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내시경적 부비동 수술 시행 후 내직근 절제로 발생한 외사시를 1년이 지난 시점에서 수술적 치료를 통하여 교정한 1예
유애리,임혜빈,Ae Ri Yoo,Hye Bin Yim 대한안과학회 2013 대한안과학회지 Vol.54 No.2
Purpose: To report a case of iatrogenic exotropia caused by accidental excision of medial rectus muscle during functional endoscopic sinus surgery (FESS), which was successfully corrected by sequential surgical intervention (superior and inferior rectus muscle transposition followed by lateral rectus muscle recession). Case summary: Forty one year old male patient visited our clinic with large exotropia of the right eye developed after functional endoscopic sinus surgery (FESS) which was performed one year ago. At the initial visit in our clinic, there was a large exotropia (95 PD) of the right eye and transection of the medial rectus muscle was observed at the orbital MRI. In order to correct this large iatrogenic exotropia, sequential surgery was planned. Initially, full-tendon transposition of the right superior and inferior rectus muscle was performed which reduced the deviation to 35 PD. Six weeks after the initial surgery, 7 mm right lateral rectus muscle recession was additionally performed, which resulted in exotropia of 10 PD. Diplopia was also improved and the patient was esthetically satisfied with the result. Conclusions: Even in a case of iatrogenic exotropia following one year after an accidental excision of medial rectus muscle during intranasal sinus surgery, sequential surgery such as transposition of superior and inferior rectus muscle followed by lateral rectus muscle recession can result in satisfying cosmetic and functional improvement.
한재욱,임혜빈,이나영,Jae Wook Han,MD,Hye Bin Yim,MD,PhD,Na Young Lee,MD,PhD 대한안과학회 2014 대한안과학회지 Vol.55 No.9
Purpose: To compare the response of dry eye treatment in patients divided by the degree of lower lid laxity. Methods: Thirty patients were classified into three groups - normal, moderate and severe, according to the degree of lower lid laxity. Tear break-up time (TBUT), Schirmer test (ST), ocular surface disease index (OSDI) scores and changes in OSDI score in each group were compared before and at 3 months after the treatment. Results: TBUT, ST and OSDI scores were not different among the three groups at baseline. TBUT improved to 6.60 ± 1.43, 6.0 ± 2.54 and 6.0 ± 1.45 sec in normal, moderate and severe lower lid laxity group, respectively at 3 months after the treatment and no difference among the groups was found. ST scores did not increase after the treatment, while OSDI scores improved to 12.20 ± 1.40, 16.10 ± 4.63 and 20.80 ± 4.52 in each group, respectively and they were significantly different (<EM>p</EM> = 0.029, 0.029, <0.001, respectively). The response to the dry eye treatment as assessed by changes in OSDI scores was poorer in patients in the severe lower lid laxity group (<EM>p</EM> = 0.019 vs. moderate laxity group, <0.01 vs. normal group). Conclusions: As the degree of lower lid laxity increases, the response to dry eye treatment becomes poorer even when TBUT increases. J Korean Ophthalmol Soc 2014;55(9):1307-1312
김재련,임혜빈,정성근,Jae Ryun Kim,Hye Bin Yim,Sung Kun Chung 대한안과학회 2011 대한안과학회지 Vol.52 No.7
Purpose: To investigate the risk factors for dry eye in thyroid-associated ophthalmopathy patients. Methods: The present retrospective study was conducted on 78 eyes in 39 patients diagnosed with thyroid-associated ophthalmopathy. The risk factors for dry eye in thyroid-associated ophthalmopathy patients were examined by analyzing data including tear break-up time, Schirmer’s test, age, gender, thyroid function status, palpebral fissure width, lagophthalmos, eyelid retraction, and exophthalmos through multiple logistic regression analysis. Results: The risk factors for dry eye disease were palpebral fissure width (OR = 3.422, p = 0.022) and lagophthalmos (OR = 13.068, p = 0.049). Age, gender, thyroid hormone status, eyelid retraction and exophthalmos did not show significant association with dry eye in multiple logistic regression analysis. The only risk factor for tear film break-up time less than 10 seconds was palpebral fissure width (OR = 2.787, p = 0.045), and none of the risk factors for Schirmer’s test less than 10 mm at 5 minutes were statistically significant. Conclusions: Risk factors for dry eye in thyroid ophthalmopathy patients were palpebral fissure width and lagophthalmos. J Korean Ophthalmol Soc 2011;52(7):771-776
김수아,임혜빈.Su Ah Kim. MD. Hye Bin Yim. MD. PhD 대한안과학회 2013 대한안과학회지 Vol.54 No.9
Purpose: To assess the effect of strabismus surgery on the quality of life by performing a quality of life-related health survey. Methods: This study was comprised of 213 patients (163 patients under 15 years of age, and 50 patients over 15 years of age). After strabismus surgery, patients were asked to complete a standardized confidential questionnaire which evaluated the quality of life and specific concerns related to the surgery. Results: There was a significant change in the quality of life after strabismus surgery in both groups. No patient reported decreased quality of life after the surgery. Significant score improvement related to the questions designed to evaluate vision, stereopsis, diplopia and social relation was observed (p < 0.05). The number of surgeries did not affect the quality of life postoperatively. Multivariate regression analysis showed that change in the quality of life had significant correlation with social relationships (in both groups) and income (only in patients under 15 years of age). Surgery cost was the most common burden to strabismus patients. Conclusions: The present study showed that strabismus surgery significantly improves quality of life. Scores evaluating the change in quality of life did show significant correlation with scores evaluating social relationships and income.