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RISS 인기검색어
- 검색키워드
- 저자 : 김응석.Kyung-Hyun Jin. M.D.. Eung-Suk Kim. M.D. (검색결과 2 건)
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-5.0~-8.5디옵터의 근시안에서 라섹(LASEK) 수술시 사용한 저농도 마이토마이신의 각막혼탁억제 효과
김응석,진경현,Eung Suk Kim,M,D,Kyung Hyun Jin,M,D 대한안과학회 2007 대한안과학회지 Vol.48 No.5
Purpose: To evaluate the effects of the prophylactic use of mitomycin C in low concentration and short duration (0.01%, 60 sec) in inhibiting haze formation after laser epithelial keratomileusis (LASEK). Methods: Forty-two eyes of 71 patients with refractive error from -5.0 D to -8.50 D were enrolled in this study. The eyes were divided into 2 groups according to the use of mitomycin C. All eyes were examined for refraction, UCVA, BCVA, and the incidence and degree of corneal haze before surgery and at 1, 3, 6 months after operation. Results: Fifty-one eyes were operated by LASEK with intraoperative application of 0.01% mitomycin C for 60 seconds and 20 eyes were operated by LASEK without mitomycin C. There was no statistical difference in UCVA, BCVA, and spherical equivalent between 2 groups. In the study group, the degree of corneal haze was 0.54±0.39. 0.38±0.48, 0.30±0.50 at 1, 3, 6 months after operation and in the control group, 0.92±0.58, 0.79±0.66, 0.50±0.60 at 1, 3, 6 months after operation respectively. The difference in the postoperative corneal haze between 2 groups was statistically significant at 1, 3 months after operation, but at 6 months the difference was not statistically significant. Conclusions: In this study, intraoperative single use of mitomycin C in lower concentration and short duration could reduce the formation of corneal haze effectively in early postoperative period after LASEK. A more longterm period of follow up will be required to assess the continuous effect of mitomycin C on inhibiting corneal haze after LASEK.
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수술 후 생기는 견이형성을 줄이기 위한 변형된 호쯔씨 수술법
진경현,김응석.Kyung-Hyun Jin. M.D.. Eung-Suk Kim. M.D. 대한안과학회 2005 대한안과학회지 Vol.46 No.8
Purpose: To discover an the operative technique to reduce the dog-ear formation which develops after epiblepharon and entropion repairing surgery. Methods: This study reviewed the records of 38 consecutive patients who had undergone epiblepharon surgery. The results of the surgical correction, dog-ear formation and the complications were reviewed retrospectively. The new operative procedure adopted the sine curve-shaped skin incision instead of the conventional crescent-shaped skin incision. After resection of redundant skin and pretarsal orbicularis muscle, tarsal fixation of subcutaneous tissue and skin was performed. After the epiblepharon repair, we observed the formation of dog-ear by the modified Hotz procedure. Results: There were 22 males and 16 females. The average age at surgery was 4.8 years and the average follow-up period was 22.4 weeks. There were no cases of cilia touch recurrence and dog-ear formation using the new operative procedure. Conclusions: This operative technique produced improved cosmetic result by preventing the formation of dog-ear which can develop after repair surgery for epiblepharon and entropion.
KCI
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