상층각막성형술을 받은 환자에서 시행한 백내장 수술 1예

전수지(Soo Ji Jeon),조양경(Yang Kyung Cho) 대한안과학회 2016 대한안과학회지 Vol.57 No.2

Purpose: To report a case of cataract surgery in an epikeratophakia patient. Case summary: A 59-year-old female with a history of epikeratophakic surgery 20 years ago complained of decreased visual acuity of both eyes for several months. She had nucleosclerotic and posterior subcapsular types of cataracts. Phacoemulsification and posterior capsule intraocular lens implantation were performed in both eyes. During surgery, corneal edema was especially prominent at the cornea with epikeratophakic lenticules in both eyes. In the left eye, severe corneal edema after one day of surgery was observed; however, after one week, corneal edema had subsided and visual acuity of both eyes had improved. Conclusions: When it necessary that cataract surgery is performed in patients with epikeratophakic lenticules, it is important to anticipate the corneal edema intraoperatively and postoperatively. Moreover, the surgeon should consider the acute calculation of the target refraction of intraocular lens in an epikeratophakia patient. 목적: 상층각막성형술을 받은 환자에서 백내장수술을 시행한 1예를 경험하여 아직까지 국내에 보고된 바가 없어 이를 보고하고자 한다. 증례요약: 59세 여자 환자가 수개월 전부터 발생한 양안 시력저하를 주소로 내원하였다. 환자는 20년 전 양안에 상층각막성형술을 시행 받았으며, 양안에 중증도의 핵경화성 백내장 및 후낭하 백내장을 보였다. 초음파유화술 및 인공수정체 삽입술을 시행하였다. 백내장 수술 중 상층각막성형술을 시행 받은 각막 부분에서 현저한 각막부종이 발생하고, 조직렌즈 부착부위의 굴곡으로 수술시야에 장애를 주었다. 수술 후 1병일 때 좌안의 현저한 각막 부종이 관찰되었으나 수술 1주일 후 각막 부종은 수술 전 상태로 회복되었다. 술 후 6주째 우안 시력은 0.5, 굴절력은 0.00 Dsph=0.00 Dcyl×180o, 좌안 시력은 0.5로 측정되었고 굴절력은 +0.25 Dsph=-1.75 Dcyl×130o였으며, 술 후 4개월까지 유지되었다. 결론: 본 증례에서는 상층각막성형술을 시행 받은 환자에서 조직렌즈를 그대로 유지한 채 백내장 수술을 시행하여 만족스러운 수술결과를 얻었으나, 술 중 각막부종이나 각막의 굴곡에 의한 시야확보의 어려움을 경험하였고 수술 직후 심한 각막부종을 경험하였다. 상층각막성형술 후 시행하는 백내장 수술에서는 정밀한 인공수정체 도수의 계산과 더불어 시야확보의 어려움 및 수술 중과 수술 후 각막의 부종 가능성을 예상하고 수술에 임해야 할 것으로 생각된다.

마이봄샘 기능 이상 환자에서 빛간섭단층촬영을 이용한 눈물띠 분석

전수지(Soo Ji Jeon),백지원(Ji Won Baek),도상희(Sang Hee Doh),정성근(Sung Kun Chung) 대한안과학회 2015 대한안과학회지 Vol.56 No.11

목적: 마이봄샘 기능 이상 건성안 환자에서 푸리에도메인 빛간섭단층촬영(Fourier-domain optical coherence tomography, FD-OCT) 을 이용한 눈물띠 수치를 정상안 및 눈물분비 부족 건성안과 비교하고자 한다. 대상과 방법: 정상 대조군 33안, 눈물분비 부족 건성안(aqueous tear deficient, ATD) 79안, 마이봄샘 기능 이상 건성안(meibomein gland dysfunction, MGD) 48안을 대상자로 하여 FD-OCT를 이용하여 눈물띠의 높이(tear meniscus height, TMH), 깊이(tear meniscus depth, TMD), 넓이(tear meniscus area, TMA)를 측정하고, 쉬르머검사, 눈물막 파괴시간, 플루오레신 각막염색을 시행하 여 집단 간 수치를 비교하였다. 결과: TMH, TMD, TMA의 평균은 정상안에서 각각 295.58 ± 58.36 μm, 166.67 ± 30.43 μm, 0.0360 ± 0.01100 mm , 눈물분비 부족 건성안에서 226.43 ± 42.18 μm, 147.44 ± 38.38 μm, 0.0209 ± 0.01015 mm, 마이봄샘 기능이상 건성안에서 272.81 ± 64.21μm, 159.37 ± 44.05 μm, 0.0295 ± 0.01271 mm였다. 세 군을 비교해 보았을 때 눈물분비 부족 건성안에서 눈물띠 수치가 가장 감소되었고 TMH, TMD, TMA 수치 모두 통계적으로 유의하였다. 마이봄샘 기능 이상 건성안 군의 눈물띠 수치는 눈물분비 부족 건성 안의 수치보다는 높았으나 정상안의 수치보다는 낮았고, 그중 TMA만 통계적으로 유의하였다. 결론: 마이봄샘 기능 이상 건성안 환자의 FD-OCT를 이용한 눈물띠 수치들은 눈물생성부족 건성안 환자의 수치보다는 높은 경향을 보이며, 정상안과 유의한 차이를 보이지 않았다. 이는 마이봄샘 기능 이상 건성안의 병태생리에 의한 것으로, 건성안의 기전이 다름에 따라 눈물띠 수치도 다른 경향을 나타내는 것을 고려하여 진단 및 치료 결정에 참고하여야 할 것이다. Purpose: This study compared tear meniscus parameters between normal control, aqueous tear deficient dry eye, and meibo-mein gland dysfunction groups using Fourier-domain optical coherence tomography (FD-OCT). Methods: This study included 33 normal eyes, 79 aqueous tear-deficient dry eyes (ATD), and 48 meibomein gland dysfunction dry eyes (MGD). Following routine examination including Schirmer test, tear break-up time, corneal staining, and tear meniscus parameters such as tear meniscus height (TMH), tear meniscus depth (TMD), and tear meniscus area (TMA) were obtained us-ing FD-OCT. The differences among groups were assessed. Results: The averages of TMH, TMD, and TMA were 295.58 ± 58.36 μm, 166.67 ± 30.43 μm, and 0.0360 ± 0.01100 mm 2 in nor-mal eyes, respectively, 226.43 ± 42.18 μm, 147.44 ± 38.38 μm, and 0.0209 ± 0.01015 mm 2 in ATD, respectively, 272.81 ± 64.21 μm, 159.37 ± 44.05 μm, and 0.0295 ± 0.01271 mm 2 in MGD, respectively. Tear meniscus parameters were significantly lower in ATD. Tear meniscus parameters in MGD were higher than ATD and lower than normal eyes, but the TMA was the only statisti-cally significant value. Conclusions: Although tear meniscus parameters in MGD were higher than ATD, they could not be distinguished from normal eyes. Tear meniscus evaluation using FD-OCT could be a useful measurement system in classification and treatment choice for dry eye patients.

육성 탄성파 반사법 탐사자료에서 방사형 트레이스 변환를 이용한 선형 잡음 제거

전수인 ( Su In Jeon ),주현태 ( Hyeon Tae Ju ),이성중 ( Sun Joong Lee ),김지수 ( Ji Soo Kim ) 대한지질공학회 2011 대한지질공학회 학술발표회논문집 Vol.2011 No.1

냉증을 호소하는 여성 환자의 사상체질과 다빈도질환에 대한 조사연구

이지연 ( Ji Yeon Lee ),최유정 ( Yu Jeong Choi ),이인선 ( In Seon Lee ),조혜숙 ( Hye Sook Cho ),김종원 ( Jong Won Kim ),전수형 ( Soo Hyung Jeon ) 대한한방부인과학회 2014 大韓韓方婦人科學會誌 Vol.27 No.4

Objectives: The purpose of this research is to investigate the relationship between Sasang constitution and cold hypersensitivity. Methods: We investigated 391 outpatients who visited Dong-Eui Oriental Hospital OB & GY from June 12, 2013 to April 18, 2014. Among 134 patients who complained feeling of cold, we analyzed 107 patients whose Sasang constitution is confirmed. Results: 1. There were 21 persons 19.8% of under age 27, 28 persons 26.4% of age 28-34, 23 persons 21.7% of age 35-41, 18 persons 17% of age 42-48, 16 persons 15.1% of age over 49. 2. Among 107 patients, there were 52 persons 48.6% of Soeumin, 29 persons 27.1%of Taeeumin, 25 persons 23.4% of Soyangin, 1 person 0.9% of Taeyangin. And Taeyangin interior disease was 1 case 100%, Soyangin exterior disease was 22 cases 88% and interior disease was 3 cases 12%, Taeeumin exterior disease was 11 cases 37.9% and interior disease was 18 cases 62.1%, Soeumin exterior disease was 19 cases 36.5% and interior disease was 33 cases 3.5%. 3. In the distribution of cold-hypersensitive part, hands and feet with chills were 58 cases 4.7% by largest number, and the following was hands and feet in 24 cases 22.6%. 4. In the distribution of chief complaint, there were 25 cases 23.58% of menstrual pain, 19 cases 17.92% of postpartum symptoms, 17 cases 16.04% of oligomenorrhea and hypomenorrhea, 14 cases 13.21% of cold hypersensitivity. 5. In the distribution of chief complaint depending on age, menstrual pain of under age 27, postpartum symptoms of age 35-41 and cold hypersensitivity of over age 49 were at a high rate. Conclusions: Results suggest that patients with symptom of cold hypersensitivity have some tendencies in age, Sasang constitution, chief complaint, cold-hypertensive part.

논문 : 엔지니어링 탄성파자료에서 방사변환을 통한 풍화대 및 기반암 표면의 영상강화

김지수 ( Ji Soo Kim ),전수인 ( Su In Jeon ),이선중 ( Sun Joong Lee ) 대한지질공학회 2012 지질공학 Vol.22 No.4

엔지니어링 탄성파 반사법 자료에서 자주 부딪히는 문제는 천부 불연속면의 작은 반사 에너지가 발파로 인한 음파, 직접파, 굴절파 및 진폭이 큰 표면파와 같은 잡음으로 가려진다는 점이다. 자료처리 과정에서 그 동안 국내 지반탐사 자료에 적용되지 않았던 방사변환 기법을 통하여 현장에서 얻어진 거리-시간 영역의 자료를 단순히 속도-시간 영역의 자료로 변환시켜 일관성 잡음을 제거하고자 하였다. 적용성 평가를 위해 수백 미터 깊이를 대상으로 하는 고품질의 퇴적분지 탐사자료와 수십 미터 깊이를 대상으로 하는 잡음이 많은 엔지니어링 탐사자료를 시험자료로 선택하였다. 이 방법은 대역 통과 필터링과 주파수-파수 필터링에 비해 반사파의 진폭을 약화시키지 않고 음파, 표면파, 직접파, 굴절파와 같은 천부된 저주파 제거 필터를 적용할 때 표면파 분산 구간은 물론 주파수-파수 필터링에서 통제하기 힘든 직접파, 굴절파 및 음파의 중첩 구간(50m 깊이 이내)에 있는 천부 반사면들이 효과적으로 부각되었다. 일관성 있는 선형 잡음에 제한되어 적용되는 이 방법은 앞으로 속도-시간 영역에서 각 종 잡음의 분포 특성을 정확히 파악할 때 엔지니어링 자료에 흔히 나타날 수 있는 절리, 파쇄대, 천부 단층에 의한 회절파와 역-산란파와 같은 잡음도 충분히 조절할 수 있을 것으로 보인다. A difficulty encountered in engineering seismic mapping is that reflection events from shallow discontinuities are commonly overlapped with coherent noise such as air wave, direct waves, head waves, and high-amplitude surface waves, Here, the radial trace transform, a simple geometric re-mapping of a trace gather(x-t domain) to another trace gather(v-t domain), is applied to investigate the rejection effect of coherent linear noises. Two different types of data sets were selected as a representative database: good-quality data for intermediate sounding (hundreds of meters) in a sedimentary basin and very noisy data for shallow(≤50m) mapping of the weathered zone and bed-rock surface. Results obtained with cascaded application of the radial transform and low-cut filtering proved to be as good as, or better than, those produced using f-k filtering, and were especially effective for air wave and direct wave. This simple transform enables better understanding of the characteristics of various types of noise in the RT domain, and can be generally applied to overcoming diffractions and back-scatterings caused by joints, fractures, and faults commonly that are encountered in geotechnical problems.

산욕 초기에 발생한 벨마비 치험 1례

윤수현 ( Soo Hyeon Yoon ),이지연 ( Ji Yeon Lee ),이인선 ( In Seon Lee ),조혜숙 ( Hye Sook Cho ),전수형 ( Soo Hyung Jeon ),정종훈 ( Jong Hun Jeong ) 대한한방부인과학회 2015 大韓韓方婦人科學會誌 Vol.28 No.4

Objectives: The purpose of this study is to report the effect of traditional Korean medicine therapy on Bell’s palsy during early puerperium. Methods: The patient who had Bell’s palsy during early puerperium were treated with traditional Korean medicine such as Gunggwijohyeol-eum, Saenghwa-tang, Gunggwijohyeol-eumhabBulsu-san and Sasang constitution medicine. The progresses of symptoms were evaluated by House-Brackmann facial nerve grading system and Numeric Rating System (NRS). Results: After treatment, the patient’s symptoms of Bell’s palsy and puerperium were improved. Conclusions: This case study shows that the postpartum care in traditional Korean medicine therapy and Sasang constitution medicine is effective for the patient who had Bell’s palsy during early puerperium.

사상의학과 형상의학의 유형분류의 연관성에 관한 연구

장아름,전수형,박세정,이현미,김규곤,이용태,지규용,이인선,김종원,Jang, A-Reum,Jeon, Soo-Hyung,Park, Se-Jung,Lee, Hyun-Mi,Kim, Kyu-Kon,Lee, Yong-Tae,Ji, Gyu-Yong,Lee, In-Sun,Kim, Jong-Won 사상체질의학회 2010 사상체질의학회지 Vol.22 No.3

1. Objectives: This study was performed to research the relationship between Sasang Constitutional medicine and Hyungsang medicine. 2. Methods: Four hundred and thirty applicants are involved in this study. They are devided into Sasang Constitution and Hyungsang Classification 3. Results and Conclusions: There are significances between Sasang Constitutional diagnosis and Hyungsang Classification. There are significantly more Bangkwang-body, Gi-kwa, Taeyang-hyung, Yangmyung-hyung in Taeyangin and Bangkwang-body, Jung-kwa, Soyang-hyung, Yangmyung-hyung in Soyangin. There are significantly more Dam-body, Gi-kwa, Taeyang-hyung, Yangmyung-hyung in Taeeumin and Bangkwang-body, Gi-kwa, Taeyang-hyung, Yangmyung-hyung in Soeumin.

한방치료로 호전된 소음인 임신부의 삼차신경통 치험 1례

이지연 ( Ji Yeon Lee ),윤수현 ( Soo Hyeon Yoon ),조혜숙 ( Hye Sook Cho ),전수형 ( Soo Hyung Jeon ),이인선 ( In Seon Lee ) 대한한방부인과학회 2016 大韓韓方婦人科學會誌 Vol.29 No.2

Objectives: The purpose of this study is to report the effect of Korean medical treatment on a patient with trigeminal neuralgia during pregnancy. Methods: We treated a facial pain patient diagnosed as trigeminal neuralgia during pregnancy with acupuncture, cupping and herbal medicines. Herbal medicines were prescribed according to the patient``s Sasang constitution which was Soeumin. The severity of symptom was evaluated by Numeric Rating System (NRS). Results: After treatment, the patient``s facial pain caused by trigeminal neuralgia was improved. NRS score was decreased from 6 to 0. Conclusions: This case report shows that traditional Korean medical treatment and Sasang constitution medicine is effective for the patient with trigeminal neuralgia during pregnancy.

전기비저항 및 시추 ‧ 검층자료의 상관해석을 통한 소규모 산사태 지역의 지질 연약대 파악

이선중 ( Sun-joong Lee ),강유경 ( Yu-gyeong Kang ),이철희 ( Cheol-hee Lee ),전수인 ( Su-in Jeon ),김지수 ( Ji-soo Kim ) 대한지질공학회 2020 지질공학 Vol.30 No.1

2014년 충남 태안 신진도리의 해안지역에서 일어난 작은 산사태 지역의 지하구조를 파악하기 위하여 전기비저항 및 하향식 탄성파탐사와 시추 · 물리검층을 실시하였다. 시추 · 검층자료에서 산사태 발생지역의 상부에 위치한 시추공 BH-2의 5~7 m 깊이에서 N값이 현저히 낮아지는 것을 확인하여 하향식 탄성파탐사를 추가 실시하고 이 깊이에서 지질 연약대가 연장되는 것으로 가정하여 하부의 시추공 BH-1 지점까지 전기비저항 탐사를 실시하였다. 8 m 내외의 두께를 갖는 150 Ω · m 이하의 저비저항 이상대는 시추 · 검층자료에서 해석된 세립 실트질 점토로 이루어진 풍화토층과 잘 상관되었다. 시추공 BH-2에 걸쳐있는 지질 연약대는 시추공 BH-1에 비해 상대적으로 작은 밀도 1.6~1.8 g/cm³와 150 Ω · m 이하의 비교적 낮은 전기비저항로 나타나며 포아송 비는 깊이에 따라 그 편차가 크게 나타난다. 이 지역의 산사태는 초과 강수와 이로 인한 상승 지하수면의 영향으로 물을 함유한 실트질 점토를 많이 포함하고 있는 풍화토가 전단력이 감소되어 미끄럼 활동으로 나타난 것으로 해석하였다. Electrical resistivity and downhole seismic surveys were conducted together with bore investigations and well-logging to examine subsurface structures in small-scale landslides at Sinjindo-ri, Geunheung-myeon, Taean-gun, Chungcheongnam-do, Republic of Korea in 2014. On the basis of the low N-values at depths of 5~7 m in borehole BH-2, downhole seismic and electrical dipole-dipole resistivity surveys were performed to delineate geological weak zones. The low-resistivity zones (<150 Ω · m) measure ~8 m in thickness and show a close depth correspondence to weathered soils consisting mainly of silty clays as identified from the bore investigations and well-logging data. Compared with weak zones in borehole BH-1, weak zones in BH-2 are characterized by lower densities (1.6~1.8 g/cm³) and resistivities (<150 Ω · m) and greater variation in Poisson’s ratio. These observations can be explained by the presence of wet silty clays rich in weathered soil material that have resulted from heavy rainfall and rises in groundwater level. Downslope movements are probably caused by the sliding of wet clay that acts to reduce the strength of the weathered soil.

월경통 환자에 대한 한방진단시스템의 진단일치도 연구

이인선 ( In Seon Lee ),조혜숙 ( Hye Sook Cho ),지규용 ( Gyu Yong Ji ),이용태 ( Yong Tae Lee ),김종원 ( Jong Won Kim ),전수형 ( Soo Hyung Jeon ),김경민 ( Gyeong Min Kim ),김경철 ( Gyeong Cheol Kim ),김규곤 ( Kyu Kon Kim ) 대한한방부인과학회 2015 大韓韓方婦人科學會誌 Vol.28 No.3

Objectives: Diagnosis System of Oriental Medicine (DSOM) was made as a computerized assistant program for oriental medicine doctors to be able to diagnose with statistical basis. Then DSOM uses questionnaires filled out by respondents with explanatory guide. But if the respondents misunderstand the meaning of the passages, the results were quite the opposite. Methods: This study was designed to investigate the diagnostic correspondent ratesbetween DSOM and TKM practitioners. First, let the respondents answer to DSOM. After that, three doctors diagnosed the respondents and marked ‘p’ when they diagnose that the respondent had the pathogenic factors, marked ‘n’ when they diagnose that the respondent had the pathogenic factors but not severs, and did not marked when they diagnose that the respondent didn’t have the pathogenic factors. Finally, this study was investigated the correspondent rates of diagnosis between DSOM and doctors. Results: In the pathogenic factor of three including insufficiency of Yin (陰虛), the correspondent rates were 90%. In the pathogenic factor of nine including deficiency of qi (氣虛), the correspondent rates were 80%. In the pathogenic factor of fourincluding blood stasis (血瘀), the correspondent rates were 70%. In HH and HL, they showed the correspondent rates of 61.77%. The correspondent rate of heat (熱) was highest (96.88%). The correspondent rate of insufficiency of Yang (陽虛) waslowest (0%). In LH and LL, they showed the correspondent rates of 88.31%. The correspondent rate of blood stasis (血瘀) was lowest (71.76%). They all showed the correspondent rates of over 70%. Conclusions: In DSOM and Doctors`` diagnose, they showed the correspondent rates of 83.60%.