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이달의 X-선 : 승모판 건삭 파열로 인한 급성 폐부종 1예
박혜경 ( Hye Kyeong Park ),강윤정 ( Yeun Jeong Kang ),최상봉 ( Sang Bong Choi ),박이내 ( I Nae Park ),정훈 ( Hoon Jeung ),허진원 ( Jin Won Hur ),이현경 ( Hyun Kyung Lee ),염호기 ( Ho Kee Yum ),이혁표 ( Hyuk Pyo Lee ),장지민 ( Ji 대한결핵 및 호흡기학회 2007 Tuberculosis and Respiratory Diseases Vol.63 No.5
장수경(Su Gyeong Jang),박강윤(Kang Yeun Pak),권한조(Han Jo Kwon),이승민(Seung Min Lee),박성후(Sung Who Park),변익수(Ik Soo Byon),이지은(Ji Eun Lee) 대한안과학회 2017 대한안과학회지 Vol.58 No.2
목적: 신경망막염 환자의 임상 양상 및 예후에 관해 알아보고자 한다. 대상과 방법: 2012년부터 2015년 사이 진단된 신경망막염 환자 7명의 의무기록을 후향적으로 분석하였다. 결과: 7명 중 2명은 양안에 나타나 총 9안이 포함되었다. 5명의 남성과, 2명의 여성이 포함되었고, 나이는 평균 45.1 ± 13.2세였다. 인플루엔자 유사 증상이 선행했던 경우가 2명이었고, 나머지 5명은 시력저하 외 특이소견이 없었다. 내원 당시 교정시력은 평균 logMAR 0.48 ± 0.55 (0-1.6)였다. 혈청학적 검사에서 40세 이하 4명에서는 특이소견이 관찰되지 않았고, 40세 이상의 3명에서는 개회충증 항체 양성이 확인되었다. 개회충증 항체 양성을 보인 3명 중 2명은 Albendazole을 복용하였고 나머지 한 명은 복용하지 않았다. 개회충증 항체 양성임에도 구충제를 복용하지 않은 1안을 제외한 8안은 모두 20/30 이상으로 시력이 회복되었다. 결론: 국내에서 발생한 신경망막염환자 7명 중 3명에서 개회충증 항체가 검출되었다. 항체 양성이 나온 경우에는 구충제 처방을 고려해야 한다. Purpose: In the present study, the clinical characteristics and outcomes of neuroretinitis in Korea were investigated. Methods: Seven consecutive patients with neuroretinitis from 2012 to 2015 were retrospectively reviewed. Results: The present study included 9 eyes of 7 patients. The subjects consisted of 5 males and 2 females and the mean age was 45.1 ± 13.2 years. Two patients had Influenza-like symptoms and the others had no specific general symptoms. The mean best corrected visual acuity was logMAR 0.48 ± 0.55 (0-1.6) on the initial visit. Four patients 40 years of age or under had no abnormal findings in laboratory work-up. Conversely, 3 patients over 40 years of age were positive for Toxocara based on enzyme-linked immunosorbent assay (ELISA). Two of 3 patients positive for Toxocara were treated with albendazole and 1was not. Eight eyes had good visual recovery over 20/30 except for 1 patient who did not take the albendazole despite being positive for Toxocara detected using ELISA. Conclusions: Three of 7 patients with neuroretinitis in Korea showed positive results forToxocara based on ELISA. In cases with seropositive Toxocara ELISA results, albendazole treatment should be considered.
권지민(Ji Min Kwon),박강윤(Kang Yeun Park),이재정(Jae Jung Lee),사공민(Min Sagong),김현웅(Hyun Woong Kim) 대한안과학회 2021 Korean Journal of Ophthalmology Vol.35 No.1
Purpose: To evaluate the one-year efficacy of intravitreal aflibercept injection in polypoidal choroidal vasculopathy (PCV)with best-corrected visual acuity (BCVA) of 20 / 40 or better. Methods: This was a multicenter retrospective study. The medical records of patients diagnosed with treatment-naïve PCVwere retrospectively reviewed. Patients with an initial BCVA of 20 / 40 or better and who had undergone intravitreal afliberceptinjection were included. Patients were treated with three consecutive monthly injections, followed by pro re nata regimenaccording to the clinician’s discretion at variable interval visits. The proportions of eyes for which BCVA was maintained(≤ 0.2 logarithm of the minimum angle of resolution change) or improved at 12 months were evaluated. The changes ofBCVA, central subfield macular thickness (CSMT), pigment epithelial detachment, and subretinal fluid also were assessed. Results: A total of 86 eyes were included. The mean number of injections for 12 months of treatment was 5.4 ± 1.7. BCVAwas maintained or improved in 94.2% (81 / 86) of cases. Mean BCVA (logarithm of the minimum angle of resolution)had changed from the baseline (0.23 ± 0.09) at 3 months (0.21 ± 0.14), 6 months (0.24 ± 0.22), and 12 months (0.20± 0.18), but with no statistical significance. CSMT had improved significantly from the baseline (336.1 ± 97.3 μm) at 3months (223.6 ± 47.22 μm), 6 months (239.6 ± 64.2 μm), and 12 months (223.8 ± 47.9 μm). Pigment epithelial detachmentwas observed in 93% of cases at the baseline, 72.1% at 3 months, and 69.8% at 12 months, showing a significantdecrease at all observation points. Subretinal fluid was observed in 91.9% of cases at the baseline, 20.9% at 3 months,and 29.1% at 12 months, showing a significant decrease at all observation points. Conclusions: In cases of PCV with good visual acuity, intravitreal aflibercept injections decreased CSMT and were effectivein maintaining visual acuity.