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- 저자 : 이수나.Chang Hyun Shin. MD. Su Na Lee. MD (검색결과 2 건)
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속립성 결핵이 의심되는 환자에서 비전형적 눈 결핵 및 안구 간섭 단층 촬영 소견 1예
신창현,이수나.Chang Hyun Shin. MD. Su Na Lee. MD 대한안과학회 2011 대한안과학회지 Vol.52 No.1
Purpose: To report clinical features and optical coherence tomographic findings of presumed atypical ocular tuberculosis associated with tuberculosis lymphadenitis and encephalomeningitis. Case summary: A 28-year-old female with lymphadenitis in the axillary area presented with a fever and headache of a one week duration. CSF study and MRI findings implied tuberculosis encephalomeningitis, and presumed tuberculosis uveitis manifested with visual disturbance after five days. Ocular symptoms were aggravated and showed anterior iridocyclitis, vitritis, macular edema, and multifocal retinitis with miliary granuloma that was distinct from choroiditis or typical tuberculosis granuloma. After the patient received anti-tuberculosis medication and systemic corticosteroids, significant improvements in visual acuity, ocular findings and OCT results were observed. Conclusions: Ocular tuberculosis can present with various clinical findings, and caution should be taken so as not to misdiagnose based on these characteristics. In the present case, anti-tuberculosis medication and systemic steroids resulted in the resolution of inflammation. In such cases, monitoring the posterior pole lesion via OCT may be helpful in determining improvement. J Korean Ophthalmol Soc 2011;52(1):107-111
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신창현,이수나.Chang Hyun Shin. MD. Su Na Lee. MD 대한안과학회 2010 대한안과학회지 Vol.51 No.1
Purpose: To describe a case of Wyburn-Mason Syndrome, which is characterized by arteriovenous malformations in the central nervous system and the retina. Case summary: A 13-year-old girl who underwent neurosurgical intervention for intraventricular hemorrhage was referred to our ophthalmic clinic because brain angiogram and MRI finding revealed arteriovenous malformations (AVMs) that extended from the orbit and optic chiasm along the optic pathway. Fundus and fluorescein angiography of the left eye showed marked dilation and tortuosity of the retinal vessels. Fluorescein angiographic findings showed rapid filling of all vessels and no dye leakage. Conclusions: Retinal racemose hemangioma should be considered for Wyburn-Mason syndrome, and the finding of retinal AVMs should warrant cerebral imaging studies including MRI and angiography. J Korean Ophthalmol Soc 2010;51(1):145-149
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