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- 저자 : 문찬식(Chan Shik Moon) (검색결과 6 건)
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단순 열공성 망막박리의 일차수술 실패 요인에 대한 연구
이마빈,문찬식,양홍석,유호민,MarVin Lee,M,D,Chan-Shik Moon,M,D,Hongseok Yang,M,D,Ho Min Lew,M,D 대한안과학회 2006 대한안과학회지 Vol.47 No.3
Purpose: This study analyzes the factors influencing anatomical failure of the primary operation for simple rhegmatogenous retinal detachment. Methods: The patients in this study were diagnosed with simple rhegmatogenous retinal detachment and operated on by a single physician. The success group comprised 251 eyes and the failure group comprised 29 eyes. The factors analyzed between the two groups were the type of primary procedure, the type of retinal defect; the numbers of retinal defects; the extent of retinal detachment; the duration of retinal detachment; the existence of peripheral degeneration; carrying out of subretinal fluid drainage; the type of tamponade material used and the position of retinal defects. Results: The anatomical success rate of the primary operation for simple rhegmatogenous retinal detachment was 89.64%. Patient sex, the type of tamponade material used and the position of the retinal defect showed significant differences between the success and failure groups. There was a higher percentage of male patients in the failure group than in success group (p=0.034). Silicone oil used as the tamponade material resulted in a greater chance of failure than success (p=0.017). Analysis of the position of the retinal defect showed that, defects distributed in the inferior retina or through multiple area led to a greater likelihood of anatomical failure (p=0.036). Conclusions: Due ti the greater possibility of anatomical failure of the primary operation when retinal defects are distributed in the inferior retina or through multiple area, clinicians should consider intensive treatment for such cases.
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김준범,문찬식,장윤희,유호민,이종복,Jun Bum Kim,M,D,Chan Shik Moon,M,D,Yoon Hee Chang,M,D,Ho Min Lew,M,D,Jong Bok Lee,M,D 대한안과학회 2007 대한안과학회지 Vol.48 No.3
Purpose: To study the characteristics of the accompanying amblyopia and strabismus in patients with anisometropia. Methods: We retrospectively reviewed the medical records of 193 patients, who had either spherical or cylindrical anisometropia of more than 1.00D. Patients were divided into four groups: spherical hyperopic anisometropia, spherical myopic anisometropia, cylindrical hyperopic anisometropia, and cylindrical myopic anisometropia. We investigated the accompanying amblyopia and strabismus. Amblyopia was treated with lens correction and patch therapy and we analyzed the results for 78 patients who fulfilled six-month follow-up examinations. Results: There was no significant difference in the frequency of amblyopia between spherical and cylindrical anisometropia. Spherical myopic anisometropia of more than 3.00D showed a significant increase in the incidence of amblyopia (p=0.001). Spherical hyperopic anisometropia of more than 1.00D, cylindrical hyperopic anisometropia of more than 2.00D, and cylindrical myopic anisometropia of more than 2.00D showed an increased tendency for amblyopia. Between spherical and cylindrical anisometropia, there were no significant differences in the results and duration of amblyopia treatment, and type and frequency of strabismus. Conclusions: In spherical anisometropia, hyperopic anisometropia has a higher risk for developing amblyopia. We could find the threshold for the development of amblyopia.
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박주현(Joo Hyun Park),문찬식(Chan Shik Moon),홍승우(Seung Woo Hong),임성규(Seoung Kyu Im),이상협(Sang Hyup Lee),강신희(Shin Hee Kang) 대한검안학회 2009 Annals of optometry and contact lens Vol.8 No.1
목적: 군복무 중인 젊은 성인남자에서 동양안충의 감염을 경험하여 보고하고자 한다. 대상과 방법: 약 1주 전 시작된 좌안의 충혈과 자극증상을 보이던 21세 남자환자가 눈을 비비던 중 흰색의 선충을 발견하여 국군수도병원 안과외래에 내원하여 안과적 검사를 시행하였다. 결과: 검사 결과 결막충혈과 유두비대증상을 보였으며 총 2개체의 기생충이 발견되었고 혈액검사 및 안와, 두부자기공명영상 촬영 결과 이상소견은 없었으며 충체를 동정한 결과 동양안충 감염으로 확진 되었다. 결론: 동양안충의 인체 감염은 국내에서도 약 30예가 보고되어 있으나 임상적으로 드문 질환으로서 현역군인에서의 감염사례를 경험하여 보고하는 바이다. Purpose: To report the case with Thelazia callipaeda infection in young Korean male. Methods: A 21-year-old male patient visited Korean Armed Forces Capital hospital with chief complaints of conjunctival irritating symptoms and white colored tape warms in his left conjunctival sac. Results: The image study, hematologic and serologic test was within normal limit. The parasite was identified as Thelazia callipaeda. Conclusions: The Thelazia callipaeda infection of human eye is not common disease. We experience one case to report.
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이기황(Ki Hwang Lee),문찬식(Chan Shik Moon),김주현(Chu Hyun Kim),장윤희(Yoon-Hee Chang),유호민(Ho Min Lew) 대한검안학회 2006 Annals of optometry and contact lens Vol.5 No.1
목적: 출생 후 만 1∼12년의 미숙아들을 대상으로 굴절이상과 이와 연관이 있는 인자들을 알아보고, 정상 만삭아와 비교해 보고자 하였다. 대상과 방법: 1994년부터 2004년까지 본원에서 출생한 37주 미만의 미숙아 중 출생 후 만 1∼12년 후 추적관찰한 환아를 대상으로 하였다. 조절마비굴절검사와 안축장길이, 전방깊이를 측정하였고 의무기록을 통해 재태기간과 출생체중을 후향적으로 조사하였다. 미숙아망막병증으로 치료받은 미숙아군(1군), 치료가 필요하지 않았던 미숙아군(2군), 만삭아군(3군)으로 분류하여 비교하였다. 결과: 대상 환아는 모두 86명이었다. 근시의 정도는 미숙아(1+2군)에서 통계적으로 유의하게 높게 나타났으며 1군과 2군을 비교했을 때도 1군에서 통계적으로 유의하게 높게 나타났다. 대상환아 중 근시 환아들을 대상으로 나이를 보정하여 안축장 길이 및 전방의 깊이를 비교하였을 때 세 군 간에 유의한 차이가 없었다. 근시를 나타낸 1군 환아들에서 근시의 정도에 유의하게 상관관계를 보였던 인자는 안축장의 길이, 전방의 깊이, 재태기간, 및 출생 시 체중이었다. 결론: 출생 후 만 1∼12세의 미숙아들에서 굴절이상 양상 및 영향인자를 알아보았다. Purpose: To evaluate the refractive status and their relation with gestational age and factors influencing the occurrence and degree of myopia in premature infants. Methods: Premature infants with a gestational age <37 weeks and born between Sept. 1994 and June 2004 were enrolled, and subdivided into two groups according to treatment for threshold ROP: Group 1: children born prematurely with threshold ROP, Group 2: children born prematurely without threshold ROP. Cycloplegic retinoscopy and ultrasound biometry were performed. These results were compared to the full term babies (Group 3). Results: There were significant differences in the incidence of myopia between age of 4 to 6 among the three groups, and the degree of myopia was higher in premature infants born with threshold ROP than the others. There were no significant differences in the axial length and anterior chamber depth between group 1 and 3. The degrees of myopia in group 1 were related to birth weight, intrauterine period, and axial length. Conclusions: Laser or cryotherapy treated eyes were significantly more myopic than the others. The degree of the myopia was found to be related to the birth weight, axial length, anterior chamber depth, and intrauterine period. Premature infants should be screened regularly and long-term follow up should be recommended to prevent amblyopia, strabismus, and other ocular abnormalities.
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