수정체 유화술에 의한 인공수정체 삽입 수술 후 망막박리의 발생시기

서제현,이진학.Je Hyun Seo. M.D.. Jin Hak Lee. M.D. 대한안과학회 2006 대한안과학회지 Vol.47 No.7

Purpose: To evaluate the onset of retinal detachment (RD) in eyes with phacoemulsification and post chamber lens (PE & PCL) implantation. Methods: We retrospectively analyzed 3023 eyes that had undergone clear cornea incision and PE and PCL implantation and 116 eyes that had undergone scleral incision and PE and PCL implantation. They had been operated from January 1995 to December 2000 by one surgeon and followed up for 4 years or more. Results: Eighteen eyes (0.57%) of the 3139 eyes developed pseudophakic RD within a mean period of 663 days. In the scleral incision group, there were 4 cases of pseudophakic RD (3.4%) of 116 eyes developed in a mean period of 185.2 days. In the clear cornea group, there were 14 pseudophakic RD eyes (0.46%) of the 3023 eyes and the mean period was 799 days. Of these, 3 eyes made up the intraoperative complication group with a mean period 205.6 days. But in the group of cases with no intraoperative complications, the mean period was 962 days. Conclusions: In high myopic eyes, retinal detachment developed in the earlier postoperative period and at a higher rate than those of non-high myopic eyes after PE and PCL implantation.

섬유주절제술 후 발생한 저안압황반변증 치료 1예 : A case of treating a hypotonic maculopathy after trabeculetomy

서제현 부산대학교 병원 암연구소 2014 부산대병원학술지 Vol.- No.35

A Case of Vogt-Koyanagi-Harada Disease ina Patient With Graves Disease

서제현,유형곤,정흠 대한안과학회 2009 Korean Journal of Ophthalmology Vol.23 No.2

A case of Vogt-Koyanagi-Harada disease (VKH) that developed in a 36-year-old woman with Graves’ disease was described. The patient was treated with Lugol’s solution and presented with bilateral serous retinal detachment. She had also suffered from methimazole-induced hypersensitivity and steroid-induced myopathy. Fluorescein angiography showed multiple leakage points and a lumbar puncture revealed pleocytosis, which was compatible with VKH. High dose steroid pulse therapy was successful. Altered immune regulation associated with drug-induced hypersensitivity may contribute to the development of VKH in patients with Graves’ disease.

A Case of Carotid Aneurysm in Familial Retinal Arterial Tortuosity

서제현,김Ivana,유형곤 대한안과학회 2009 Korean Journal of Ophthalmology Vol.23 No.1

A 44-year-old woman who showed recurrent vitreous hemorrhages with vascular tortuosity received CT angiography which revealed an internal carotid artery aneurysm. A case of internal carotid aneurysm was associated with a pattern of retinal arteriolar tortuosity pathognomic for familial retinal arterial tortuosity (fRAT), suggesting possible involvement of the cerebral circulation. We present a case of internal carotid aneurysm associated with a pattern of retinal arteriolar tortuosity pathognomic for fRAT.

[진학시험지도]1990년 연변 고중, 중등전문학교 입학 조선어문작문 시험정황분석

서제현 길림성민족사무위원회 1991 중국조선어문 Vol.52 No.-

진균 감염 시 전방 내 암포테리신 주입 치료 성적에 관련된 위험 인자 분석

서제현,위원량,이진학,김미금.Je Hyun Seo. M.D... Won-Ryang Wee. M.D.. Ph.D... Jin Hak Lee. M.D. Ph.D... Mee Kum Kim. M.D. Ph.D.. 대한안과학회 2007 대한안과학회지 Vol.48 No.9

Purpose: To investigate the clinical efficacy of intracameral amphotericin injection and to evaluate risk factors affecting primary treatment success in fungal infection invading the anterior segment of the eye. Methods: Twenty-six eyes of 26 patients diagnosed with fungal infection in the anterior segment were studied. The initial treatment regimen was a topical 0.15% amphotericin application and itraconazole oral administration after culture. Amphotericin (5 ug/0.1 ml, 0.1 cc) was repeatedly injected intracamerally when the infection intensified. Penetrating keratoplasty was conducted for eyes unresponsive to intracameral amphotericin injection. The relative risk ratios of ulcer size, infiltration depth, culture positivity, and hypopyon were compared in each treatment group to evaluate the treatment response. Results: Of patients with fungal infection, 30.7% were cured with intracameral amphotericin injection, while 30.7% needed penetrating keratoplasty. Intracameral amphotericin injection was needed in the presence of large corneal ulcers (>14 mm2), hypopyon, positive fungal culture, use of steroid eye drops, and deep infiltration at initial examination. Large ulcer size (>14 mm2) was the main risk factor for needing penetrating keratoplasty. Of the eyes Candida infection, 66.5% needed evisceration. Conclusions: Large ulcer size and the isolation of Candida were poor prognostic factors related to the efficacy of intracameral amphotericin injection.

Assessment of Functional Vision Score and Vision-Specific Quality of Life in Individuals With Retinitis Pigmentosa

서제현,유형곤,이병주 대한안과학회 2009 Korean Journal of Ophthalmology Vol.23 No.3

Purpose: To determine the relationship between the American Medical Association’s (AMA) functional vision score (FVS) and vision-specific quality of life in retinitis pigmentosa (RP) patients using the National Eye Institute’s Visual Functioning Questionnaire (NEI-VFQ 25). Methods: One hundred eight patients with RP participated in the study. We measured best-corrected visual acuity, conducted Goldmann perimetry, and collected the self-reported NEI-VFQ 25. The FVS was calculated using the functional field score (FFS) and the functional acuity score (FAS). The correlations of the VFQ composite scores to the FVS, FFS, and FAS were determined using correlation and regression analyses. Results: FVS was highly correlated to the BCVA (r=0.69, p<0.001), the FFS (r=0.86, p<0.001) and the FAS (r= 0.73, p<0.001). Significant correlations of the VFQ composite score to the BCVA (r=0.60, p<0.001), FFS (r=0.44, p<0.001), FAS (r=0.60, p<0.001), FVS (r=0.58, p<0.001) were also found. However, the correlation strengths of BCVA, FVS, FAS, and FFS to NEI-FVQ were not different. Conclusions: In RP patients, the vision-specific quality of life was correlated with the AMA guidelines’ FVS, FFS, and FAS. Their correlation degrees to NEI-FVQ were not different. This result suggests that vision-specific quality of life can be explained by both visual acuity and visual field in RP patients.

수정체 유화술에 의한 인공수정체 삽입 수술 후 망막박리이 발생시기

서제현,이진학 대한안과학회 2006 대한안과학회지 Vol.47 No.7

목적 : 수정체 유화술에 의한 인공수정체 삽입 수술 후 망막박리의 발생 시기에 대하여 분석하고자 하였다. 대상과 방법 : 1995년 1월부터 2000년 12월까지 동일 술자에 의한 투명각막절개, 수정체 유화술, 인공수정체 삽입 수술을 시행 받은 3023 안과 15 디옵터 이상의 근시로 접힘렌즈가 없어서 공막 절개, 수정체 유화술, 인공수정체 수술을 시행한 116안을 2004년 12월까지 최소 4년, 평균 6.5 년 동안 추적하여 각종 인자에 따른 수술 후 망막박리 발생 기간을 분석하였다. 결과 : 총 3139안 중 망막박리는 18안(0.57%)에서 발생하였고 망막박리까지는 평균 663일이 걸렸다. 공막절개로 인공수정체를 삽입한 116안 중 망막박리는 4안(3.4%)에서 발생하였고 망막박리까지는 평균 185.2일이 걸렸다. 각막투명절개로 인공수정체 삽입수술을 받은 3023안 중 망막박리는 14안(0.46%)에서 발생하였으며 망막박리 발생기간은 평균 799일이었다. 이 중 술 중 합병증이 있었던 3안은 평균 205.6일 후에, 합병증이 없었던 11안에서는 술 후 평균 962일 후에 망막박리가 발생하였다. 결론 : 고도근시로 공막절개로 수술을 받은 환자에서 수술 후 평균 185.2일에 망막박리가 3.4%가 발생하여 그렇지 않은 환자(799일, 0.46%)보다, 빠르고 많이 발생하였다. Purpose: To evaluate the onset of retinal detachment (RD) in eyes with phacoemulsification and post chamber lens (PE & PCL) implantation. Methods: We retrospectively analyzed 3023 eyes that had undergone clear cornea incision and PE and PCL implantation and 116 eyes that had undergone scleral incision and PE and PCL implantation. They had been operated from January 1995 to December 2000 by one surgeon and followed up for 4 years or more. Results: Eighteen eyes (0.57%) of the 3139 eyes developed pseudophakic RD within a mean period of 663 days. In the scleral incision group, there were 4 cases of pseudophakic RD (3.4%) of 116 eyes developed in a mean period of 185.2 days. In the clear cornea group, there were 14 pseudophakic RD eyes (0.46%) of the 3023 eyes and the mean period was 799 days. Of these, 3 eyes made up the intraoperative complication group with a mean period 205.6 days. But in the group of cases with no intraoperative complications, the mean period was 962 days. Conclusions: In high myopic eyes, retinal detachment developed in the earlier postoperative period and at a higher rate than those of non-high myopic eyes after PE and PCL implantation.

도서지역 보건지소 공중보건의사의 응급의료 경험 및 대처능력 고찰

서제현(Je Hyun Seo),이수진(Su Jin Lee),하정훈(Jeong Hoon Ha),김정호(Jung Ho Kim),이재혁(Jae Hyuk Lee),나백주(Baeg Ju Na),강윤화(Yoon Hwa Kang) 한국농촌의학 지역보건학회 2011 농촌의학·지역보건 Vol.36 No.1

본 연구는 도서지역에 있는 47개 보건지소에 근무하는 의과 공중보건의사 79명을 대상으로 응급의료 수행 현황 및 지식수준 등을 파악하고자 하였다. 전체 79명의 대상자 중 35명이 설문에 응답하여 44.30%의 응답률을 보였다. 지난 6개월간 도서지역 보건지소에 근무하는 공중보건의사 중 58.68%가 응급의료 질환을 경험하였고, 평균 1.92건의 응급처치를 수행한 것으로 나타났다. 하지만, 실제 응급처치 능력에 대해서는 일부 생명과 직접 연관된 응급처치 능력에 자신이 없음을 호소하였다. 보건지소 근무 의사 중 20.25% 만이 전문의 자격을 갖춘 의사였는데, 응급의료 관련 질환을 처치하는 데 있어 전문의가 일반의와 비교하면 지식수준이 유의하게 높은 것을 확인할 수 있었다. 또한, 지식수준이 높다 하더라도 장비 및 의료지원 등 부족으로 실제 처치 능력으로 이어 지지 못하는 것을 알 수 있었다. 일부 섬의 경우 1명의 공중보건의사만 배치된 일도 있었으나 일반의 1인, 전문의 1인을 배치하는 것이 타당하다는 의견이 많았고, 공중보건의사 배치 이후 부족한 지식 및 기술을 습득하기 위한 교육 및 지원체계가 필요하다는 의견이 다수 있었다. 도서지역은 지리적으로 고립되어 있고, 이용할 수 있는 보건의료기관에 대한 선택권이 적다는 점에서 보건지소의 역할이 무엇보다 중요하다. 특히 응급질환 발생시 보건지소를 이용하는 주민이 많다는 측면에서도 보건지소 응급의료 기능을 강화하는 방안을 마련하는 것이 필요하겠다. 응급의료기능을 효율적으로 수행하고 질 높은 서비스 제공을 위하여 적절한 인력, 의료장비를 갖추도록 하고, 응급의료에 대한 매뉴얼 개발 및 현장교육 체계를 정비하여 최신의 지식과 기술을 보급하는 방안을 강구하여야 한다. Objectives: To investigate the experience and competence of physicians providing emergency medical services at public health sub-centers on remote Korean islands. Methods: This study enrolled 79 doctors who work at public health sub-centers on remote Korean islands. Data were collected in December 2009 via self-administered e-mail questionnaires. The response rate was 44.3%. Results: Emergent situations occurred at most (58.68%) of the public health sub-centers that were surveyed in December 2009. An average of 1.92 cases required treatment by public health physicians. Only 20.25% of the physicians were specialists in emergency medicine, while the remainder were general practitioners (GPs) without clinical experience as emergency doctors. We also found that the physicians we surveyed had insufficient knowledge of emergency medical care. At some health centers only one doctor was available, and there was no medical team in holiday, although most of the physicians indicated that the ideal number of doctors per center was two or three. In cases of emergency, patients were often sent to the mainland by ship without receiving first-aid treatment. The public health sub-centers lacked the necessary medical equipment to save lives in emergencies and lacked escort systems for emergency patients. Conclusions: The Korean government should address the importance of providing emergency care in remote areas. Health administrators should provide suitable manpower, medical equipment, guidelines for emergency medicine, and education for public health physicians on remote islands.

Association between inter-arm blood pressure differences and diabetic retinopathy in Type 2 diabetes

류정은,김예안,서제현,이영,이지현 대한내과학회 2019 대한내과학회 추계학술대회 Vol.2019 No.1