 105명 중 105안을 망막전막이 없는 녹내장 환자와 연령, 성별, 백내장수술 여부, 안축장 길이, 시야검사의 mean deviation을 기준으로 일대일 매칭하였다. 두 군을 대상으로 pRNFLT, mGCIPLT 그리고 MT 차이를확인하였으며, 녹내장 중등도에 따라 세 그룹으로 나누어 비교하였다. 결과: 망막전막이 있는 녹내장군은 전체 환자군에서 평균, 이측, 7-11시 pRNFLT 영역에서 망막전막이 없는 군에 비해 두껍게 측정되었다. 모든 녹내장 중등도에서 망막전막이 있는 군이 없는 군에 비해 mGCIPLT, MT가 모든 영역에서 두껍게 측정되었다. 중기 녹내장군에서 초기 녹내장군보다 pRNFLT의 7시, 11시 영역에서 두 군 사이의 두께 차이가 유의하게 컸다(각각 p=0.043, p=0.012). 결론: 망막전막은 pRNFLT, mGCIPLT, MT에 영향을 주며, 녹내장의 중등도에 따라 망막전막이 pRNFLT에 미치는 영향의 정도는 다르다. Purpose: To investigate the effect of an epiretinal membrane (ERM) on peripapillary retinal nerve fiber layer thickness (pRNFLT), macular ganglion cell-inner plexiform layer thickness (mGCIPLT) and macular thickness (MT) in relation to glaucoma severity using swept-source optical coherence tomography (SS-OCT). Methods: In total, 105 eyes of 105 glaucoma patients with ERM were matched at a 1:1 ratio with glaucoma patients without ERM according to age, sex, cataract surgery, axial length and mean deviation based on visual field tests. The differences in pRNFLT, mGCIPLT and MT between the two groups were assessed using SS-OCT. Furthermore, the patients were divided into three glaucoma-severity groups, and the differences in pRNFLT, mGCIPLT and MT were compared between glaucoma patients with and without ERM in each group. Results: In all patients, including those with early, moderate, and advanced glaucoma, those with ERM had greater average, temporal quadrant, and 7, 8, 9, 10, and 11 o’clock pRNFLT values compared to those without ERM. Additionally, mGCIPLT and MT were thicker in glaucoma patients with ERM in all groups. The difference in pRNFLT at the 7 and 11 o’clock positions between glaucoma patients with and without ERM was significantly more pronounced in the moderate glaucoma group than in the early glaucoma group (p = 0.043 and p = 0.012, respectively). Conclusions: ERM has notable effects on the pRNFLT, mGCIPLT and MT. Furthermore, the magnitude of its effect on pRNFLT varies with glaucoma severity.
KCI
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