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        단안 실명 환자에서 실시한 건안 백내장 수술의 임상성적

        박종호,이종수.Jong Ho Park. MD. Jong Soo Lee. MD. PhD 대한안과학회 2012 대한안과학회지 Vol.53 No.12

        Purpose: To investigate complication rates and results of cataract surgery in a monocular patient compared to normal binocular cataract patients. Methods: We retrospectively analyzed 84 eyes of 84 patients that had undergone phacoemulsification, intraocular lens implantation and were followed up for 6 months or more. The fellow eye condition was classified into two different groups: Group A (experimental group) and Group B (control group). The best corrected visual acuity (BCVA) before and after surgery, operation time, nucleus sclerosis, and complication rate between the two groups were compared. Results: Both groups showed a significant level of visual improvement after 6 months (p < 0.01, 0.01). There was no significant difference in sex, age, preoperative lens opacity, pre- and postoperative visual acuity, spherical equivalent, astigmatism, and rate of complications (posterior capsule rupture [n = 1], uveitis [n = 1] vs. posterior capsule rupture [n = 3], intraocular lens capture [n = 1]. Conclusions: The present study showed no difference in surgical results between Groups A and B. The results demonstrated that cataract surgery in a monocular patient resulted in favorable visual improvement.

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        중증도에 따른 아벨리노 각막이상증의 공초점주사현미경 소견

        박영민,김호윤,이종수,Young Min Park,MD,Ho Yun Kim,MD,Jong Soo Lee,MD,PhD 대한안과학회 2014 대한안과학회지 Vol.55 No.3

        Purpose: In this study we analyzed and objectified the characteristics of the Avellino corneal dystrophy patients considering disease severity using in vivo confocal microscopy (IVCM). Methods: Each corneal layer of 36 eyes in 18 patients with Avellino corneal dystrophy was examined using IVCM (ConfoScan 4.0, NIDEK, Co. Ltd., Albignasego, Italy). Patients were classified into 3 groups based on disease severity (mild, moderate, or severe). Results: In the mild group, hyper-reflective granular deposits without dark shadows were observed in the anterior stroma. As the disease progressed, corneal deposits were also found at the posterior stroma and epithelium, and clusters of hyper-reflective corneal deposits resembling stromal opacity were noted. The range of corneal deposits measured using Z-scan optical pachymeter was 111.14 ± 30.95 um in the mild group, 157.47 ± 25.00 um in the moderate group, and 193.42 ± 52.23 um in the severe group (p < 0.05). Conclusions: The origin of the corneal deposits in Avellino corneal dystrophy may be related to corneal stromal cells and distributed from the corneal epithelial layer to the stromal layer. IVCM might be useful for the standardization of disease severity by digitalizing the range of deposits. J Korean Ophthalmol Soc 2014;55(3):361-367

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