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진경현,신재호,강자헌 대한안과학회 2015 대한안과학회지 Vol.56 No.6
목적: 심혈관계 위험 요소인 흡연, 당뇨, 고혈압, 나이와 망막혈관 두께 변화를 분석하고자 하였다. 대상과 방법: 본원 건진센터에서 안저사진을 측정한 40세에서 69세 사이의 성인 남성 60명 120안을 대상으로 저자들이 고안한 측정프로그램을 사용하여 혈관두께를 측정하였다. 혈관은 시신경 유두 경계로부터 유두 반지름의 1/2 떨어진 곳의 귀측 위아래 망막 분지동맥 2개, 정맥 2개, 총 4개의 두께를 측정했고, 흡연 유무, 당뇨 유무, 고혈압 유무, 나이에 따른 차이를 비교하였다. 결과: 비흡연자와 흡연자를 비교한 경우에는 일정한 변화와 유의한 차이를 나타내지 않았다. 당뇨에 따른 혈관두께의 변화는 측정한모든 혈관에서 당뇨군이 더 굵게 측정되었지만 망막 정맥에서만 유의한 차이(p<0.05)를 보였다. 고혈압에 따른 혈관두께의 변화는측정한 모든 혈관에서 고혈압군이 더 굵게 측정되었고 아래쪽 망막 정맥, 아래쪽 망막 동맥, 위쪽 망막 동맥에서 유의한 차이(p<0.05)를 보였다. 나이에 따른 혈관두께의 변화는 나이가 많아짐에 따라 증가하였지만 위쪽 망막 동맥에서만 유의한 차이(p<0.05)를 보였다. 결론: 본 연구를 통해 망막혈관 두께를 비교적 간편하게 측정하였으며 추가 장비 없이 혈관을 측정하는 데 매우 유용하였다. 또한 국소적인 변화를 발생시킬 수 있는 질환에서 응용할 수 있을 것으로 생각된다. Purpose: To analyze the association between retinal vascular caliber and cardiovascular risk factors including smoking, blood pressure, diabetes and age. Methods: This study included 60 Korean male participants 40-69 years of age. The retinal vessel caliber was measured using computer-assisted fundus photography. Four vessels coursing through the area of one half disc diameter from the optic disc margin were measured. Additionally, we analyzed the association between the retinal vessel caliber and risk factors including smoking, diabetes, hypertension and age. Results: Smoking was not significantly associated with retinal vessel calibers. The diabetes group showed larger average retinal vessel calibers than normal group, but veins were significantly wider (p < 0.05). The average retinal vessel caliber was wider and inferior vein and artery were significantly larger in the hypertension group (p < 0.05). Although the retinal vessel caliber increased with age, significance was observed only in the superior artery (p < 0.05). Conclusions: In our study, retinal vessel caliber was easily measured using a semi-automatic computer program. This method should prove useful in further studies examining the correlation among retinal vessel caliber variations in many localized ophthalmologic disorder.
수술 후 생기는 견이형성을 줄이기 위한 변형된 호쯔씨 수술법
진경현,김응석.Kyung-Hyun Jin. M.D.. Eung-Suk Kim. M.D. 대한안과학회 2005 대한안과학회지 Vol.46 No.8
Purpose: To discover an the operative technique to reduce the dog-ear formation which develops after epiblepharon and entropion repairing surgery. Methods: This study reviewed the records of 38 consecutive patients who had undergone epiblepharon surgery. The results of the surgical correction, dog-ear formation and the complications were reviewed retrospectively. The new operative procedure adopted the sine curve-shaped skin incision instead of the conventional crescent-shaped skin incision. After resection of redundant skin and pretarsal orbicularis muscle, tarsal fixation of subcutaneous tissue and skin was performed. After the epiblepharon repair, we observed the formation of dog-ear by the modified Hotz procedure. Results: There were 22 males and 16 females. The average age at surgery was 4.8 years and the average follow-up period was 22.4 weeks. There were no cases of cilia touch recurrence and dog-ear formation using the new operative procedure. Conclusions: This operative technique produced improved cosmetic result by preventing the formation of dog-ear which can develop after repair surgery for epiblepharon and entropion.
진경현,안지연,민준기,신재호,문상웅,Kyung Hyun Jin,MD,Ji Yeon Ahn,MD,Joon Ki Min,MD,Jae Ho Shin,MD,Sang Woong Moon,MD 대한안과학회 2014 대한안과학회지 Vol.55 No.2
Purpose: To report a case of Dengue fever with bilateral macular edema and retinitis. Case summary: A 31-year-old female was referred to our clinic with blurred vision. The patient had visited Bali, Indonesia approximately 2 weeks prior. Dengue fever was diagnosed at the Division of Infectious Disease because the patient’s serum dengue virus antibodies test was positive for dengue viral IgM antibodies. The patient’s best corrected visual acuity was 0.4 in the right eye and 0.6 in the left eye. Slit lamp examination showed inflammatory cells in the vitreous but not in the anterior segment of both eyes. Fundus examination showed thickening of the retina in both eyes as well as a splinter retinal hemorrhage in left eye. Fluorescein angiography revealed hyperfluorescence of the venule in the perifoveal vascular network of the left macula, and indocyanine green angiography showed early diffuse hyperfluorescence in both eyes. Standard automated perimetry showed an overall reduction of the visual field and an increase in scotoma in both eyes. At 1 week after the initial visit, the macular edema had not improved and the patient’s vision had deteriorated, especially in left eye. To improve the macular edema and ocular inflammation, a subtenon triamcinolone acetonide injection in the left eye was administered. At 5 weeks after treatment, corrected visual acuity improved to 1.0 in both eyes. Ocular findings, such as macular edema and intraretinal hemorrhage were resolved. The patient did not complain of any remaining discomfort. However, standard automated perimetry revealed that a pericentral scotoma was still present in left eye. Conclusions: In the present study, the authors report a case of bilateral macular edema and retinitis at the posterior pole after dengue infection. The patient demonstrated a relatively positive response to steroid therapy in the left eye and to conservative treatment in the right eye. J Korean Ophthalmol Soc 2014;55(2):317-323