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박종화,문남주,Jong Hwa Park,Nam Ju Moon 대한안과학회 2005 대한안과학회지 Vol.46 No.2
Purpose: To investigate the clinical manifestation in 500 low vision patients. Methods: The subjects of this study were 500 low vision patients at the National Medical Center and Chung-Ang University Yong-san Hospital from May 1995 to April 2004. The medical records were reviewed and interviews were administered to 80 consecutive patients. Results: The most frequent causes of low vision included optic atrophy (29.8%), macular degeneration (22.6%) and retinitis pigmentosa (9.6%). Hand-held magnifier and Keplerian telescope were popularly used low vision aids. Visual acuity after prescription improved compared with that before prescription for near and distant vision. The most common purposes to visit a low vision clinic were for reading books and newspapers. Many patients didn’t have an understanding about non-optical low vision aids. The majority of the patients (76.3%) benefited from attending a low vision clinic. Conclusions: Low vision rehabilitation using low vision aids may be a great help to increasing the quality of life in low vision populations.
망막밑종괴로 오인하였던 결절맥락막혈관병증에 의한 망막밑혈종 1예
김재훈,문남주,조호균,Jae Hoon Kim,Nam Ju Moon,Ho Kyun Cho 대한안과학회 2010 대한안과학회지 Vol.51 No.4
Purpose: To report a case of subretinal hematoma secondary to polypoidal choroidal vasculopathy (PCV) misunderstood as a subretinal mass. Case summary: A 73-year-old man with no specific medical history visited our clinic with decreased vision in the right eye. Slit-lamp examination revealed no specific findings for the anterior segment of the right eye. Upon fundus examination, an elevated macular lesion with some subretinal hemorrhages was observed, and a subretinal mass lesion was found on ultrasonography. After performing fluorescein angiography, indocyanine green angiography, and magnetic resonance imaging, we presumed that this lesion was a subretinal hematoma or ocular tumor and recommended observation. One month later, the subretinal mass had decreased in size. One year later, PCV with large retinal pigment epithelial detachment (RPED) was observed. After the intravitreal bevacizumab injection, RPED and macular edema were improved. Conclusions: We confirmed PCV with a subretinal hematoma and large RPED which seemed to be a subretinal mass and was difficult to differentiate from ocular tumors. J Korean Ophthalmol Soc 2010;51(4):616-622
김지택,문남주,Jee Taek Kim,Nam Ju Moon 대한안과학회 2007 대한안과학회지 Vol.48 No.9
Purpose: To Carry out a low vision quality of life questionnaire and to evaluate subjective quality of life of low-vision patients. Methods: The subject were 250 patients whose visual acuity was between hand motion and 0.3 among the patients at our clinic. The normal control group included 60 patients. After a review of the literature, we selected a useful questionnaire to assess quality of life in low vision patients and translated the questionnaire into Korean. The questionnaire used had 25 items concerning low vision and each question was multiple-choice, and the sum of the total points was used to assess of the quality of life. Results: The range of scores was from 0 to 125 points (the higher the score, the higher the quality of life). Fifty-one patients among 250 patients in the low vision group replied to our questionnaire. Fifty patients among 60 patients in the control group replied. The average low vision quality of life (LVQOL) score for patients with low vision (67.3±26.7) was significantly lower than the average score of those with normal vision (114±9.72). There was no statistically significant difference between the average score of patients questioned by mail versus telephone Conclusions: The score of low vision patients was significantly lower than that of the control group, so this questionnaire can be applied to low vision patients specifically to evaluate quality of life. Optimally, the the questionnaire shoud be administered before and after the low vision consultation. The comparision of prerehabilitation score with postrehabilitation score might be helpful to evaluate the quality of life in a post rehabilitation state.
동측 반맹 환자에서 프레넬 프리즘을 이용한 시야 이동 및 임상적 효과
구현,문남주,Hyun Koo,Nam Ju Moon 대한안과학회 2013 대한안과학회지 Vol.54 No.1
Purpose: To report the result of Fresnel prism application and adaptation for visual field relocation and functional vision improvement in homonymous hemianopsia patients. Methods: Fifteen homonymous hemianopsia patients were prescribed Fresnel prism. To expand the visual field, Fresnel prism was placed base-out toward the defective field and patients were given an adaptation period of 1 month. The effects of the prism on field expansion was evaluated using Goldmann perimetry. In addition, the NEI-VFQ25 questionnaire was utilized asking patients regarding their subjective functional vision and satisfaction in daily life before and after using the Fresnel prism. Results: After 1 month of Fresnel prism prescription, 53% of patients showed objective visual field expansion to the defective field of 12.5 degrees on average. Monocular or macular splitting hemianopsia patients showed more visual field expansion than binocular macular sparing hemianopsia patients. The NEI-VFQ25 score increased significantly and abnormal head position decreased or disappeared after 1 month of using the prism. However, 47% of patients failed to adapt to the prism. Conclusions: Using Fresnel prism in homonymous hemianopsia patients effectively expands the visual field, corrects abnormal head position, and improves functional vision. However, to improve the success rate, for certain patients the proper choice of prism application method, prism diopters, and constant management are necessary.
당뇨환자에서 빛간섭단층촬영을 이용한 시신경 유두 및 망막신경섬유층의 형태학적 분석
김지택,이정규,문남주,조호균,Jee Taek Kim,Jeong Kyu Lee,Nam Ju Moon,Ho Kyun Cho 대한안과학회 2008 대한안과학회지 Vol.49 No.6
Purpose: Retinal nerve fiber layer (RNFL) thickness and optic nerve head (ONH) in diabetic patients with normal tension were analyzed using optical coherence tomography (OCT), which revealed that diabetes induce morphologic changes in optic disc and RNFL thickness. Methods: A total of 192 patients with type 2 diabetes were analyzed with fundus examination and classified as having normal retina, mild - moderate, severe nonproliferative retinopathy (NPDR), or proliferative retinopathy (PDR). These patients were evaluated with OCT and compared with normal control group. Results: The mean average thickness and nasal average thickness of RNFL in mild-moderate, and severe NPDR groups decreased compared with those of the other groups. There was an increase in the temporal average thickness of RNFL in the PDR group. As the duration of diabetes increased, the mean average and nasal average of RNFL thickness also decreased. The severity of diabetic retinopathy didn’t show statistically significant differences in a topographic analysis of the optic nerve head. Conclusions: The mean average thickness and nasal average of RNFL decreased in NPDR groups. Diabetic changes should be considered when diabetes patients are diagnosed with glaucoma or glaucoma progression. J Korean Ophthalmol Soc 49(6):935-941, 2008