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      • Correlation between Disc Damage Likelihood Scale and Optical Coherence Tomography in the Diagnosis of Glaucoma

        Abdul Majid, Aman Shah B.,Kwag, Jee Hyun,Jung, Sang Hoon,Yim, Hye Bin,Kim, Yeon Deok,Kang, Kui Dong S. Karger AG 2010 Ophthalmologica Vol.224 No.5

        <P><I>Purpose:</I> To investigate the relationship between the Disc Damage Likelihood Scale (DDLS), visual field and various optical coherence tomography (OCT) parameters for glaucoma diagnosis. <I>Methods:</I> The study comprised 149 eyes from 149 patients. The patients were categorized as normal, glaucoma suspect or with glaucoma. They were clinically examined and graded according to the DDLS system. OCT was performed to acquire both a retinal nerve fibre layer analysis and an optic nerve head analysis. The relationships between DDLS score, visual field and OCT parameters were analysed using multiple correlation analysis. <I>Results:</I> The normal, glaucoma suspect and glaucoma groups had average DDLS scores of 1.58 ± 1.40, 2.55 ± 1.93 and 5.33 ± 1.39, respectively. Evaluating the area under the receiver operator characteristic curve, the DDLS had the best predictive power (0.917), followed by corrected pattern standard deviation. <I>Conclusion:</I> The DDLS is a useful parameter in the diagnosis of glaucoma and it showed a close correlation with visual field, cup/disc ratio and OCT parameters.</P><P>Copyright © 2010 S. Karger AG, Basel</P>

      • KCI등재

        소아에서 빛간섭단층촬영을 통하여 얻어진 지표를 이용한 녹내장의 판별

        강규동,Aman Shah B. Abdul Majid,김연덕,곽지현,임혜빈 대한안과학회 2009 대한안과학회지 Vol.50 No.6

        Purpose: To find the optimal parameter of retinal nerve fiber layer (RNFL) analysis in optical coherence tomography (OCT) for diagnosing glaucoma in children. Methods: The study was comprised of 127 eyes of 84 patients (aged 6 to 18 years) who visited our institute between March 2006 and February 2008. Subjects were classified into normal, glaucoma suspect and glaucoma groups, and each eye was scanned using Stratus 3.0 OCT. Routine ophthalmic examinations including fundus examination, visual field test and OCT RNFL analysis were performed. Results: There were 55 normal eyes, 27 glaucoma suspect eyes and 45 glaucomatous eyes. The average RNFL thickness was the most useful parameter to differentiate between the glaucoma and non-glaucoma groups. The next most useful parameter was inferior average thickness, followed by superior RNFL thickness. The sensitivity and specificity of the new discriminant of the formula used were 78%, and 68.6%, respectively. Conclusions: In OCT analysis, the average RNFL thickness is the most useful parameter in the diagnosis of glaucoma in children. The new discriminant of the formula is useful in the diagnosis of pediatric glaucoma patients. 목적: 소아에 있어서 빛간섭단층촬영을 통하여 얻어진 지표중에서 어떠한 지표가 녹내장 진단에 있어 유용한지 알아보고자 한다. 대상과 방법: 2006년 3월부터 2008년 2월까지 본원 안과에 내원한 6세에서 18세 사이의 소아 84명 127안을 대상으로 하였으며 모든 환자에게 안과학적 검사와 빛간섭단층촬영을 이용한 망막신경섬유층두께 분석을 시행하였다. 대상을 정상, 녹내장의증, 녹내장군으로 구분하여 결과를 후향적으로 조사하였다. 결과: 정상안은 55안, 녹내장의증안은 27안, 녹내장안은 45안으로 분류되었고 녹내장과 가장 높은 상관관계 및 민감도를 보이는 지표 는 평균 망막신경섬유층두께였고 하측, 상측 망막신경섬유층두께 순이었다. 상측, 하측, 평균 망막신경섬유층두께를 조합한 판별식의 판별력은 각각을 이용한 판별력보다 높았고 민감도는 78%, 특이도는 68.6%였다. 결론: 빛간섭단층촬영을 통하여 얻어진 지표 중에서 평균 망막신경섬유층두께, 하측 망막신경섬유층두께 순으로 녹내장 진단에 유용 하였고 높은 민감도와 특이도로 가지는 새로운 판별식을 이용하여 녹내장 진단하는 것이 유용하다.

      • KCI등재

        방수유출장치삽입술을 이용하여 여과포로 인한 감각이상을 치료한 1예

        강규동,김연덕,AmanShahB,AbdulMajid,곽지현,JohnSalmon,임혜빈,Kui Dong Kang,MSc,Yeon Deok Kim,Aman Shah B,Abdul Majid,BSc,MB ChB,Jee Hyun Kwag,D,Phil&#,John Salmon&#,Hye Bin Yim 대한안과학회 2010 대한안과학회지 Vol.51 No.5

        Purpose: To report a case of bleb dysesthesia successfully treated after Baerveldt tube implantation. Case summary: A 37-year-old woman presented with a history of persistent foreign body sensation and pain in the left eye. The patient was referred to our hospital and was diagnosed as having had plateau iris syndrome. Having shown no improvement with conservative management, she eventually received trabeculectomy in the left eye six months prior to her current presentation. Under the impression of bleb dysesthesia, she received artificial tears and a bandage contact lens. These, however, failed to alleviate her symptoms. She then had a compression suture of the bleb and bleb revision. These were performed sequentially but neither was effective. Finally, a Baerveldt tube implantation was performed successfully, and, three months later, bleb revision was performed using a donor sclera, which resulted in no further complaint of ocular discomfort. Conclusions: Bleb dysesthesia, although not a common postoperative complication, can occur after trabeculectomy and can be successfully treated with Baerveldt tube implantation. Patients should receive appropriate counseling and advice on bleb dysesthesia prior to undergoing trabeculectomy. J Korean Ophthalmol Soc 2010;51(5):790-793

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