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공통눈물소관이 좁아진 눈물흘림 환자에서 실리콘관 삽입술의 장기 효과
진상욱,안희배,김무현,Sang Wook Jin,Hee Bae Ahn,Moo Hyun Kim 대한안과학회 2012 대한안과학회지 Vol.53 No.10
Purpose: To evaluate the clinical effects of silicone tube intubation in patients with epiphora and a narrow common canaliculus. Methods: We conducted a retrospective chart review of 107 patients (169 eyes) who underwent silicone tube intubation for treatment of canaliculus between August 2008 and August 2010 and who were followed for more than 12 months. The patients were divided into 3 groups: patients with canalicular stenosis (A), patients with common canalicular stenosis (B), and patients with nasolacrimal duct stenosis (C). Successful treatment was defined as attainment of the predefined requisites, which included improvements in the clinical symptoms following surgery, an adequate passage of tears resulting from post-operative probing and syringing, and continued improvement to the time of the patients’ final follow-up visit. In contrast, surgical failure was defined as the lack of post-operative symptom improvement, and recurrence was defined as the appearance of epiphora following the silicone tube extubation. Results: The average follow-up duration for the entire group of patients was 30.5 months. The success rates of Group A, Group B, and Group C were 66%, 75.4%, and 56.3%, respectively, demonstrating that Group B attained the highest success rate. These success rates are similar to rates resulting from other types of surgery such as canaliculodacryocystorhinostomy. Conclusions: Silicone tube intubation can be considered a relatively simple and effective surgical technology for the long-term treatment of patients with a narrow common canaliculus. J Korean Ophthalmol Soc 2012;53(10):1373-1377
부지법 후 발생한 안와 연조직염 환자에서 스테로이드 추가요법의 효과
류원열,박재관,안희배,Won Yeol Ryu,Jae Kwan Park,Hee Bae Ahn 대한안과학회 2011 대한안과학회지 Vol.52 No.6
Purpose: To investigate the effects of additional prednisolone treatments in orbital cellulitis after bougination. Methods: The medical records of five patients treated for orbital cellulitis after bougination were reviewed. The number of times bouginated, clinical symptoms, biopsy findings, treatment course, recurrence, and prognosis were reviewed. Results: A diffuse, erythematous mass on the lower lid around the medial canthal area was found in all patients. Bougination was performed more than twice in three patients. Chronic inflammation was checked via pathologic tissue biopsy examination in four patients. No patients receiving antibiotic treatments improved, thus additional prednisolone was used and showed satisfactory results, although recurrence was observed in two patients. The recurred two patients improved with repetitive prednisolone treatments. Conclusions: Although antibiotics are administered for the treatment of orbital cellulitis after bougination, the use of additional corticosteroids may be beneficial when inflammation is sustained. J Korean Ophthalmol Soc 2011;52(6):647-652