안과 전자의무기록의 적용과 만족도 조사

한의석,김성준,Eui Seok Han,Seong Joon Kim 대한안과학회 2006 대한안과학회지 Vol.47 No.5

Purpose: To introduce the electronic medical record (EMR) system used in the department of ophthalmology and to report improvements to be made and user satisfaction. Methods: The EMR, used since October 15, 2004, was shown in several figures. Some problems were revealed on the figures and improved. The satisfaction results for the EMR`s efficacy and quality of eye description compared to the paper chart were obtained from a questionnaire of twenty-one ophthalmologic residents who had at least 6 months of experience with EMR using 5-point Linkerd scale. Results: The EMR was shown to be useful in ophthalmology. Problems were solved by resizing the pictures automatically, introducing a convenient picture input method using an LCD tablet monitor system, and by minimizing the automatic fill-in system in ocular examination records. Twenty-one ophthalmologic residents replied, and the efficacy of EMR was satisfactory, scoring 2.6 on a 5-point Linkerd scale, whereas the complete and proper description of patients` information was unsatisfactory, scoring 3.6. Conclusions: The standardized ophthalmologic EMR and its easy and fast input device will improve ophthalmologists` satisfaction. EMR should be supplemented to make more proper and complete description of patients information.

Leigh 증후군 환아에서의 안과적 이상 소견

김교륭,변석호,강훈철,이준수,김흥동,이영목 대한소아청소년과학회 2010 Clinical and Experimental Pediatrics (CEP) Vol.53 No.2

Purpose:Leigh syndrome is a typical type of mitochondrial disease. This study was conducted to analyze the types of ophthalmologic symptoms and results of funduscopy conducted in the ophthalmologic examination of patients with Leigh syndrome. Methods:Funduscopy was conducted on 24 subjects, who were chosen among those diagnosed as having mitochondrial respiratory chain complex defect and who were clinically suitable for the criteria of Leigh syndrome. Their clinical features, ophthalmologic symptoms, and ophthalmologic examination results were retrospectively analyzed. Results:Of the 24 patients with Leigh syndrome, 11 developed ophthalmologic symptoms and no abnormal finding was observed in 13. The most frequent abnormal finding was visual disturbance in 5 patients. Funduscopy revealed abnormal findings in 17 patients; retinal pigmentation was the most frequent abnormality and was seen in 9 patients. Conclusion:Funduscopy can be an important screening test to find ophthalmologic abnormalities among patients with mitochondrial disease (MD), including those patients whose ophthalmologic symptoms are inconspicuous. It is predicted that an improved screening test can be made in the future that will identify risk factors related to ophthalmologic symptoms. 목적:사립체 질환의 종류 중 대표적으로 알려진 Leigh 증후군 환아에서 안과적 증상의 종류와 실제 안과 진료에서 시행한 안저 검사 결과를 분석하였다. 방법:사립체 호흡 연쇄 복합체 결함을 진단받고 임상적으로 Leigh 증후군의 기준에 합당한 환아 중에서 안저 검사를 시행하였던 24명을 대상으로 하였다. 대상 환아 들의 임상 양상과 안과적 증상, 안저 검사 결과를 후향적으로 분석하였다. 결과:24명의 Leigh 증후군 환아 중 안과적 증상이 있는 경우가 11명(48%)이었고, 특이 증상이 발견되지 않았던 경우가 13명(54.2%)이었다. 이상 증상으로는 시력 이상이 5명(20.8%)로 가장 많았다. 안저 검사 결과에서 이상 소견이 17명(70.8%)에서 관찰되었으며, 다양한 이상 소견 중에서 망막의 색소침착이 9명(37.5%)로 가장 많았다. 결론:사립체 질환에서 안과적 증상이 뚜렷하지 않은 환자에서도 안저 검사가 안과적 이상을 찾아낼 수 있는 중요한 선별검사일 수 있으며, 앞으로 안과적 증상과 관련된 위험 요인을 발견한다면 좀더 상황에 맞는 선별적인 검사가 진행될 수 있을 것으로 판단된다.

편두통으로 안과에 의뢰된 소아의 임상분석

전현선,이건희,최동규,Hyun Sun Jeon,Kon Hee Lee,Dong Gyu Choi 대한안과학회 2012 대한안과학회지 Vol.53 No.10

Purpose: To analyze the clinical characteristics of visual symptoms, aspects of headache, and ophthalmologic features in children diagnosed with migraine. Methods: The medical records of 31 Korean children who had been diagnosed with migraine by pediatric neurologists were retrospectively reviewed and visual symptoms and ophthalmologic examinations were evaluated. Results: The mean age of the 31 patients was 10.8 years (range, 5-17 years). The mean age of onset of headache was 9 years (range, 4-15 years). Nineteen patients (61.3%) had the associated visual aura. Visual symptoms of the 19 patients included blurred vision, unilateral vision loss, flickering lights, scotoma, and visual hallucination in descending order. However, there was no specific abnormality observed on thorough ophthalmologic examinations. Conclusions: Most of the children diagnosed with migraine did not show any ophthalmologic problems. Careful ophthalmologic examination with an understanding of migraine should be performed and reassurance to patients may be beneficial. J Korean Ophthalmol Soc 2012;53(10):1500-1504

안과질환 외래환자에 관한 임상적 분석

신상호,김자혜,김민희,고우신,윤화정,Shin, Sang-Ho,Kim, Ja-Hye,Kim, Min-Hee,Ko, Woo-Shin,Yoon, Hwa-Jung 대한한방안이비인후피부과학회 2006 한방안이비인후피부과학회지 Vol.19 No.3

Objective : The purpose of this study is to investigate outpatients of ophthalmologic disease who had visited to Hospital of Oriental Medicine. Method : We analyzed statistics study in 590 patients, who had visited to the Dept. of dermatology, ophthalmology & otorhinolayngology Hospital of Oriental Medicine Dongeui University from January, 1998 to July , 2006. Result : The results were as follows. 1. Distributions of sex : male 45.42%, female 54.58%. 2. The age distributions of patients showed highest in 51-60 years, followed by 41-50 years, 61-70 years in order. 3. The yearly distributions of patients showed highest in 2004, followed by 2005, 2002 in order. The seasonal distributions of patients showed highest in summer, followed by spring, winter, autumn in order. The monthly distributions of patients showed highest in August, followed by June, March in order. 4. The frequency of chief complaint showed highest in visual disorder, followed by dry eye, blepharospasm, squint in arch order. Visual disorder and dry eye were the most common ophthalmologic disease, irrespective of age. 5. The Distribution of past history showed highest in ophthalmologic disease, followed by circulatory disease, digestive disease in order. The Distribution of ophthalmologic diseases showed highest in retinal disease, followed by lens-induced ocular disease, disease of the optic nerve in order. 6. The number of times in treatment : 1-20 times(84.07%), 21-40 times(7.97%). 7. In the treatment method, a major portion of treatment methods was acupuncture & herbal medicine treatment, followed by acupuncture, consulting, herbal medicine treatment in order.

편두통으로 안과에 의뢰된 소아의 임상분석

전현선 ( Hyun Sun Jeon ),이건희 ( Kon Hee Lee ),최동규 ( Dong Gyu Choi ) 한국안전학회(구 한국산업안전학회) 2003 International Journal of Safety Vol.2 No.1

목적: 편두통으로 안과에 의뢰된 소아의 시각증상, 두통의 양상 및 안과 소견을 분석하고자 하였다. 대상과 방법: 소아청소년과에서 병력, 신경학검사, 뇌자기공명영상촬영, 혈청검사 및 뇌척수액검사 등을 통해 기질적 이상 없이 편두통으로 진단받고 내원한 소아 31명을 대상으로 두통의 양상, 동반증상 및 안과검사 등의 의무기록을 후향적으로 분석하였다. 결과: 평균나이는 10.8세(5-17세)이며, 남자 16명, 여자 15명이었다. 두통의 발현 시기는 평균 9세였다. 동반된 시각조짐(visual aura)이나타난 소아는 19명(61.3%)이었으며, 시야흐림(19.4%), 단안 시력손실(19.4%), 섬광(12.9%), 암점(6.4%), 환시(3.2%) 순으로 관찰되었다. 최대교정시력은 0.97 ± 0.08, 안압은 16.13 ± 3.53 mmHg였다. 사시검사는 정상이었으며 시야검사에서는 전반적인 감도저하와 비특이적인 암점을 보이는 예를 제외하고 이상소견이 없었다. 결론: 편두통으로 안과를 내원한 환아에서 대부분 동반된 시각증상이 안과적 이상과 관련이 없음을 확인할 수 있었으며 세심한 안과검사를 시행한 후에 이를 환자나 보호자에게 설명하고 안심시키는 것이 중요하겠다. Purpose: To analyze the clinical characteristics of visual symptoms, aspects of headache, and ophthalmologic features in children diagnosed with migraine. Methods: The medical records of 31 Korean children who had been diagnosed with migraine by pediatric neurologists were retrospectively reviewed and visual symptoms and ophthalmologic examinations were evaluated. Results: The mean age of the 31 patients was 10.8 years (range, 5-17 years). The mean age of onset of headache was 9 years (range, 4-15 years). Nineteen patients (61.3%) had the associated visual aura. Visual symptoms of the 19 patients included blurred vision, unilateral vision loss, flickering lights, scotoma, and visual hallucination in descending order. However, there was no specific abnormality observed on thorough ophthalmologic examinations. Conclusions: Most of the children diagnosed with migraine did not show any ophthalmologic problems. Careful ophthalmologic examination with an understanding of migraine should be performed and reassurance to patients may be beneficial. J Korean Ophthalmol Soc 2012;53(10):1500-1504

만성 안질환 환자들의 운전 행태에 대한 설문 조사

최준호,조아란,하승주,최경식,이성진,박성희,Jun Ho Choi,MD,A Ran Cho,MD,Seung Joo Ha,MD,Kyung Seek Choi,MD,Sung Jin Lee,MD,Song Hee Park,MD 대한안과학회 2012 대한안과학회지 Vol.53 No.4

Purpose: This study examines driving behaviors among patients treated for chronic ophthalmologic disorders and the effects of visual acuity and visual field on driving performance. Methods: A 15-item survey was given to 153 patients treated for chronic ophthalmologic disorders including diabetic retinopathy, glaucoma, retinal vessel occlusions, and senile macular degeneration. Six items questioned the patient’s discomfort based on a five-point scale according to different driving conditions and one item involved a self-assessment of driving problems. Results were compared with the best corrected visual acuity (BCVA) and visual fields of the patients. Results: In total, 16.2% of first-class drivers and 24.1% of second-class drivers rated below the evaluation standards of the driving license aptitude test. Overall, 82.6% of the patients continued to drive, while 7.8% renounced driving due to decreased visual acuity. Patient discomfort was significantly correlated with visual acuity (r = -0.503, p ≤ 0.01). Among the patients scoring below the evaluation standards, 74.2% responded that their visual acuity had become a problem while driving. Conclusions: These results call for appropriate driving programs and measures to educate people about responsive driving considering the visual function of patients treated for chronic ophthalmologic disorders. J Korean Ophthalmol Soc 2012;53(4):559-564

전신 광화학요법으로 치료받는 환자들에 대한 피부과 및 안과 검진 결과

김지욱(Jee Ook Kim),김기산(Ki San Kim),이규석(Kyu Suk Lee) 대한피부과학회 2001 대한피부과학회지 Vol.39 No.7

N/A Background: Systemic PUVA therapy is a widely used method for treatment of vitiligo and psoriasis. However, there have been few studies concerning complications of systemic PUVA therapy. Objective: We examined the dermatological and ophthalmologic manifestations in-patients receiving PUVA therapy. Method: We studied 42 patients who received systemic PUVA therapy for more than six months in our department. Results the results are summarized as follows l. Among the 42 patients, the number of male and female patients were 18 (42.9%) and 24 (57.1%) respectively. The mean age at the start of PUVA was 42 years and mean cumulative UVA dace was 996 J/cm². 2. Among the 42 patients, hyperpigmentation found in 9 (21.4%), PUVA lento in 8 (19.0%), prorates in 5 (11.9%) and burn in 3 (7.1%). 3. The ophthalmologic manifestations were conjunctivitis (13 cases, 31.0%), pteygium (7 cases, 16.7%), pingueculum (6 cases, 14.3%) and cataract (3 cases, 7.1%). Conclusion. Long term exposure to PUVA causes chronic clinical side effects of PUVA. Therefore careful follow-up of patients who receive long term PUVA therapy is necessary. (Korean J Dermatol 2001;39 (7): 749~754)

Clinical, ophthalmological, and pathological findings of hypovitaminosis A in cattle

( Soon Seek Yoon ),( Soon Wuk Jeong ),( Kang Moon Seo ),( Jae Hoon Kim ),( Young Hwa Jean ),( Eui Kyung Hwang ),( Gab Soo Chung ),( Hong Ryul Han ) 한국수의병리학회 2003 한국수의병리학회지 Vol.7 No.1

제주 해녀의 굴절상태와 안과질환에 관한 연구

최지영,고영득 대한시과학회 2020 대한시과학회지 Vol.22 No.2

Purpose : The purpose of this study was to find out the eye health status of Jeju Haenyeo(female diver), and to investigate the effects of diving on their eyes by refractive and ophthalmic tests. Methods : The results of the naked and corrected visual acuity test, objective refraction test, IOP (introcular pressure) test, slit lamp microscopy, optical coherence tomography, visual field test, and retinal photography performed with 33 heanyeos(66 eyes) who are currently engaged in breath-hold diving were used to find out refractive conditions and history of ophthalmic diseases. Frequency analysis and logistic regression analysis were performed with the test results. Results : The most common refractive statuses of all subjects appeared myopic(43.9%) and against-the-rule astigmatic(56.1%). The morbidity rate of ophthalmic diseases was 6.1% in pterygium, 90.9% in cataract, 19.7% in glaucoma, and 33.3% in retinal diseases. It was shown that 61.7% of those with cataract were found to have had cataract surgery. Of retinal diseases, were preretinal membrane(45.5%), macular degeneration(27.3%), diabetic maculopathy(18.2%), and central serous chorioretinopathy(9.1%) were found. The result of logistic regression analysis showed that their longer career showed higher probability of not having cataract(Exp(B)=1.115) and glaucoma(Exp(B)=1.062), and the higher the age showed higher probability of having cataract(Exp(B)=1.220). Those with the longer career also had higher probability of not having central serous chorioretinopathy(Exp(B)=0.943). Conclusion : Basic data on the refractive status, astigmatism type, IOP, and onset of ophthalmic diseases in Haenyeos were collected. The utilized data would be helpful in establishing guidelines and training for Haenyeos' eye health in Jeju. 목적 : 본 연구는 제주 해녀들을 대상으로 굴절검사와 안과검사를 수행하여 해녀들의 눈 건강 실태를 파악하고 잠수작업이 눈에 미치는 영향을 알아보고자 하였다. 방법 : 현재 지식잠수를 하고 있는 제주 해녀 33명(66안)에 대상으로 진행한 나안·교정시력검사, 타각적굴절검사, 안압검사, 세극등현미경검사, 빛간섭단층촬영, 시야검사, 망막사진촬영, 빛간섭단층촬영 검사결과는 굴절상태와 안과질환 병력을 조사하는데 사용되었다. 검사결과에 대한 빈도분석과 로지스틱 회귀 분석을 실시하였다. 결과 : 전체 연구 대상자의 굴절상태는 근시(43.9%)와 도난시(56.1%)가 가장 많은 것으로 나타났다. 안과질환의 이환율은 군날개 6.1%, 백내장 90.9%, 녹내장 19.7%, 망막질환 33.3%로 나타났다. 이 중 백내장이 있는 사람의 61.7%가 백내장 수술력이 있는 것으로 조사되었다. 또한 망막질환은 망막앞막(45.5%), 황반변성(27.3%), 당뇨병성 황반병증(18.2%), 중심장액맥락망막병증(9.1%) 순으로 나타났다. 로지스틱 회귀분석 결과는 해녀경력이 많을수록 백내장(Exp(B)=1.115)과 녹내장(Exp(B)=1.062)이 유발될 확률이 높은 것으로 나타났으며, 연령이 많을수록 백내장(Exp(B)=1.220)이 유발될 확률이 높은 것으로 나타났다. 또한 해녀경력이 많을수록 중심장액맥락망막병증이 아닐 확률이 높은 것으로 나타났다(Exp(B)=0.943). 결론 : 해녀들의 굴절상태, 난시 종류, 안압, 발병한 안과질환에 대해 기초 자료를 얻었으며, 이를 활용한 제주 해녀들의 눈 건강을 위한 가이드라인 설정과 교육에 도움이 될 것이라고 사료된다.

서울 및 경기 지역 근무 안경사의 직무만족도 조사

정수정,마기중 대한시과학회 2003 대한시과학회지 Vol.5 No.2

This study carried out a questionnaire survey of opticians working at optical dispensing shops and eye elinies in Seoul and Gyeonggi-do for their job satisfaction for the period from june to October 2003. According to the result of analyzing opticians' job satisfaction according to their general characteristics, job satisfaction appeared higher in those aged over 36, in married ones than unmarried ones, and in college graduates and above. In addition, job satisfaction was higher in those working at ophthalmologic hospitals than those working at optical dispensing shops, in managers than in employees, those with a monthly salary over 3 million won, those who work less than 8 hours a day on the average, and those who have work experience over 8 years. However, no significant difference was found according to gender and the number of job changes. According to the result of regression analysis on general characteristics and job satisfaction, influence was high in order of working hours a day, workplace, academic qualification and location. According to the result of analyzing the 7 factors of job satisfaction, which were autonomy in work, human relations, work environment, occupational pride, job status, wage and the sense of belonging, opticians generally appeared to be satisfied with autonomy in work, human relations, job status and the sense of belonging, but not in work environment, occupational pride and wage. In addition, according to the result of comparing opticians working at optical dispensing shops with those at ophthalmologic hospitals for the 7 factors, the latter were more satisfied than the former in human relations, work environment, occupational pride and job status.