http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
구면/비구면 레스토렌즈삽입술의 3개월 임상 경과와 환자 만족도에 관련되는 술 전 요소
윤재하,안견,이동훈,정의상,정태영,Jaeha Yun,MD,Kyeon Ahn,MD,Dong Hoon Lee,MD,Eui-Sang Chung,MD,PhD,Tae-Young Chung,MD,PhD 대한안과학회 2010 대한안과학회지 Vol.51 No.1
Purpose: To evaluate results at three months postoperatively on patient satisfaction and preoperative clinical factors affecting patient satisfaction after implantation of an AcrySof ReSTOR intraocular lens (IOL). Methods: Thirty-three eyes of 33 patients who underwent implantation of spheric/aspheric AcrySof ReSTOR IOL at the Samsung Medical Center of Korea were enrolled in the present study. The uncorrected distance visual acuity (UCDVA), best corrected distance visual acuity (BCDVA), and refractive error were recorded preoperatively and three months after surgery. A questionnaire to assess patient satisfaction was created (score range: 1-5, 5 being the maximum score). Patient age, preoperative UCDVA, BCDVA, corneal astigmatism, and asphericity of IOL were selected as preoperative factors influencing patient satisfaction. Results: One hundred percent and 93.9% of the patients achieved UCDVA and BCDVA of 20/25 or better, respectively. The overall patient satisfaction score was 3.9±1.0/4.5±0.7 (p=0.073) and the score of intent to recommend ReSTOR IOL to others was 3.7±1.0/4.5±0.6 (p=0.013) with the spheric/aspheric IOL, respectively. The age of patients was negatively correlated with the score of overall satisfaction and the intent to recommend the procedure to others (p=0.024, 0.031). The overall patient satisfaction and intent to recommend of the patients who were less than 55 years old were significantly higher than those of the older patients (p=0.032, 0.039). Conclusions: High UCDVA and BCDVA resulted from the implantation of ReSTOR IOL. The younger the patients were, the higher the resulting patient satisfaction. Implantation of ReSTOR IOL in young patients is recommended. J Korean Ophthalmol Soc 2010;51(1):14-21
이정혜,안견,정의상,정태영,Jung-Hye Lee,MD,Kyeon Ahn,MD,Eui-Sang Chung,MD,PhD,Tae-Young Chung,MD,PhD 대한안과학회 2010 대한안과학회지 Vol.51 No.9
Purpose: To determine predictable factors of postoperative pain and cut-off values following LASEK eye surgery. Methods: Thirty-three eyes of 17 patients who underwent LASEK from May to December 2008 were reviewed. For evaluation of predictive factors, patients’ anxiety level was converted to APAIS, HADS, STAI, and VAS preoperatively. Substance P and prostaglandin E2 levels in tears, blood pressure, heart rate, and history of any previous surgery were determined before the procedure. Thirty minutes and 1 day after LASEK, the subjective degree of pain was scored. Results: Patients with high Amsterdam preoperative anxiety scale (APAIS) and Visual analogue scale (VAS) scores showed more postoperative pain (p=0.04, p<0.001). Higher substance P and prostaglandin E2 levels were significantly related with more severe pain after LASEK (p<0.001, p<0.001). Postoperative pain increased significantly, according to cut-off values (p<0.05), APAIS and VAS scores greater than 6, substance P greater than 631.84 pg/ml, and prostaglandin E2 greater than 783.90 pg/ml. Conclusions: The level of pain after LASEK surgery varies individually, and many factors, including physical and psychological variances, can affect the pain. With higher APAIS/VAS scores and higher concentrations of substance P, prostaglandin E2 portends more severe pain following LASEK. J Korean Ophthalmol Soc 2010;51(9):1203-1209
원추각막에 시행한 전층각막이식술과 심부표층각막이식술의 수술 결과에 대한 비교 연구
김국회,안견,정의상,정태영 대한안과학회 2008 대한안과학회지 Vol.49 No.2
`Purpose: To compare the therapeutic outcomes after deep anterior lamellar keratoplasty (DALK) and penetrating keratoplasty (PKP) in patients with keratoconus. Methods: We retrospectively reviewed the clinical records of 57 patients diagnosed with keratoconus who had undergone DALK (19 eyes of 19 patients) and PKP (38 eyes of 38 patients) in Samsung medical center between January 1995 and January 2006. Results: The 19 and 38 patients with keratoconus who underwent DALK and PKP had mean ages of 25.3 (range: 17-46) and 26.2 (range: 12-51) years, respectively. These groups were followed up for mean times of 16.7 (range: 6-34) and 45.7 (range: 6-115) months after surgery, respectively. The DALK group showed significantly higher values of refractive power, central corneal thickness, and endothelial cell density, while two eyes (10.5%) in the DALK group developed stromal rejection, which resolved after steroid therapy. In the PKP group, eight eyes (21%) developed endothelial rejection, among whom one eye (2.6%) resulted in a graft failure of a patient who underwent re-PKP, and two eyes (5.3%) in the PKP group developed secondary glaucoma. Conclusions: DALK should be considered as the primary surgical technique in keratoconus, because the visual outcome is comparable with PKP and it reduces severe complications such as secondary glaucoma and the risk of graft failure by preserving the corneal endothelium compared to PKP.`
최성호,안견,기창원 대한안과학회 2005 대한안과학회지 Vol.46 No.4
Purpose: Swan syndrome, one of the chronic postoperative complications following cataract surgery produces recurrent hyphema from new vessels of the anterior chamber and thereby increases intraocular pressure (IOP). We report the first Korean case of “Swan syndrome”. Methods: A 66-year-old male complained of loss of vision and red eye two months after unplanned extracapsular cataract extraction in the right eye. At our glaucoma clinic, hyphema of 1 mm in height was noticed through a slit lamp. IOP was 33 mmHg. A new vessel at the inlet of the previous scleral tunnel incision was noticed through gonioscopic examination. We diagnosed this case with Swan syndrome. Results: To remove the hyphema, anterior chamber irrigation was performed. However, the hyphema recurred. Therefore argon laser photocoagulation was performed with permanent non-recurrence of the hyphema and IOP was maintained within the normal range. Conclusions: Swan syndrome which produces recurrent hyphema with resultant blurred vision is associated with neovascularization originated from episcleral vessels. In this case, argon laser photocoagulation was effective in the eradication of the new vessel.