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연령관련황반변성에 의한 맥락막하신생혈관에서 광역학치료와 유리체강내 스테로이드주입술의 치료효과
오현섭,노미인,오상준,이성철,이원영,권오웅,Hyun-Sub Oh,M,D,Mi-In Roh,M,D,Sang-Joon Oh,M,D,Sung-Chul Lee,M,D,Won-Young Lee,M,D,Oh-Woong Kwon,M,D 대한안과학회 2005 대한안과학회지 Vol.46 No.8
Purpose: To evaluate the safety and visual outcome of intravitreal triamcinolone acetonide combined with photodynamic therapy for subfoveal choroidal neovascularization in patients with age-related macular degeneration. Methods: We evaluated 32 eyes of 32 patients with choroidal neovascularization due to age-related macular degeneration. The study group received photodynamic therapy and intravitreal triamcinolone acetonide (combined group), while the control group received photodynamic therapy only (PDT group). Results: Three months after treatment, no difference was detected between the two groups in visual acuity changes (p>0.05), but the leakage in fluorescein angiography and macular edema in optical coherent tomography decreased (p<0.05) in the combined group. The retreatment rate in the combined group (6.0%) after 3 months was lower than that of the PDT group (53.3%). Conclusions: Photodynamic therapy with intravitreal triamcinolone acetonide to choroidal neovascularization reduced the retreatment rate at 3 months significantly. These results may have been be due to the short-term anti-inflammatory effect of steroids.
조계열,오현섭,유재호,김덕현,김강일,조영주 대한슬관절학회 2013 대한슬관절학회지 Vol.25 No.2
Purpose: The purpose of this study was to evaluate the results of the treatment of Schatzker type V and VI tibial plateau fractures using a midline longitudinal incision and dual-plate fixation. Materials and Methods: Ten patients with Schatzker type V and VI tibial plateau fractures treated with a midline longitudinal incision and dual plating were analyzed. The patients were followed for a minimum of one year. Clinical outcomes were evaluated using range of motion, visual analogue scale (VAS) and Knee Society Score. Radiological outcomes were evaluated using the bony union time, medial proximal tibial angle (MPTA) and posterior proximal tibial angle (PPTA). Results: The mean VAS score was 2.2 points, and the mean Knee Society function score was 85 points at the final follow-up. The mean flexion contracture was 2.5o and the mean further flexion was 125o. It took an average of 4 months until bony union occurred. The mean MPTA and PPTA were 90.5o and 4.4o, respectively. There was one case of delayed wound healing, but no other complications were observed. Conclusions: The treatment of Schatzker type V and VI tibial plateau fractures with a midline longitudinal incision and dual-plate fixation resulted in satisfactory clinical and radiological outcomes. This can be an option when treating Schatzker type V and VI tibial plateau fractures.
한국인의 혈관내피성장인자 3’ 비번역 부위의 유전자 다형성과 당뇨망막증과의 상관성
변석호,오현섭,안보영,홍선표,김진국,권오웅 대한안과학회 2005 대한안과학회지 Vol.46 No.11
Purpose: Recent studies suggest that increased expression of the vascular endothelial growth factor (VEGF) may play a role in the pathogenesis of diabetic complications. The aim of this study was to assess the potential association of VEGF gene polymorphisms with disease expression of retinopathy in patients with diabetes mellitus. Methods: We studied 96 diabetic patients to determine whether there is an association between diabetic retinopathy in VEGF and VEGFR gene; all patients were unrelated Korean individuals (PDR, n=32; NPDR, n=25; no DMR, n=39). We analyzed VEGF and VEGFR SNP by restriction fragment mass polymorphism (RFMP). PCR was performed with primers designed to introduce a type IIS restriction endonuclease recognition sequence (FokI, BstF5I) ahead of the polymorphism site. The enzymatic cleavage of the products resulted to excision of two oligonucleotide fragments containing the variation site, and then masses of the resulting oligonucleotide fragments were examined by matrix assisted laser desorption time of flight mass spectrometry (MALDI-TOF MS). Difference are seen as the presence, absence, or mass change in peaks corresponding to the fragments affected by existence of polymorphism that have base substitution at the site of variation. Results: We found that the genotype frequencies of two polymorphisms shown to be completely linked to each other (rs3025039; vf1, rs3025040; vf2) and one polymorphism (rs3812867; vfr1) within 3`-untranslated regions (3`-UTR) of the VEGF and VEGFR1 significantly differed between patients with and without retinopathy. The frequencies of the vf1, vf2 and vfr1 did not differ significantly between the NPDR and PDR group Conclusions: These data implicate the polymorphisms in the 3`-UTR of the VEGF and VEGFR1 genes as risk factors for diabetic retinopathy.
병적 근시와 동반된 맥락막 신생혈관에서 광역학 치료의 임상 적용
정은지,오현섭,고형준,이성철,권오웅.Eun-Jee Chung. M.D.. Hyun-Sub Oh. M.D.. Hyoung-Jun Koh. M.D.. Sung-Chul Lee. M.D.. Oh-Woong Kwon. M.D. 대한안과학회 2005 대한안과학회지 Vol.46 No.4
Purpose: To evaluate the effects of photodynamic therapy with verteporfin on visual acuity and fluorescein angiography in choroidal neovascularization (CNV) associated with pathologic myopia and to determine if this treatment could reproduce the results achieved in the Verteporfin in Photodynamic Therapy (VIP) Trial in Korean patients. Methods: Forty-two eyes of 39 patients with CNV secondary to pathologic myopia were included. A retrospective review of their clinical records and fluorescein angiography was done. The patients underwent photodynamic therapy with verteporfin and were followed up for more than 6 months after the therapy. The change in best corrected visual acuity (BCVA) and leakage in fluorescein angiography were evaluated. Results: The mean age of the patients was 39.6 and mean follow-up period was 23.5 months. The BCVA of the patients improved in 22 (52.4%) eyes, was unchanged in 13 (30.9%), and worsened in 7 (16.7%). The leakage in fluorescein angiography decreased in 25 (59.5%) eyes. Conclusions: Photodynamic therapy with verteporfin for myopic CNV in Korean patients appeared to be effective in stabilization of the lesions and improvement of visual acuity.
건강 검진을 위해 내원한 50세 이상 한국 성인에서 유리체망막 질환의 유병률
염동주,오현섭,유형곤,송수정 대한안과학회 2009 대한안과학회지 Vol.50 No.11
Purpose: To describe the prevalence of vitreoretinal diseases in the Korean population 50 years or older at a health screening center. Methods: The participants of this study included 11,180 adults 50 years of age and older who visited the Health Promotion Center of Kangbuk Samsung Hospital from January to December 2006. Digital images of non-mydriatic fundus photographs were examined. We calculated the sex- and age-adjusted prevalence of vitreoretinal diseases using the direct standardized method based on the number of resident registrations. Results: The age- and sex-adjusted prevalence of vitreoretinal diseases in Korean adults 50 years of age and older was 9.9%. The prevalence of vitreoretinal diseases significantly increased with age (P=0.000). There was no significant gender difference in the prevalence of vitreoretinal diseases (p=0.553). Age-related macular degeneration was the most common vitreoretinal disease, with an age- and sex-adjusted prevalence of 5.2%. Epiretinal membrane, retinal vein occlusion, and diabetic retinopathy were common vitreoretinal diseases in that order, and the age- and sex-adjusted prevalences were 1.5%, 1.1%, and 0.9%, respectively. Conclusions: The prevalence of vitreoretinal diseases in a screened Korean population 50 years and older was 9.9%. Vitreoretinal diseases are a major ophthalmic problem in Korea. As the Korean population continues to age and the prevalence of diabetes increases, further investigations about the epidemiology and prevention of vitreoretinal diseases are needed. 목적: 건강 검진을 위해 내원한 50세 이상의 한국 성인에서 유리체망막 질환의 유병률을 알아보고자 하였다. 대상과 방법: 2006년 1월부터 2006년 12월까지 강북삼성병원 종합검진센터에서 건강 검진을 받은 50세 이상의 성인 11,180명의 안저 사진을 대상으로 하였다. 유리체망막 질환의 유병률을 2005년 주민등록인구를 기준으로 직접표준화법으로 연령 및 성별을 보정하여 산출하였다. 결과: 유리체망막 질환의 연령 성별 보정 후 유병률은 9.9%였다. 유리체망막 질환의 유병률은 유의하게 나이가 많을수록 증가하였으나 (p=0.000), 성별에 따른 차이는 없었다(p=0.553). 가장 흔한 유리체망막 질환은 나이관련황반변성으로 연령 성별 보정 후 유병률은 5.2% 였다. 다음으로 흔한 질환은 망막앞막, 망막정맥폐쇄, 당뇨망막병증 순이었으며, 각각의 유병률은 1.5%, 1.1%, 0.9%였다. 결론: 유리체망막 질환의 유병률은 9.9%로 유리체망막 질환은 한국에서 주요 안 질환 중 하나로 생각된다. 한국의 고령사회 진입 속도와 당뇨병 유병률의 증가 속도를 생각할 때 유리체망막 질환의 역학과 예방에 대한 연구가 중요할 것으로 생각된다.