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- 저자 : 이상준.Jae Ho Yoo. MD. Soo Young Kim. MD. Seung Uk Lee. MD. Sang Joon Lee. MD (검색결과 2 건)
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빛간섭단층촬영을 이용한 백내장 수술 전후의 황반두께 변화
유재호,김수영,이승욱,이상준.Jae Ho Yoo. MD. Soo Young Kim. MD. Seung Uk Lee. MD. Sang Joon Lee. MD 대한안과학회 2012 대한안과학회지 Vol.53 No.2
Purpose: To compare the changes in central subfield macular thickness (CSMT) using optical coherence tomography (OCT) after cataract surgery and to evaluate the risk factors of macular edema. Methods: The retrospective study consisted of 55 eyes of 50 patients who underwent phacoemulsification. All of these eyes were assessed by OCT and best-corrected visual acuity, and fundus examination before and one month after surgery. CSMT was measured based on a central thickness of 1 mm, and macular edema was defined as an increase of CSMT in 30% or more after surgery than before. Results: CSMT significantly increased by 22.2 ± 47.10 μm at 1 month after cataract surgery in the operated eye compared with the fellow eye (p = 0.01). The diabetic retinopathy group and hypertensive group showed more significant increases than the non-diabetic and non-hypertensive group. Macular edema developed in seven of 55 eyes (12.7%), and they consisted of five moderate or more severe diabetic retinopathies and two epiretinal membrane. Four weeks after surgery, the macular edema group showed more decrease in visual acuity; however, the CSMT was not correlated with the duration of diabetes mellitus, types of surgical incision, HbA1c or other factors. Conclusions: CSMT increased in the operated eye after cataract surgery, especially in eyes with diabetic retinopathy and hypertension. Moderate or more severe diabetic retinopathy and macular lesions such as epiretinal membrane increased the risk of macular edema after cataract surgery. J Korean Ophthalmol Soc 2012;53(2):246-255
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눈물주머니코안연결술 및 실리콘관삽입술 후 발생한 형광균 감염 1예
강정엽,유재호,이정주,김수영,이승욱,이상준.Jeong Yeop Kang. MD. Jae Ho Yoo. MD. Jung Ju Lee. MD. Soo Young Kim. MD.Seung Uk Lee. MD. Sang Joon Lee. MD. PhD 대한안과학회 2013 대한안과학회지 Vol.54 No.4
Purpose: To report a case of Pseudomonas fluorescens infection following endoscopic dacryocystorhinostomy and silicone tube intubation in a healthy patient who was using steroid nasal spray. In addition, a literature review is conducted. Case summary: A 72-year-old female patient came to our clinic with tearing and hyperemia in the right eye. Ten months prior, she had undergone endoscopic dacryocystorhinostomy and silicone tube intubation due to nasolacrimal duct obstruction in the right eye. Six months after the first operation, dacryocystorhinostomy revision with silicone tube exchange was performed due to obstruction of the nasal bony orifice. In addition, the patient was using a steroid nasal spray. On slit lamp examination, conjunctival injection, marked inflammation and punctal edema around the tube were observed. The silicone tube was removed and the tube cultured. Pseudomonas fluorescens was isolated from the tube contents. The patients was treated with topical 0.3% gatifloxacin 4 times a day, methylol cephalexin lysinate 1000 mg 3 times a day and the nasal spray was discontinued. Two weeks later, all symptoms were resolved after treatment with antibiotic treatment. Conclusions: A case of Pseudomonas fluorescens canaliculitis which occurred in healthy patient who was using steroid nasal spray is presented with a literature review. Pseudomonas fluorescens canaliculitis can be treated by using proper antibiotics.
KCI
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