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생체 흡수성 코폴리머 고정판을 이용한 안와골절 정복술의 결과
임헌섭,국경훈 대한안과학회 2009 대한안과학회지 Vol.50 No.12
목적: 흡수성 삽입물인 MacroPoreⓇ orbital floor liner를 이용한 안와골절 정복술 시행 후 장기 재건 효과 및 합병증 여부를 알아보고자 하였다. 대상과 방법: MacroporeⓇ orbital floor liner를 이용한 안와골절 정복술을 시행 받고 6개월 이상 경과관찰된 환자를 대상으로 의무기록 검토를 통하여 안구함몰, 안구운동장애 및 복시의 결과를 분석하였다. 결과: 총 35명의 대상환자에 대하여 평균 14.0개월의 추적관찰이 이루어졌으며, 안구함몰이 일차 수술 적응증이 되었던 29명의 최종 경과 관찰 시의 평균 안구함몰은 0.90 mm이었고, 술 후 6개월에 비해 술 후 12, 18, 24개월째 모두 유의한 안구함몰의 진행 소견은 관찰되지 않았다. 술 전 안구운동장애 또는 복시 소견을 보였던 15명은 모든 예에서 증상이 소실 혹은 호전되었으며, 삽입물의 탈출, 감염, 안구운동 장애 악화 등의 합병증은 관찰되지 않았다. 결론: MacroporeⓇ orbital floor liner는 흡수에 따른 합병증 없이 안와골절 정복술의 삽입물로 유용하게 사용될 수 있을 것으로 생각된다. Purpose: To investigate the long-term results and complications of orbital wall fracture reconstruction using the bioabsorbable orbital implant, MacroporeⓇ orbital floor liner. Methods: This retrospective study included patients who underwent the reconstruction of an orbital wall fracture using MacroporeⓇ orbital floor liner and completed a postoperative follow-up longer than 6 months. The enophthalmic values as well as the data of ocular movement and diplopia was collected from the medical records of each patient and analyzed. Results: A total of 35 patients were evaluated with an average follow-up period of 14.0 months. The average enophthalmic value of 29 patients, whose reconstruction was primarily indicated from enophthalmic tissue, was 0.90 mm at the last follow-up. No significant progression of enophthalmos was observed at postoperative 12, 18 and 24 months when compared with the enophthalmic value at postoperative 6 months. All 15 patients who have had the limitation of ocular movement or diplopia preoperatively resolved completely or improved to the degree that no clinically significant limitation or diplopia further existed. No complications such as dislocation of implant, infection, and aggravation of ocular limitation were observed during the follow-up period. Conclusions: MacroporeⓇ orbital floor liner may be regarded as a useful implant in reconstruction of orbital wall fracture with no significant implant-related complications during its absorption.
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임헌섭,안재홍,노승수,유호민,장윤희.Hun-Sub Lim. M.D.. Jae Hong Ahn. M.D.. Seung Soo Rho. M.D.. Ho Min Lew. M.D.. Yoon-Hee Chang. M.D. 대한안과학회 2007 대한안과학회지 Vol.48 No.12
Purpose: Kabuki syndrome is a rare syndrome of multiple congenital anomalies and mental retardation, which is characterized by a peculiar face resembles Kabuki actor, postnatal growth retardation, and skeletal abnormalities. The ocular feature such as strabismus, amblyopia, ptosis, blue sclera and long palpebral fissure with eversion of the lateral portion of lower eyelid can be seen in this syndrome. We experienced a Kabuki syndrome patient with ocular feature. Case Summary: A 6 years old girl visited ophthalmology department for frequent blinking, abnormal movement of eyelid. She showed growth retardation, high palate arch, bifid uvula and low hairline. Best corrected visual acuity was 0.5 in the right eye and 0.4 in the left eye. She also presented with mixed astigmatism (right: +sph 1.00;-cyl 3.00 Ax 180, left: +sph 1.00;-cyl 3.50 Ax 180). In addition, Marcus-Gunn jaw winking in her left eye and a long palpebral fissure were noted. She had intermittent exotropia and a tilted optic disc in the left eye.
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장세란,윤일석,임헌섭,국경훈,Se Ran Jang,Il Suk Yun,Hun Sub Lim,Koung Hoon Kook 대한안과학회 2014 대한안과학회지 Vol.55 No.12
Purpose: In this study we compared the surface wettability of ocular prosthesis and depositions depending on different types of artificial tear eye drops. Methods: The artificial tear eye drops contain sodium hyaluronate (HA) 0.1%, 0.18%, 0.3%, carboxylmethylcellulose sodium (CMC), hydroxymethylcelluose + dextran (HMC), propylene glycol + polyethylene glycol (PG), polysorbate 80 (PS) povidone (Pov) were evaluated. Flat rectangular parallelepiped blocks consisting of polymethylmethacrylate (PMMA) or silicone materials were made. One artificial tear eye drop was applied on the surface of two different blocks of artificial eyes using a 23-gauge needle. Then, the static method contact angle was measured by using a contact angle goniometer. To measure the deposits, a petri dish was covered with 3 mL of artificial tear eye drops and dried for 48 hours at room temperature. Then, the light transmittance at the center of the petri dish was measured to investigate the amount of the residue. Results: The contact angles of HA 0.1%, 0.18%, 0.3%, CMC, HMC, PG, PS and Pov on PMMA were 78.69°, 84.29°, 75.46°, 80.93°, 66.29°, 71.26°, 58.40° and 70.24°, respectively. The contact angles on silicone were 53.68°, 60.87°, 64.46°, 62.78°, 38.89°, 63.58°, 30.68° and 51.41°, respectively. The largest decrease in transparency was observed in the artificial tear eye drops containing HMC. Conclusions: The wettability and deposits on the surface of ocular prosthesis can vary based on the components and concentration of artificial tear eye drops. The results from this study should be considered when choosing the right artificial tear eye drops for improving dry eye symptoms in patients wearing ocular prostheses. J Korean Ophthalmol Soc 2014;55(12):1745-1751
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