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한인균(In Kyun Hahn),선재홍(Jae Hong Sun),조수근(Soo Geun Joe),김재용(Jae Yong Kim),김명준(Myoung Joon Kim),최철영(Chul Young Choi),박혜영(Hye Young Park),차흥원(Hungwon Tchah) 대한검안학회 2016 Annals of optometry and contact lens Vol.15 No.4
Purpose: To evaluate the clinical outcomes after in the bag insertion of Superflex?? intraocular lens (IOL) which has 0.25 mm bigger optic diameter than the conventional IOL. Methods: Retrospective chart review was performed for 15 eyes of 13 patients who had undergone phacoemulsification with in the capsular bag insertion of Superflex?? IOL (experimental group) and for 28 eyes of 25 patients with in the bag insertion of Akreos?? (control group). Best-corrected visual acuity (BCVA), manifest refraction, refractive error (RE; [postoperative spherical equivalent]–[preoperative target refraction]), corneal topography, higher-order aberration and contrast sensitivity were measured preoperatively and at 1 week, 1 month and 3 months postoperatively. Their changes after surgery were compared between both groups. Results: At 3 months after the surgery, RE was 0.22 ± 0.39 D in the experimental group and -0.17 ± 0.58 D in the control group, showing more hyperopic RE in the experimental group than the control group (p=0.007). BCVA, spherical equivalent, higher-order aberration, contrast sensitivity, and anterior chamber depth had no significant difference between two groups at 1 week, 1 month, and 3 months after the surgery. Conclusions: Superflex?? IOL showed no significant difference in the clinical outcomes compared with Akreos?? IOL until 3 months after the surgery. However, the target refraction of Superflex?? IOL should be considered more myopic, since its postoperative refraction would be hyperopic.
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중심와를 침범한 감염성 포도막염에서 발생한 황반원공의 자연폐쇄 1예
김민우(Min Woo Kim),김동윤(Dong Yoon Kim),김윤전(Yoon Jeon Kim),조수근(Soo Geun Joe),이주용(Joo Yong Lee),김중곤(June Gone Kim) 대한안과학회 2016 대한안과학회지 Vol.57 No.1
Purpose: To report a case of macular hole secondary to presumptive infectious posterior uveitis involving the fovea that spontaneously resolved after medical treatment. Case summary: A 33-year-old male visited our clinic for decreased visual acuity in his left eye. He was treated with immunosuppressive therapy including steroid after bone marrow transplantation. Best corrected visual acuity (BCVA) was 0.05 in the left eye. Slit lamp examination showed mild anterior vitritis, and fundus examination showed a macular hole with surrounding whitish infiltration at the fovea. Spectral domain optical coherence tomography (SD-OCT) revealed a full thickness macular hole with surrounding hyper-reflective masses with an infiltration-like appearance involving all retinal layers. Serum anti-toxocara IgG was positive (ELISA), and eosinophil count and immunoglobulin E was elevated. Under diagnosis of presumptive ocular toxocariasis, the patient was treated with albendazole. After medical treatment for toxocariasis, the whitish foveal infiltration became smaller and more discrete. SD-OCT revealed spontaneous closure of the macular hole, and BCVA was improved to 0.4 after a 4-month follow-up. Conclusions: We report a macular hole complicated by presumptive infectious posterior uveitis that experienced spontaneous closure after medical treatment for underlying infection.
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