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최동광,손무식 고려대학교 의과대학 1981 고려대 의대 잡지 Vol.18 No.1
Central serous retinopathy is a specific disease that typically affects young adults between 20 and 45 years of age. It is a clinically well known but it pathophysiologically obscures disorder that is characterized by a flat, serous disciform detachment of sensory retina of the posterior pole, occuring spontaneously in young adults without associated ocular or systemic diseases. The use of photocogulation to treat central serous retinopathy has gained widespread acceptance in ophthalmic practice since 1959 by Meyer-Schwickerath. A leaking point on the pigment epithelium of retina is thought to be primary cause since it frequently leads to secondary sensory retinal detachment and blurring vision with central scotoma. The purpose of photocoagulation is thought to blockade leaking points on the pigment epithelium of retina. The author treated 121 eyes with central serous retinopathy with Coherent Argon Laser Photocoagulator System 900(A-O) from January 1978 to July 1980, and was applied under the condition of 0.05 or 0.1 second, 100-200mW., 50 or 100??. The results obtained were as follows; 1. This disorder affected males more often than females (7:1). 2. More than two-thirds of cases (82.4%) were between 30 and 45 years of age. 3. In most cases, the condition was unilateral 998.3%) and there was no difference between left and right eyes. 4. Fluorescein leakages were first seen between the 21st and 25th second after intravenous injection of fluorescein. 5. In order to seal the leakage of dye, the author applied between 11 and 30 exposure in 67%. 6. The upper nasal quadrant near the foveola was involved most frequently. 7. In most cases (90.9%), visual acuity was improved after photocoagulation.