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공막노출법으로 익상편 제거술을 시행 받은 환자에서 발생한 내사시의 임상양상과 치료
조성호,이지은,최희영,정재호,Seong Ho Jo,Ji Eun Lee,Hee Young Choi,Jae Ho Jung 대한안과학회 2013 대한안과학회지 Vol.54 No.5
Purpose: The clinical features of esotropia after bare scleral pterygium surgery and dipolpia treatment results were evaluated in the present study. Methods: Twenty eyes of 12 patients who had esotropia after bare sclera pterygium surgery from 2008 to 2011 were retrospectively investigated. Results: Diplopia occurred at 2.8 ± 1.6 months (1-6 months) after pterygium surgery. The mean pre-operative angle of esotropia was 19.4 ± 8.9 PD (8-40 PD) at distance and 16 ± 7.3 PD (0-30 PD) at near. All patients showed limitation of abduction in the pterygium operated eye. Two patients were prescribed prism glasses, 2 patients underwent conjunctiva surgery, and medial rectus recession with simultaneous intraoperative adjustment surgery was performed in 8 patients. An additional strabismus operation was required for 2 patients who received conjunctival surgery due to diplopia recurrence. Seven patients (70%) showed orthotropia at 3 months. Conclusions: In this study, diplopia following postoperative adhesion caused by bare sclera pterygium surgery technique was observed. Conjunctiva-perimuscular scar tissue removal and medial rectus recession were effective methods in eliminating diplopia.
조성호,이길영,Jo, Seong-Ho,Lee, Gil-Yeong 대한한방안이비인후피부과학회 2001 한방안이비인후피부과학회지 Vol.14 No.1
Herpes zoster oticus which is called Ramsay Hunt syndrome, geniculate ganglion herpes and otic herpes, is characterized by a viral prodrome with otalgia, vesicular eruptions, facial paralysis, hearing disturbance, tinnitus, vertigo and other symtoms. Among cranial nerves, trigeminal and facial nerves are the most commonly affected in patients with herpes zoster oticus, but on rare occasions 8th, 9th, 10th, 11th, 12th cranial nerves and even the upper cervical nerve are influenced as well.. In general, it has poor prognosis compared with Bell's palsy, leaving permanent facial nerve dysfunction. We report a case of Herpes zoster oticus, which was fully recovered by acupuncture and herbal medication within 12 days. We used $FEMA^{11)}$ and House-Brackmann's grading system to assess the degree of paralysis in each part of face.
스테로이드 무반응 시신경척수염 환자에서 혈장분리교환술의 효과
조성호,최재환,최희영,정재호,Seong Ho Jo,Jae Hwan Choi,Hee Yonng Choi,Jae Ho Jung 대한안과학회 2014 대한안과학회지 Vol.55 No.3
Purpose: To report the therapeutic efficacy of plasma exchange therapy on steroid-unresponsive neuromyelitisoptica (NMO) patients. Case summary: Three patients who had not achieved improvement of visual acuity and visual field after high steroid pulse therapy after optic neuritis visited our clinic with decreasing visual acuity combined with eye pain in the other eye. All patients were diagnosed as neuromyelitisoptica (NMO) based on the presence of NMO-IgG antibody and optic nerve enhancing in contrast-enhanced orbital magnetic resonance imaging (MRI). Recurrent optic neuritis was observed. Steroid pulse retreatment was started but visual acuity was not improved in all patients. The patients received plasma exchange therapy, followed by immune suppression therapy. All patients showed improved visual acuity and restored visual field promptly without recurrence of neuromyelitisoptica. Conclusions: In case of steroid-unresponsive neuromyelitisoptica, plasma exchange should be promptly considered as the treatment of choice. J Korean Ophthalmol Soc 2014;55(3):465-472
야맹증을 주소로 한 Pantothenate Kinase-Associated Neurodegeneration (PKAN) 1예
조성호,전종근,김용우,정재호,Seong Ho Jo,Chong Kun Cheon,Yong U Kim,Jae Ho Jung 대한안과학회 2013 대한안과학회지 Vol.54 No.3
Purpose: Pantothenate kinase-associated neurodegeneration (PKAN), also known as neurodegeneration with brain iron accumulation is an extremely rare degenerative disease. The present study reports a case of retinal pigmentary changes in PKAN. Case summary: A 6-year-old girl presented with night blindness and developmental delay. Neurologic examination revealed toe gait and dystonia. Ocular examination showed retinal pigmentary change in the entire retina without optic atrophy. Brain magnetic resonance imaging showed iron deposits in the basal ganglia, the so-called “eye of the tiger” sign. Genetic tests confirmed a mutation in the gene encoding pantothenate kinase 2. Electroretinography demonstrated severe loss of rod and cone responses, prominently reduced in the rod response. The patient was diagnosed with PKAN and pharmacologic treatment started. Conclusions: In the case of systemic neurological abnormalities with pigmentary retinal change, PKAN should be considered as a differential diagnosis.