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김근해,윤숙현,김숙영,Keun Hae Kim,MD,PhD,Sook Hyun Yoon,MD,Sook Young Kim,MD,PhD 대한안과학회 2014 대한안과학회지 Vol.55 No.1
Purpose: To report a case of bilateral trochlear nerve palsy following cisternography. Case summary: A 43-year-old male with intermittent watery rhinorrhea persisting for 3 months visited the neurosurgery department of our institute. His past medical history included removal of a pituitary adenoma 22 years prior to presentation. Cerebrospinal fluid leakage was suspected and cisternography was performed. The patient was referred to our ophthalmology department for diplopia 3 days after the cisternography. An alternate prism cover test showed 5 prism diopter (PD) right hypertrophia in the primary position, and underaction of bilateral superior oblique muscles and overaction of the left inferior oblique muscle. A positive Bielschowsky test with the head tilted to either side was observed and excyclotorsion was 9° on the double Maddox rod test. The patient was diagnosed with bilateral trochlear nerve palsy. After 2 years of follow- up, diplopia persisted and recession of the bilateral inferior oblique muscles was performed. After the surgery, diplopia disappeared, the fundus photography showed no excyclotorsion, and the double Maddox rod test indicated 3° of excyclotorsion. Conclusions: Cisternography should be carefully performed due to the possibility of bilateral trochlear nerve palsy, an extremely rare but possible occurrence following the procedure. J Korean Ophthalmol Soc 2014;55(1):155-160
유리체절제술을 받은 눈에서 발생한 황반원공의 자연폐쇄 1예
이승희,이근우,윤숙현,김윤영,Seung Hee Lee,Geun Woo Lee,Sook Hyun Yoon,Yoon Young Kim 대한안과학회 2013 대한안과학회지 Vol.54 No.10
Purpose: To report a case of spontaneous closure of a macular hole in a previously vitrectomized eye. Case summary: A 71-year-old female had undergone vitrectomy on the left eye due to a secondary epiretinal membrane with vitreous opacity caused by vasculitis. After the procedure, while the patient was still on medication for the recurrent inflammation of the anterior and posterior segment of the vitreous, a macular hole was found after fundus examinations. Visual acuity of her left eye was 0.125 and ocular coherence tomography (OCT) confirmed a full thickness macular hole with a perifoveal cyst. We recommended vitrectomy, internal limiting membrane peeling, and intravitreal gas injection, but the patient refused further intervention due to her poor general condition. After 2 weeks, resolution of the perifoveal cyst with the macular hole was observed. After 13 weeks, OCT revealed the complete closure of the macular hole with normal foveal depression and the patient regained 0.4 visual acuity. Conclusions: Spontaneous closure of macular hole is a rare phenomenon in vitrectomized eyes, but a small macular hole with inflammation may close spontaneously without additional intervention. Therefore, observation should be considered rather than hasty surgical intervention. Apparently, the spontaneous closure of a macular hole is due to degenerative processes such as development of macular edema and natural recovery.
상사근마비 환자에서 이중마독스막대검사와 바골리니렌즈검사 결과의 비교
이시은(Si Eun Lee),윤숙현(Sook Hyun Yoon),김숙영(Sook Young Kim) 대한안과학회 2016 대한안과학회지 Vol.57 No.5
목적: 상사근마비 시 발생하는 주관적 회선편위를 측정하기 위해 흔히 사용되는 이중마독스막대검사와 두 눈을 가장 적게 해리시키고 검사하는 바골리니렌즈검사의 결과를 비교하여 회선융합력의 정도를 알아보고자 하였다. 대상과 방법: 2014년 5월부터 2015년 3월까지 대구가톨릭대학교병원 안과를 방문한 25명의 후천상사근마비 환자를 대상으로 이중마독스막대검사와 바골리니렌즈검사를 시행하여 주관적 회선편위량을 측정하였다. 이중마독스막대검사는 어두운 암실에서, 바골리니렌즈검사는 밝은 검사실에서 시행하였으며 정면주시와 하방주시에서 각각 회선편위량을 측정하여 그 결과를 비교하였다. 결과: 정면주시 시 이중마독스막대검사는 평균 3.40 ± 2.58˚의 회선량을 보였고 바골리니렌즈검사는 평균 1.88 ± 2.92˚의 회선량을 보였으며, 통계적으로 유의한 차이가 있었다(p=0.000). 하방주시 시 이중마독스막대검사는 4.16 ± 2.90˚, 바골리니렌즈검사는 2.40 ± 2.90˚의 회선량을 보였고, 통계적으로 유의한 차이가 있었다(p<0.001). 결론: 후천상사근마비 환자에서 이중마독스막대검사로 측정한 회선량보다 바골리니렌즈검사로 측정한 회선량이 유의하게 적었으며 정면주시에서 1.5˚의 회선융합력이, 하방주시에서 1.8˚의 회선융합력이 존재한다는 것을 알 수 있었다. 상사근마비 환자의 회선편위검사에서 안저검사와 이중마독스막대검사뿐 아니라 바골리니렌즈검사를 통해 회선융합력의 확인이 필요하며, 이를 통해 환자의 회선사시에 대한 적응 여부를 예측할 수 있을 것으로 생각한다. Purpose: We compared the results of the double Maddox rod test (DMRT), which is commonly performed in clinics as a subjective torsion test for superior oblique muscle palsy, with those of the Bagolini striated lenses test (BSLT) in a least dissociating condition to predict the cyclofusional capacity. Methods: Twenty-five patients with acquired superior oblique muscle palsy were tested for degree of subjective torsion with DMRT and BSLT in primary position and down-gaze in Daegu Catholic University Hospital from May 2014 to March 2015. DMRT was performed in a dark room and BSLT in a lighted room. Results: Mean extorsional degree in primary position was 3.40 ± 2.58˚ on DMRT and 1.88 ± 2.92˚ on BSLT, a significant difference (p = 0.000). In down-gaze, mean extorsional degree was 4.16 ± 2.90˚ with DMRT and 2.40 ± 2.90˚ with BSLT (p < 0.001). Conclusions: The subjective torsional measurement with BSLT was significantly smaller than with DMRT, and the cyclofusional capacity in patients with acquired superior oblique palsy was 1.5˚ in primary position and 1.8˚ in down-gaze. BSLT is helpful in addition to DMRT and fundus photograph for the evaluation of cyclotropia in patients with superior oblique muscle palsy, and this test may yield clinically important information for predicting the cyclofusional capacity of patients with superior oblique muscle palsy.