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RISS 인기검색어
- 검색키워드
- 저자 : 노광명(Gwang Myung Noh) (검색결과 3 건)
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노광명,이지은,남기엽,이승욱,이상준,Gwang Myung Noh,Ji Eun Lee,Ki Yup Nam,Seung Uk Lee,Sang Joon Lee 대한안과학회 2014 대한안과학회지 Vol.55 No.10
Purpose: To identify the correlation between final visual outcome after at least 6 months of follow-up and the extent of macular ischemia on the first visit. Methods: We performed a retrospective clinical analysis of macular ischemia using clinical records, fundus examinations, and fluorescein angiographies in 83 patients (86 eyes) diagnosed with retinal vein occlusion from January 1998 to July 2012 and followed up for over 6 months. We evaluated the extent and the location of macular ischemia, macular edema, initial and final visual acuities and systemic disease based on fluorescein angiography and optical coherence tomography performed within 2 weeks of the first visit. The patients were divided into the following 4 groups based on the extent and location of macular ischemia and edema: superotemporal, superonasal, inferotemporal, and inferonasal. Results: Retinal vein occlusions (RVOs) consisted of 24 central RVOs (CRVOs) and 62 branch RVOs (BRVOs). Mean initial acuity (log MAR) was 0.35 ± 0.31 (36 eyes) in the no macular ischemia group, 0.40 ± 0.21 (11 eyes) in the 1-quadrant macular ischemia group, 0.71 ± 0.32 (26 eyes) in the 2-quadrant macular ischemia group and 0.73 ± 0.36 (13 eyes) in the over 3 quadrants macular ischemia group. Mean final acuity (log MAR) was 0.23 ± 0.23 in the no macular ischemia group, 0.40 ± 0.30 in the 1-quadrant macular ischemia group, 0.51 ± 0.32 in the 2-quadrant macular ischemic group and 0.73 ± 0.31 in the over 3 quadrants macular ischemia group. Conclusions: The initial and final visual outcomes were worse when more quadrants were affected by macular ischemia. The extent of macular ischemia was correlated with initial visual acuity and final visual outcome but not with macular edema. J Korean Ophthalmol Soc 2014;55(10):1493-1498
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노광명,김수영,남기엽,이승욱,김영호,이상준,Gwang Myung Noh,Soo Young Kim,Ki Yup Nam,Seung Uk Lee,Young Ho Kim,Sang Joon Lee 대한안과학회 2014 대한안과학회지 Vol.55 No.10
Purpose: The aim of this study was to evaluate the stability and sterility of bevacizumab (Avastin, Genentech, Inc., San Francisco, CA, USA) after withdrawal into multiple doses from single-use vials. Methods: Bevacizumab was repeatedly and aseptically drawn from new vials into 1 cc plastic syringes and refrigerated in the dark at 4℃ for 0, 3, 6, 12, 28, 38, 46, 52, or 63 weeks or at -10℃ for 0, 3, 6, 12, 38, 46, or 52 weeks. The stability of bevacizumab was assessed by enzyme-linked immunosorbent assay (ELISA) and compared with that of controls (0 weeks). The contents of the fractionated bevacizumab syringes were analyzed for microbial growth. Results: When we assessed the relative stability of the bevacizumab stored at 4℃, there was no concentration change for up to 12 weeks. However, concentration decreased by less than 2% between 28 weeks and 46 weeks. Samples stored at -10℃ were stable up to 52 weeks. All of the fractionated syringes maintained >90% stability compared with controls for up to one year in both the refrigerated group and the frozen group. The microbial study showed no significant positive results for up to 12 weeks. After intravitreal bevacizumab injection, the statuses of all patients improved, with no signs of intraocular infection. We observed no cases of intraocular infection or complications among the patients. Conclusions: Fractionating and storing smaller amounts from single-use vials is a safe method for intravitreal bevacizumab injection.J Korean Ophthalmol Soc 2014;55(10):1499-1503
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이상 부착된 외직근을 가진 감각외사시 환자에서의 수술적 치료
이승하(Seung Ha Lee),노광명(Gwang Myung Noh),이승욱(Seung Uk Lee),이상준(Sang Joon Lee),김창주(Chang Zoo Kim) 대한안과학회 2021 대한안과학회지 Vol.62 No.2
목적: 이상 부착된 외직근을 가진 감각외사시 환자에서 시행한 수술적 교정 1예에 대해 보고하고자 하였다. 증례요약: 21세 남자가 우안의 외편위로 내원하였다. 환자는 11년 전 우안의 외상력이 있었고 내원 당시 30프리즘디옵터의 외사시가 있었다. 감각외사시 진단하에 7.5 mm의 외직근후전술과 6 mm의 내직근절제술을 계획하였다. 수술 중 외직근이 각막윤부에서 12 mm 떨어진 지점에 공막에 결합하고 있는 것을 발견하였다. 외직근을 후전시키기 위한 수술 중 시야 확보가 어려워 원하는 위치에 근육을 고정시키기 위해 조정봉합술을 사용하여 근육을 위치시켰다. 술 후 환자는 8-10프리즘디옵터의 외사시를 보였고 조정봉합된 실을 통해 2 mm의 후전술을 추가로 시행하였다. 수술 직후 환자는 편위를 보이지 않았으며, 3개월간의 경과 관찰 동안 4프리즘디옵터의 내사시를 보였다. 결론: 수술 중 외안근의 이상 부착이 발견되더라도 술 전 계획대로 수술을 진행하면 기대하였던 결과를 얻을 수 있으며, 술 중 시야 확보가 힘들 경우 조정봉합술이 유용할 수 있다. Purpose: We report surgical repair of an abnormally attached lateral rectus muscle in a sensory exotropia patient. Case summary: A 21-year-old man visited our hospital with lateral deviation in the right eye. The patient had a history of trauma (11 years previously) to the right eye, which showed 30 prism diopters of exotropia. In accordance with a diagnosis of sensory exotropia, 7.5-mm lateral rectus muscle recession and 6-mm medial rectus muscle resection were planned in the right eye. During surgery, the lateral rectus muscle was inserted into the sclera at a distance of 12 mm from the corneal limbus. To compensate for this, the lateral rectus muscle was recessed with an adjustable suture. After surgery, the patient showed 8-10 prism diopters of exotropia. A 2-mm recession was achieved by suturing. After surgery, the patient did not show exotropia, while after 3 months of follow-up the patient showed about 4 prism diopters of esotropia. Conclusions: Despite abnormal attachment of an extraocular muscle, it is possible to obtain a good cosmetic result if the surgery is performed according to the preoperative plan. Suturing can be helpful if the surgical field is difficult to secure during the surgery.
KCI
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