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- 저자 : 윤영수.Su Byung Yu. M.D.. Helen Lew. M.D.. Young Soo Yun. M.D. (검색결과 2 건)
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간헐외사시 환자에서 측방 주시 사시량에 따른 수술 성공률
유수병,유혜린,윤영수.Su Byung Yu. M.D.. Helen Lew. M.D.. Young Soo Yun. M.D. 대한안과학회 2006 대한안과학회지 Vol.47 No.8
Purpose: This study investigated the surgical result of intermittent exotropia according to the difference between primary gaze and lateral gaze, where the extent of surgical treatment was decided by the angle of deviation in primary gaze. Methods: The subjects of this study were 128 patients who had intermittent exotropia and were operated on by the same surgeon. Deviation angle of strabismus was checked at near and distance and primary and 30-degree lateral directions of gaze. The Worth 4 dot test and Titmus test were performed. Refixation time and axial length were measured. Either the cycloplegic refraction test or manifest refraction test was done depending on the patient`s age. The extent of surgery was decided by the criteria recommended by Parks. Patients were classified into 2 groups. Group 1 included patients with 5-PD or smaller differences in the angle of deviation in the primary and lateral gaze. Patients who had differences greater than 5-PD in the angle of deviation according to the direction of gaze were classified as group 2. Clinical data were verified by Pearson Chi-square test. Results: Age, sex, angle of deviation at near and distance, oblique muscle function, spherical equivalent, astigmatism, axial length, stereopsis, and refixation time did not affect the difference in the angle of deviation according to the direction of gaze. The non-fusion group showed a large difference in the angle of deviation according to the direction of gaze. The extent of surgery was determined by the deviation angle in primary gaze. Both group showed similar surgical results. Conclusions: To determine the degree of surgery needed, it is reasonable to measure the deviation angle in primary gaze for patients with intermittent exotropia.
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유수병,유혜린,윤영수,Su Byung Yu,M,D,Helen Lew,M,D,Young Soo Yun,M,D 대한안과학회 2007 대한안과학회지 Vol.48 No.6
Purpose: To evaluate clinical manifestations and effects of botulinum toxin in eyelid myokymia patients. Methods: Between March 2001 and March 2005, botulinum toxin injection therapy was performed in 12 eyelid myokymia patients. We evaluated duration of disease, systemic disease, drug history, and range, grade, frequency of myokymia at the first visit. Botulinum injections were performed in patients with normal results of blood tests and neuroimaging tests. Improvement of symptoms, duration of effectiveness, and complications were evaluated after the botulinum toxin injection therapies. Data was analyzed with the Mann-Whitney U test. Results: Improvement of symptoms was noticed in 10 patients (83.3%). Among the 10 patients, 5 patients were decided as cured patients because they did not require any retreatment. Range and grade of myokymia didn`t affect on effect of treatment. Pain, edema, excessive tearing, and unnatural face were noticed as complications of treatment, but all complications disappeared 2 weeks after the treatment. Conclusions: Botulinum toxin injection therapy is noninvasive and effective treatment in benign eyelid myokymia patients without causal neurologic disease.
KCI
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