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RISS 인기검색어
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- 저자 : 우세준 ( Se Joon Woo ) , 박규형 ( Kyu Hyung Park ) , 황정민 ( Jeong Min Hwang ) (검색결과 6 건)
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당뇨망막병증에서 짧은 노출시간을 이용한 패턴 범망막광응고술의 단기 임상결과
조범주,김태완,우세준,정흠,허장원,Bum Joo Cho,Tae Wan Kim,Se Joon Woo,Hum Chung,Jang Won Heo 대한안과학회 2009 대한안과학회지 Vol.50 No.3
Purpose: To investigate the clinical effect and complications of patterned scanning laser photocoagulation with short exposure time in diabetic retinopathy. Methods: A prospective study was performed on patients with diabetic retinopathy who required panretinal photocoagulation (PRP). Twenty-nine eyes of twenty five consecutive patients underwent patterned scanning laser photocoagulation with exposure time of 0.02 sec over the entire retina. Pain score at treatment, best-corrected visual acuity, the development of macular edema, regression of neovascularization in fluorescein angiography, and related complications were monitored during a three-month follow-up. Results: Treatment time for PRP was much reduced to 6.1 min on the entire retina. Pain during the photocoagulation was moderate, and enabled patients to finish PRP with ease. During a three-month follow-up, visual acuity was well preserved. Foveal minimum thickness increased at 1 month after treatment and maintained in a study period of three months. Macular volume showed significant increase (3.6%) at 1 month after treatment, maximum increase (9.8%) at 2 months, and persistent increase (4.9%) at 3 months. In every patient with very severe nonproliferative diabetic retinopathy, retina was maintained, and in 10 of 18 eyes with proliferative diabetic retinopathy, neovascularization regressed during follow-up period. No significant complication occurred except a transient vitreous hemorrhage in one eye. Conclusions: Patterned scanning laser photocoagulation with short exposure time may induce transient macular edema, but the visual acuity was preserved without any other significant complication. It is considered to be a safe and efficient treatment method in diabetic retinopathy.
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고중식(Joong Sik Koh),우세준(Se Joon Woo) 대한안과학회 2016 대한안과학회지 Vol.57 No.2
목적: 외상에 의하여 발생한 망막중심동맥폐쇄 2예를 경험하였기에 이를 보고하고자 한다. 증례요약: 26세 남자 환자가 계단에서 넘어져 좌측 이마 주위를 계단에 부딪힌 후 발생한 좌안의 급격한 시력저하를 주소로 내원하였다. 좌안의 시력은 광각유였다. 망막은 창백하였으며 망막 부종 및 앵두반점이 관찰되었고 혈관조영술에서 좌안 안동맥 기시부 근처에 심한 협착 및 색전이 관찰되어 안동맥폐쇄가 동반된 망막중심동맥폐쇄로 진단하에 동맥내 혈전용해술을 시행하였다. 57세 여자환자가 넘어지면서 우측 하안검을 나뭇가지에 찔린 후 발생한 급격한 우안의 시력저하를 주소로 내원하였다. 우안의 시력은 안전수동이었다. 안저검사에서 망막은 창백하고 혼탁하였으며 앵두반점이 관찰되어 형광안저혈관조영술 및 빛간섭단층촬영 시행 후 망막중심동맥폐쇄로 진단하였다. 결론: 외상 후 발생한 시력저하에 대한 감별진단으로 망막중심동맥폐쇄를 고려해야 한다. Purpose: To report two patients who developed central retinal artery occlusion (CRAO) after trauma. Case summary: A 26-year-old man complained of severe loss of vision in his left eye after falling and bumping his forehead on a staircase. His visual acuity was light perception in the left eye. Fundus examination revealed edematous white retina and a cherry red spot on the macula. Angiography showed severe stenosis in the initial segment of the ophthalmic artery with ophthalmic arterial embolus. He underwent intra-arterial thrombolysis with a clinical diagnosis of CRAO with ophthalmic artery stenosis. A 57-year-old woman presented with vision loss after falling and striking her face below her right lower eyelid on a wooden stick. Her visual acuity was hand motions in the right eye. Fundus examinations showed white retina with opacity and a cherry red spot on the macula. Fluorescein angiography and optical coherence tomography was performed, and a clinical diagnosis of CRAO was made. Conclusions: CRAO must be considered when clinically differentiating visual loss after a trauma.
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배기웅(Ki Woong Bae),박규형(Kyu Hyung Park),우세준(Se Joon Woo),황정민(Jeong Min Hwang) 대한안과학회 2016 대한안과학회지 Vol.57 No.3
목적: 급성대상잠재성외망막병증의 임상양상을 보고하고자 한다. 대상과 방법: 2003년 5월부터 2015년 5월까지 분당서울대학교병원에서 급성대상잠재성외망막병증으로 진단된 13명의 의무기록을 후향적으로 분석해 임상양상을 살펴보았다. 결과: 초진 시 평균 연령은 28.5세이고, 여성이 11명(84.6%)이었다. 초진 시 4명이 양안이었고, 경과 관찰 중 7명에서 양안이 침범되었다. 추적관찰 기간은 평균 42.8 ± 30.3개월이었고, 증상 발생 후 진단까지 평균 62.1 ± 93.1주가 소요되었다. 시야결손, 광시증 등이 흔한 주소였고, 병변안의 평균 최대교정시력(logarithm of the minimum angle of resolution, logMAR)은 0.28 ± 0.56이었으며, 최대 교정시력이 0.5 이상인 경우가 85.0%였다. 구면대응치는 평균 -4.59 ± 3.23디옵터(diopter, D)이고 75.0%에서 -2.00D 이상의 근시가 있었다. 초진 시 6명 8안(30.8%), 경과 관찰 중 7명 9안(34.6%)에서 안저 이상을 보였다. 13명 모두 망막전위도검사와 시야검사에서 이상이 나타났다. 13명 20안에서 시야결손이 발생했고 10안(50.0%)에서 호전, 4안(20.0%)에서 악화, 6안(30.0%)은 비슷하게 유지되었다. 상기도감염 증상(4명, 30.8%), 피로감(4명, 30.8%), 구역감(2명, 15.4%), 두통(2명, 15.4%) 등이 동반되었다. 결론: 근시안의 젊은 여성이 갑자기 시야결손과 광시증을 호소할 경우 급성대상잠재성외망막병증을 의심하고 망막전위도와 시야검사를 시행해야 한다. 대부분 중심시력은 양호하며, 일부에서 시야장애는 호전된다. Purpose: To investigate the clinical characteristics of patients with acute zonal occult outer retinopathy (AZOOR). Methods: Medical records of 13 patients who visited Seoul National University Bundang Hospital from May, 2003 to May, 2015 and diagnosed with AZOOR were retrospectively reviewed. Results: Thirteen patients (11 women and 2 men), with a mean age of 28.5 ± 11.4 years were followed for 42.8 ± 30.3 months. Visual field loss, photopsia, and blurred vision were common complaints. Initially, four patients had bilateral disease and seven patients showed bilateral involvement at the last visit. Mean best corrected visual acuity of involved eyes (BCVA) was 0.75 ± 0.32 (log MAR). Among 20 eyes with AZOOR, BCVA was 20/40 or better in 17 eyes (85.0%). The mean spherical equivalent was -4.59 ± 3.23 diopters (D), and 15 eyes (75.0%) had myopia less than -2.00 D. Nine eyes of seven patients (34.6%) had abnormal fundus findings. All patients underwent full field electroretinogram (ERG) or multifocal ERG and a visual field test. Thirteen patients (100.0%) showed a decreased response in ERG and visual field defects presented in every patient. With respect to the visual field test, 10 eyes (50.0%) showed improvement, 6 eyes (30.0%) had stationary status, and the progression of the visual field defect was observed in 4 eyes (20.0%). Among 13 patients, 4 (30.8%) patients showed flu-like symptom, 4 (30.8%) patients had fatigue, 2 (15.4%) patients had nausea, and 2 (15.4%) patients showed headache. Conclusions: AZOOR should be considered as one of the differential diagnoses, especially in female patients with myopia who show photopsia or visual field defects. ERG and visual field tests are necessary to confirm a decrease in retinal function and visual field loss. Central vision is preserved in most cases and recovery of visual field defect occurs often.
KCI
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