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- 저자 : 안소민(So Min Ahn) (검색결과 3 건)
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수성 눈물 부족 건성안 환자에서 수술적 눈물점 폐쇄의 효과 평가
안소민(So Min Ahn),엄영섭(Young Sub Eom),임재원(Jay Won Rhim),강수연(Su Yeon Kang),김효명(Hyo Myung Kim),송종석(Jong Suk Song) 대한안과학회 2016 대한안과학회지 Vol.57 No.2
Purpose: To analyze the improvement of symptoms and signs of dry eye after surgical punctual occlusion and to evaluate the effects of secondary systemic disease in dry eye patients. Methods: From March 2011 to July 2014, 15 eyes of 8 dry eye patients with a history of punctal plug insertion underwent surgical punctal occlusion. Schirmer test was measured based on mean 2.9 mm. The patients consisted of 4 dry eye patients with Sjogren’s disease, 1 with rheumatoid arthritis, 1 with graft-versus-host disease (GVHD), and 2 with no secondary systemic disease. Preoperative and postoperative ophthalmic examinations of log MAR visual acuity, subjective symptoms, corneal staining(National Eye Institute [NEI] score), and tear break-up time (BUT) were performed and the effects of secondary systemic disease in dry eye patients were evaluated. The results of surgical punctual occlusion were analyzed. Results: All patients showed a statistically significant improvement of log MAR visual acuity, subjective symptoms, corneal staining (NEI score), and tear BUT. The patients with rheumatoid-related diseases showed improved symptoms after surgery, but the patient with GVHD showed no significant improvement after surgery. Among the study patients, 80.0% showed completely closed punctum and 20.0% showed partial recanalization. Conclusions: Surgical punctal occlusion is an effective alternative in patients with severe aqueous deficient dry eye who show recurrent punctal plug loss or complications associated with punctal plugs.
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결절맥락막혈관병증에서 인도시아닌그린 혈관조영술과 빛간섭단층혈관조영술의 비교
김종현(Jonghyun Kim),안소민(So Min Ahn),윤철민(Cheolmin Yun),김성우(Seong-Woo Kim),오재령(Jaeryung Oh) 대한안과학회 2021 대한안과학회지 Vol.62 No.9
목적: 결절맥락막혈관병증에서 인도시아닌그린혈관조영술과 빛간섭단층혈관조영술의 비교를 통해 진단적 가치를 평가하고 차이가 발생하는 요인을 알아보고자 한다. 대상과 방법: 43명 환자들의 인도시아닌그린혈관조영술과 빛간섭단층혈관조영술검사에서 결절 개수와 크기, 분지혈관망 유무의 일치율과 크기를 비교하였다. 두 검사에서 결절 개수 일치 여부에 따라 그룹 1은 두 검사에서 결절 개수가 같은 군으로, 그룹 2는 개수가 다른 군으로 분류하였다. 결과: 결절의 개수와 면적은 인도시아닌그린혈관조영술에서는 평균 1.47 ± 0.83개, 0.27 ± 0.42 mm2, 빛간섭단층혈관조영술검사에서는 평균 1.07 ± 0.91개, 0.17 ± 0.15 mm2로 유의미한 차이를 보였다(각각 p<0.001, p=0.023). 분지혈관망은 인도시아닌그린혈관조영술로 33안(76.7%)에서 평균 면적 3.61 ± 2.59 mm2, 빛간섭단층혈관조영술검사로 29안(67.4%)에서 평균 면적 2.74 ± 2.76 mm2로 측정되어 유의미한 차이를 보였다(p=0.002). 중심망막두께와 중심맥락막두께는 그룹 2에서 유의미하게 두꺼웠다(각각 p<0.001). 그룹 2에서 망막하액(p=0.009), 망막하출혈(p=0.035)이 유의미하게 많이 발견되었고, 결절의 높이(p=0.022), 결절의 폭(p=0.042)이 유의미하게 크게 측정되었다. 결론: 빛간섭단층혈관조영술은 결절맥락막혈관병증을 진단하는 데 인도시아닌그린혈관조영술과 차이를 보이나 진단에 도움을 줄 수 있는 보조적인 진단 방법이며, 망막하액과 망막하출혈이 존재하고 결절의 높이와 폭이 큰 경우 결절맥락막혈관병증 진단에 영향을 미칠 수 있다. Purpose: To assess the diagnostic value of optical coherence tomography angiography (OCTA), and the factors affecting the diagnosis of polypoidal choroidal vasculopathy (PCV) by OCTA and indocyanine green angiography (ICGA). Methods: The numbers and area of polyps, and the presence and area of a branched vascular network (BVN) as revealed by ICGA and OCTA, were retrospectively analyzed in 43 patients with active PCV. The patients were divided into two groups according to whether the number of polyps matched between the two methods: group 1, equal number of polyps revealed by ICGA and OCTA; group 2, different number of polyps revealed by ICGA and OCTA. Results: In 43 PCV patients, the total number of polyps was 1.47 ± 0.83 in ICGA and 1.07 ± 0.91 in OCTA (p < 0.001), and the polyp area was 0.27 ± 0.42 mm2 in ICGA and 0.17 ± 0.15 mm2 in OCTA (p = 0.023). BVN was found in 33 eyes (76.7%) by ICGA and 29 eyes (67.4%) by OCTA (p < 0.001). The BVN area was 3.61 ± 2.59 mm2 in ICGA and 2.74 ± 2.76 mm2 in OCTA (p = 0.002). Central retinal thickness and central choroidal thickness were significantly greater in group 2 than group 1 (p < 0.001, respectively). Subretinal fluid (SRF) (p = 0.009) and subretinal hemorrhage (SRH) (p = 0.005) were significantly more prevalent in group 2 than group 1. Polyp height (p = 0.022) and diameter (p = 0.042) were significantly greater in group 2 than group 1. Conclusions: OCTA is a supplementary diagnostic technique for detecting PCV. The presence of SRF and SHR, and large polyp height and diameter, were associated with the polyp detection rate of OCTA for PCV.
KCI
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