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- 검색키워드
- 주제어 : Nanophthalmos (검색결과 6 건)
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소안구증 환자에서 piggyback 방법을 이용한 백내장 수술
이종욱,최원석,박영정,이규원.Jong Wook Lee. MD. Won Suk Choi. MD. Young Jeung Park. MD. PhD. Kyoo Won Lee. MD. PhD 대한안과학회 2010 대한안과학회지 Vol.51 No.7
Purpose: To report a case of cataract surgery using a piggyback method in a patient with pure nanophthalmos with an axial length under 16.00 mm in both eyes. Case summary: The authors performed cataract surgery using a piggyback method inserting two intraocular lenses (IOLs) in a 44-year-old male with nanophthalmos with axial lengths of OD 15.36 mm, and OS 15.59 mm. Primary implantation of two IOLs of +53.0D as calculated by the SRK/T and Holladay formula was performed in the right eye using a piggyback method. In the left eye, two IOLs of +60.0D calculated by the Hoffer Q formula were implanted. Postoperative hyperopic refractive errors occurred in both eyes. The differences between the preoperative target spherical equivalent (SE) and the postoperative one year four month SE were 9.68D in the right eye and 1.63D in the left eye. Conclusions: Due to high diopter IOL requirements in nanophthalmic patients (less than 16.00 mm) during cataract surgery, the refractive errors were well corrected, without complications, by using a piggyback method. In the present case study, the Hoffer Q formula produced better results than did the SRK/T or Holladay formula in reducing the difference in preoperative and postoperative SEs, but more surgical cases and research are required to establish the most appropriate formula for cataract surgery in nanophthalmos.
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황제형,염동주,김재석,이주화,Je Hyung Hwang,MD,Dong Ju Yeom,MD,Jae Suk Kim,MD,Joo Hwa Lee,MD 대한안과학회 2010 대한안과학회지 Vol.51 No.2
Purpose: To present a case of acute angle-closure glaucoma in a nanophthalmos patient. Case summary: A 28-year-old woman visited the hospital for a sudden pain in the left eye, she had a small orbital bone and narrow palpebral fissurea in both eyes. Her intraocular pressure (IOP) was 58 mmHg in the left eye. The slit lamp examination showed shallow anterior chambers in both eyes, and the gonioscopic examination showed a closed angle in the left eye. The diameters of the corneas were 11 mm , and the axial lengths were 19.7 mm in the right eye and 19.6 mm in the left eye. The depths of the anterior chambers were 1.51 mm in the right eye and 1.82 mm in the left eye. The disease was diagnosed as acute angle-closure glaucoma in the left eye of the patient with nanophthalmos, and thus the IOP of the left eye was lowered using ophthalmic drugs and medications. Laser iridotomy was performed on both eyes. Conclusions: For around a year of follow-up after laser iridotomy, complications such as the rise of intraocular pressure and choroidal effusion were not observed. This suggests that laser iridotomy can be an effective treatment for acute angle-closure glaucoma accompanying nanophthalmos. J Korean Ophthalmol Soc 2010;51(2):303-306
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Full-thickness Sclerotomy for Uveal Effusion Syndrome
공민규,김재희,김상진,강세웅 대한안과학회 2013 Korean Journal of Ophthalmology Vol.27 No.4
To report the surgical outcome of full-thickness sclerotomy in five cases of uveal effusion syndrome (UES). Full-thickness sclerotomy without sclerectomy was performed on five eyes of four patients with UES with or without nanophthalmos. In four of the eyes, exudative retinal detachment associated with UES resolved after the sclerotomy. The subretinal fluid in one eye, which had a normal axial length, was relieved after undergoing three sclerotomy procedures. Full-thickness sclerotomy without vortex vein decompression or sclerectomy is an effective surgical option for the management of significant UES.
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Case Report : Full-thickness Sclerotomy for Uveal Effusion Syndrome
( Ming Ui Kong ),( Jae Hui Kim ),( Sang Jin Kim ),( Se Woong Kang ) 대한안과학회 2013 Korean Journal of Ophthalmology Vol.27 No.4
To report the surgical outcome of full-thickness sclerotomy in five cases of uveal effusion syndrome (UES). Full-thickness sclerotomy without sclerectomy was performed on five eyes of four patients with UES with or without nanophthalmos. In four of the eyes, exudative retinal detachment associated with UES resolved after the sclerotomy. The subretinal fluid in one eye, which had a normal axial length, was relieved after undergoing three sclerotomy procedures. Full-thickness sclerotomy without vortex vein decompression or sclerectomy is an effective surgical option for the management of significant UES.
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정경인,양지욱,이영춘,김수영,Kyoung In Jung,Ji Wook Yang,Young Chun Lee,Su Young Kim 대한안과학회 2010 대한안과학회지 Vol.51 No.7
Purpose: To evaluate the outcomes in patients with nanophthalmos that had phacoemulsification and intraocular lens (IOL) implantation. Methods: This retrospective study included 13 eyes of eight patients with nanophthalmos who had phacoemulsification with IOL implantation: Preoperative and postoperative manifest refraction, best-spectacle corrected visual acuity (BSCVA), preoperative axial length, anterior chamber depth, corneal diameter, manual keratometry, intraocular pressure (IOP), and postoperative complications were analyzed. Results: Eight patients (13 eyes) had phacoemulsification with IOL implantation, 11 eyes by posterior chamber IOL implantation, and two eyes by ciliary sulcus fixation. The mean change in visual acuity from preoperative to postoperative was 2.1±2.0 lines. IOP was well controlled postoperatively, but one eye required a trabeculectomy. No patients required partial sclerotomy during the operation. Choroidal effusions or choroidal detachment was not observed intraoperatively or postoperatively. The mean endothelial cell loss was 12.6±17.7% at two months postoperative. Conclusions: The results of phacoemulsification and IOL implantation through clear corneal incision in nanophthalmic patients are encouraging. Most patients showed improved visual acuity without severe complications.
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마이토마이신 씨를 이용한 공막절개술로 치료한 단순소안구성포도막삼출 1예
김성재,김규남,한용섭,정인영,서성욱,유지명,박종문,Seong Jae Kim,Gyu Nam Kim,Yong Seop Han,In Young Chung,Seong Wook Seo,Ji Myong Yoo,Jong Moon Park 대한안과학회 2012 대한안과학회지 Vol.53 No.8
Purpose: To report the case of a 36-year-old patient with nanophthalmic uveal effusion was treated with scleral window surgery and topical administration of mitomycin C (MMC). Case summary: A 36-year-old woman presented with decreased visual acuity and blurred vision in the both eyes during 3 months. Fundus examination revealed choroidal effusion and retinal detachment with thickend sclera wall and short axial lengh. Partial-thickness sclera flap with deep sclerostomy was performed and topical MMC was administered to one quadrant of the equatorial sclera. The subretinal fluid resorbed gradually and visual acuity improved. Conclusions: Scleral window surgery and topical mitomycin C might relieve the blocked transscleral outflow of intraocular fluid in the small area of a sclerostomy in young patient with nanophthlamos. J Korean Ophthalmol Soc 2012;53(8):1157-1162
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