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      • KCI등재후보

        낚시 중 발생한 안와 내 이물 1예

        양성원(Sung Won Yang),허준(Jun Her),고재웅(Jae Woong Koh) 대한검안학회 2006 Annals of optometry and contact lens Vol.5 No.1

        목적: 낚시 중 발생한 낚시추에 의한 안와 내 이물 1예를 경험하였기에 국내 최초로 보고하고자 한다. 대상과 방법: 40세 남자 환자가 낚시 중 발생한 좌안의 통증과 시력저하를 주소로 전원되었다. 나안시력은 좌안 안전수동으로 교정되지 않았다. 검사상 좌측 하안검의 열상과 함께 녹색의 끊어진 낚시줄이 열상을 통해 밖으로 돌출되어 관찰되었다. 안와전산화단층촬영에서 큰 금속성의 이물이 좌측안와 하측에 존재하며, 안구가 상측으로 이동되는 소견이 관찰되었다. 결과: 이물 제거술을 시행하여 1.6×2.0 cm, 25 g의 낚시 추를 제거하였다. 술 후 1일째에 안구 운동은 정상으로 회복되었으며 시력은 20/200이었다. 수상 8개월 후 최종시력은 20/40이었다. 결론: 저자들은 낚시 중 발생한 안와 내 이물을 성공적으로 치료하였기에, 이를 문헌 고찰과 함께 국내 최초로 보고하는 바이다. Purpose: To report a case of intraorbital foreign body by a fishing-line sinker. Methods: A 40-year-old man, complained of severe pain and decreased vision in the left eye after fishing injury in which a fishing-line sinker struck his left eye, was referred to the hospital for further evaluation and management. Visual acuity was counter finger OS. Examination revealed left lower eyelid laceration and a long, green-colored string protruding from laceration wound. Computed tomographic (CT) scan of head and orbits revealed a large metallic foreign body in the left inferior orbit, displacing the globe superiorly. Results: He underwent surgery and a 1.6×2.0 cm, 25 g of fishing-line sinker was removed. Eye examination on the first postoperative day showed a visual acuity of 20/200 OS, with a complete recovery of eyeball movement. Eight months after the original trauma, the patient manifested a visual acuity of 20/40 OS. Conclusions: To the best of our knowledge, this is the first reported case of intraorbital foreign body by a fishing-line sinker.

      • KCI등재
      • KCI등재

        퇴행성 아래눈꺼풀속말림의 주요 원인을 동시 교정하는 복합수술법의 치료 효과분석

        양성원(Sung Won Yang),박진환(Jin Hwan Park),이준식(Jun Sik Lee),이화(Hwa Lee),백세현(Se Hyun Baek) 대한안과학회 2016 대한안과학회지 Vol.57 No.3

        목적: 퇴행성 아래눈꺼풀속말림 발생의 3가지 주요 원인을 동시 교정하는 아래눈꺼풀당김기재부착, 가쪽눈꺼풀판띠고정 및 앞층판절제 복합수술의 장기 임상 치료 효과에 대해 알아보았다. 대상과 방법: 2004년 4월부터 2014년 2월까지 고려대학교 구로병원, 천안충무병원에서 아래눈꺼풀의 수직이완, 수평이완, 안와사이막앞 눈둘레근의 상방이동이 동반된 퇴행성 아래눈꺼풀속말림 환자를 대상으로 가쪽 눈구석 인대 이완과 앞층판 여분을 측정하였다. 두 검사의 측정치를 참고하여 복합수술을 동시 시행 받은 환자 중 최소 추적기간이 12개월 이상인 80명 85안을 대상으로 의무기록을 후향적으로 조사하였다. 결과: 퇴행성 아래눈꺼풀속말림 환자 총 80명 85안이 포함되었으며, 평균 연령은 71세, 남성은 35명, 여성은 45명이었고 평균 추적관찰 기간은 26.5개월이었다. 가쪽 눈구석 인대 이완 검사 결과 52안(61.2%)에서 grade II, 33안(38.8%)에서 grade III였고 앞층판 여분정도는 17안(20%)에서 grade I, 57안(67.1%)에서 grade II, 11안(12.9%) grade III였다. 85안 중 84안(98.8%)에서 성공하였으며, 1안(1.2%)에서 재발하였다. 수술 후 외안각 변형이 2안(2.4%)에서 발생하여 재수술을 통해 교정해 주었다. 결론: 최대 3년간의 경과관찰 기간에서 98.8%의 높은 성공률과 0%의 과교정을 보여 아래눈꺼풀당김기재부착술, 가쪽눈꺼풀판띠고정술 및 앞층판절제술은 퇴행성 아래눈꺼풀속말림 치료에 매우 효과적이고 안전한 방법으로 생각된다. Purpose: To evaluate the long-term effectiveness of inferior retractor tightening combined with lateral tarsal strip surgery and anterior lamellar resection for simultaneously correcting the 3 main causes of involutional entropion. Methods: In this retrospective study we reviewed 80 patients diagnosed with involutional entropion between April 2004 and February 2014 at the Korea University Guro Hospital and Cheonan Chungmu Hospital. The patients were evaluated for the 3 major causes of involutional entropion and were confirmed to have all components. Lateral canthal tendon laxity test and anterior lamellar redundancy test were performed to grade the involutional entropion patients. The patients received inferior retractor tightening, lateral tarsal strip operation and anterior lamellar resection procedure simultaneously. Results: Eighty involutional entropion patients were included in the present study. The patients consisted of 35 males and 45 females with an average age of 71.1 ± 9.3 years. In the lateral canthal tendon laxity test, 52 (61.2%) eyes were grade II, 33 (38.8%) eyes were grade III. In the anterior lamellar redundancy test, 17 (20%) eyes were grade I, 57 (67.1%) eyes were grade II and; 11 (12.9%) eyes were grade III. Among the 80 patients, 85 eyelids received combined surgery, 84 had successful outcomes and 1 case recurred at 5 months following the primary surgery with an average follow up of 26.5 ± 4.6 months. Lateral canthal deformity was observed in 2 eyelids which were corrected successfully. Conclusions: Simultaneous correction of the 3 main causes of involutional entropion through inferior retractor tightening, lateral tarsal strip surgery and anterior lamellar resection procedure is effective in correcting involutional entropion and safe in avoiding overcorrection.

      • KCI등재후보

        Latanoprost 점안 환자에서 발생한 단순포진결막염 1예

        양성원(Sung Won Yang),엄영섭(Youngsub Eom),강수연(Su-Yeon Kang),송종석(Jong Suk Song),김효명(Hyo Myung Kim) 대한검안학회 2017 Annals of optometry and contact lens Vol.16 No.4

        Purpose: To report a case of herpetic conjunctivitis in a glaucoma patient using latanoprost for IOP control. Case summary: A 65-year-old female patient using latanoprost for six months reported ocular pain on her right eye. Under slit-lamp examination, there were only some punctate epithelial erosions and mild peri-limbal conjunctival injection at 7 o’clock direction. The patient used levofloxacin (Cravit??, Santen, Osaka, Japan) antibiotic eyedrops and dexamethasone (Forus ointment??, Samil, Seoul, Korea) every 6 hours in a day for each. However, the patient reported the aggravation of the symptom and the conjunctival injection became more prominent than 4 days before. With fluorescein stain and yellow filter, a geographic pattern of ulcer lesion was noticed in the 7 o’clock peri-limbal bulbar conjunctiva. She was diagnosed with herpetic conjunctivitis. She was educated to stop latanoprost and received antiviral therapy. After two weeks, the patient showed good response to the treatment and there was no recurrence. Conclusions: Atypical herpetic conjunctivitis which present with geographic ulcerative lesion might happen in the glaucoma patients using topical latanoprost. Because of that, one should not omit to check conjunctiva in those patients and the fluorescein stain with yellow filter can help to increase sensitivity on the conjunctival lesion in the slit-lamp examination.

      • KCI등재후보

        각막천공환자에서 조직접착제 단독요법의 유용성

        고재웅,조형훈,양성원,허준,Jae Woong Koh,Hyung Hun Cho,Sung Won Yang,Jun Her 대한안과학회 2006 대한안과학회지 Vol.47 No.9

        Purpose: To report cases of corneal perforation among corneas treated with cyanoacrylate tissue adhesive. Methods: We performed cyanoacrylate tissue adhesive application on 1 case of corneal perforation due to fungal keratitis, one case of corneal perforation due to neurotrophic keratitis, one case of corneal fistula due to foreign body and one case of corneal perforation due to corneal stromal dystrophy. After cyanoacrylate tissue adhesive removal, amniotic membrane transplantation was conducted in two cases, and keratoplaty was performed in another two cases. Results: Postoperative follow-up period was 12 months on average. In all four cases, ocular integrity was successfully restored. There was no sign of recurrence, infection or inflammation. Conclusions: Cyanoacrylate tissue adhesive monotherpy can restore ocular integrity successfully in various type of corneal perforation and After cyanoacrylate tissue adhesive removal, amniotic membrane transplantation and keratoplaty can be performed additionally.

      • KCI등재
      • 과증식 동공막잔류 눈성인의 치료 : 3예

        허준,양성원,양필중,고재웅 朝鮮大學校 附設 醫學硏究所 2007 The Medical Journal of Chosun University Vol.32 No.2

        Purpose: Persistent pupillary membrane(PPM) can be classified as four types by means of its morphology. Type 2, which is attached to the lens, is very rare and can cause visual disability. We report 3 cases of type 2 PPM that shows a good visual acuity and cosmetic improvement after removal. Methods: We chose 3 female who showed a poor visual outcome and abnormal shaped pupil since a child. All of 3 case could be examined a hyperplastic persistent pupillary membrane by slit lamp biomicroscopy. Treatment was a surgical removal of PPM, and a surgical removal of PPM and cataract operation in one case of PPM with cataract. Results: All of 3 patient showed a good visual acuity and cosmetic improvement, Conclusion: Surgical management should be also considered to good visual acuity and cosmetic improvement to PPM observed in adult eye.

      • SCOPUSKCI등재

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