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- 저자 : ( Soolienah Rhiu ) (검색결과 4 건)
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Complications of Cosmetic Wide Conjunctivectomy Combined With Postsurgical Mitomycin C Application
Rhiu, Soolienah,Shim, Jongwoo,Kim, Eung Kweon,Chung, Sung Kun,Lee, Jong Soo,Lee, Jong Bok,Seo, Kyoung Yul Masson Pub. USA 2012 Cornea Vol.31 No.3
PURPOSE:: To raise awareness among clinicians about the risk of severe complications after cosmetic conjunctivectomy plus postsurgical topical mitomycin C (MMC) treatment. METHODS:: We retrospectively reviewed the medical records of 48 consecutive patients who received cosmetic wide conjunctivectomy plus postsurgical topical MMC treatment to eliminate conjunctival injection and visited our outpatient clinic between January 2009 and January 2011. RESULTS:: Forty-four patients (91.67%) developed complications after cosmetic wide conjunctivectomy plus postsurgical topical MMC treatment. Complications included chronic conjunctival epithelial defects (22 patients), scleral thinning with (19 patients) or without (2 patients) calcified plaques, fibrovascular conjunctival adhesion at the muscle insertion site (15 patients), chronic dysfunctional tear syndrome (11 patients), avascular zones (10 patients), abnormal vessel growth (5 patients), lymphangiectasis (3 patients), adhesions of Tenon capsule and the conjunctiva at the extraocular muscle insertion site (1 patient), extraocular muscle fiber exposure (1 patient), and diplopia (9 patients). The mean time between surgery and the onset of diplopia was 1.67 months (range, 1–3 months), and the mean deviation was 11.0 prism diopters (range, 0–25 prism diopters) in the primary position. Three patients underwent strabismus surgery due to incomitant esotropia. Eight patients underwent calcified plaque removal because of severe progression of the calcification. Five patients underwent conjunctival flap operation because of severe progressive scleral thinning. CONCLUSIONS:: Cosmetic wide conjunctivectomy, which has been advertised as a simple and effective surgical option for the treatment of conjunctival injection, has caused disruption in the normal physiology of the ocular surface, which leads to various devastating complications.
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( Wook Kyum Kim ),( Sung Yong Kang ),( Soolienah Rhiu ),( Seung Ah Chung ),( Jong Bok Lee ) 대한안과학회 2012 Korean Journal of Ophthalmology Vol.26 No.1
Purpose: To report the long term results of bifocal treatment in nonrefractive accommodative esotropia and to analyze the changes of accommodative convergence to accommodation (AC/A) ratio. Methods: Sixteen patients treated with bifocal glasses for at least 5 years were evaluated retrospectively. Angle of deviation at near and distance, refractive error, and AC/A ratio by the lens gradient method were analyzed. The changes of AC/A ratios were also compared after dividing the patients according to continuation or cessation of bifocal therapy. Results: Six patients (38%; bifocal stop group, BSG) were able to stop using bifocal glasses at an average age of 10.8 years (range, 6.5 to 15.4 years) during their follow-up. However, the other ten patients (62%; bifocal continue group, BCG) had to continue using bifocal glasses until the final visit, which was 13.8 years on average (range, 11.3 to 18.5 years). The AC/A ratio decreased from time of bifocal prescription to the last visit in both groups, from 4.4 to 2.7 in the BSG and from 5.9 to 4.5 in the BCG. AC/A ratios were significantly higher(p = 0.03) in the BCG than that of the BSG from the beginning of bifocal treatment and this difference was persistent until the final visit (p=0.03). Conclusions: The AC/A ratio decreased with age in both groups but was significantly higher throughout the entire follow-up period in the BCG. AC/A ratio at bifocal prescription could be an important factor in predicting response to bifocal treatment.
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이혜진(Hye Jin Lee),유수리나(Soolienah Rhiu),이선호(Sun Ho Lee),정진호(Jin Ho Jeong) 대한안과학회 2015 대한안과학회지 Vol.56 No.12
목적: 폐결핵으로 에탐부톨을 복용한 후 시력저하가 발생한 환자의 시야검사에서 양이측반맹 소견을 보인 3예를 경험하였기에 이를 보고하고자 한다. 증례요약: 신장장애가 있었고, 3개월 전부터 늑막성 결핵으로 에탐부톨을 복용하였던 50세 남자 환자, 폐결핵으로 10개월간 에탐부톨을 복용한 57세 남자 환자, 폐결핵이 재발하여 4개월 전 동일 약제를 복용하고 있다가 2개월 전 중단한 59세 남자 환자가 시력저하로 내원하여 에탐부톨 시신경병증으로 진단 받았다. 세 명 모두 시력저하, 색각이상, 시유발전위 이상을 보였고, 시야검사에서 2명은 중심암점을 포함한 양이측반맹, 1명은 중심암점이 없는 양이측반맹 소견을 보였다. 뇌영상검사는 정상이었다. 약제 중단 후 2명에서 시력, 색각, 시야장애가 호전되었다. 결론: 에탐부톨에 의한 시신경병증은 시야검사에서 다양한 스펙트럼의 양이측반맹을 보일 수 있으므로 철저한 병력청취와 더불어증상 발생 시 신속한 약제 중단이 필요하다. Purpose: To report three cases with bitemporal hemianopsia after using ethambutol to treat tuberculosis. Case summary: A 50-year-old male with chronic renal failure and tuberculous pleurisy, a 57-year-old male with diabetic retinopathy and pulmonary tuberculosis, and a 59-year-old male with diabetes and pulmonary tuberculosis were referred for evaluation due to decreased visual acuity for several months after taking ethambutol to treat tuberculosis. All 3 patients had abnormal color vision and visual evoked potential in both eyes. Visual field showed bitemporal hemianopsia with or without central scotoma. Brain imaging tests were normal. Although ethambutol was discontinued in all three patients, one patient with renal disease showed further decrease in visual acuity and visual field worsened to total field defect. Conclusions: Ethambutol-induced optic neuropathy is a wide spectrum disorder and based on our cases, can present as bitemporal hemianopsia mimicking compressive chiasmal lesions. A thorough history should be taken and immediate discontinuation of ethambutol is recommended in cases when bitemporal hemianopia occurs.
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박현주,이종복,유수리나.Hyun Ju Park. MD. Jong Bok Lee. MD. Soolienah Rhiu. MD 대한안과학회 2014 대한안과학회지 Vol.55 No.11
Purpose: To evaluate the clinical manifestations of double elevator palsy and describe the surgery outcomes in patients. Methods: We performed a retrospective chart review of all patients who were treated surgically for double elevator palsy between 1999 and 2012 at Yonsei University, Severance Hospital in Seoul, Korea. Results: Overall, 15 subjects (7 males and 8 females) with a mean age of 14.6 years (range, 3-40 years) underwent their first surgery during the study period. All patients received inferior rectus recession as a primary procedure. Nine patients (60.0%) underwent a secondary procedure which included 4 cases of horizontal muscle transposition, 2 cases of correction of exotropia, and 3 cases of correction of hypotropia and exotropia simultaneously. The mean preoperative hypotropia was decreased from 29.9 ± 8.4 prism diopter (PD) to 4.7 ± 5.3 PD postoperatively. Mean follow-up period was 40.9 ± 48.2 months. Seven patients (46.7%) underwent eyelid surgery for true ptosis. At last follow-up, a majority of patients showed mild or no amblyopia. Conclusions: Primary inferior rectus recession and additive secondary horizontal muscle transposition surgery was effective in treatment of double elevator palsy. The clinical manifestations and surgical outcomes of monocular elevation deficiency in the present study can help in the treatment of Korean patients. J Korean Ophthalmol Soc 2014;55(11):1674-1680
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