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안경 착용 후 호전된 간헐성 외사시 환자들의 임상적 특징
이재연,하성우,유혜린,Jae Yeun Lee,Sung Woo Ha,Helen Lew 대한안과학회 2012 대한안과학회지 Vol.53 No.6
Purpose: To evaluate clinical features of patients who have experienced decreased exodeviation after refractive error correction. Methods: Thirty-four patients who experienced decreased exodeviation after refractive error correction between 2003 and 2010 were evaluated. Visual acuity, refractive errors, reported age at onset, duration of wearing glasses, stereopsis, and function of fusion were evaluated. Results: The present study included 34 patients with intermittent exotropia. Before correcting refractive errors, the mean visual acuity was 0.34 ± 0.27 for the right eye and 0.37 ± 0.27 for the left eye according to log MAR. After refractive error correction, mean visual acuity improved to 0.12 ± 0.11 for the right eye and 0.11 ± 0.11 for the left eye according to log MAR. Before correcting refractive errors, the amount of deviation was 18.1 ± 7.4 PD at near and 13.5 ± 8.4 PD at far. However, after correcting refractive errors, the amount of deviation decreased to 5.8 ± 8.6 PD at near and 4.5 ± 7.6 PD at far (p < 0.05). Conclusions: The clinical characteristics of children who have decreased exodeviation after correcting refractive errors is shown by a greater amount of deviation at near than at distance and good fusional vergence and stereoacuity. Because correcting refractive errors by wearing appropriate glasses can decrease exodeviation, the authors of the present study recommend correcting refractive errors as the initial management for exotropia. J Korean Ophthalmol Soc 2012;53(6):819-824
수정체유화술 및 후방인공수정체삽입술 후 유수정체안과 위수정체안의 자세에 따른 안압비교
신고운(Ko Un Shin),이재연(Jae Yeun Lee),원유삼(Yu Sam Won),김준모(Joon Mo Kim) 대한안과학회 2017 대한안과학회지 Vol.58 No.2
Purpose: In the present study, the dependence of intraocular pressure (IOP) on body position was compared between pseudophakic and phakic eyes after cataract surgery performed at least 3 months prior. Methods: IOP was measured in 214 patients over 40 years of age who received cataract surgery at least 3 months prior. The present study included 104 patients who did not have any other ocular disease which could influence visual acuity or IOP. The IOP was measured in 4 different positions, sitting, supine, right decubitus, and left decubitus by a single skilled researcher using Icare tonometer. In addition, IOP was compared between the phakic and pseudophakic eyes, specifically, the dependent eye in the decubitus position. Results: The comparison between the phakic and pseudophakic eyes in patients after cataract surgery in a single eye showed IOP was not different between the sitting and supine positions; however, in the decubitus position, IOP in the dependent eye was significantly higher than the non-dependent eye (p = 0.001). Additionally, regardless of lens status, IOP was significantly higher in the dependent eye than non-dependent eye. Conclusions: Both body position and lens status can affect IOP. After cataract surgery, regardless of lens status, IOP was higher in the dependent eye than non-dependent eye of patients in the decubitus position.
김종남,박상일,이재연,조윤희 梨花女子大學校 醫科大學 醫科學硏究所 1998 EMJ (Ewha medical journal) Vol.21 No.3
Dentigerous cyst represents cystic enlargement of the follicle of an impacted tooth. It is the sites of predilection mirror the favored sites if impacted teeth : mandibular third molars, maxillary third molars, and maxillary canines. These cysts are most prevalent in the second to fourth decades. Most cysts are asymmetric and are discovered on routine dental radiographs, but large examples can cause displacement or resorption of adjacent teeth and infection. Microscopical examination discloses a stratified squamous epithelium covering a fibrocollagenous cyst wall. In this case, authors present a case of huge dentigerous cyst on right piriform fossa across the midline that enucleated successfully through the right gingivobuccal approach.