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폐색전증 진단의 도구로서의 Spiral Computed Tomography의 유용성 (폐환기관류주사와의 비교)
고재현 ( Jae Hyun Koh ),오은영 ( Eun Young Oh ),박정호 ( Jung Ho Park ),박상준 ( Sang Joon Park ),윤정환 ( Jung Hwan Yun ),박정웅 ( Jung Woong Park ),서지영 ( Gee Young Suh ),정만표 ( Man Pyo Chung ),이경수 ( Kyung Soo Lee ),권오 대한결핵 및 호흡기학회 1999 Tuberculosis and Respiratory Diseases Vol.46 No.4
Case Reports : Achromobacter xylosoxidans Keratitis after Contact Lens Usage
( Jung Hyun Park ),( Nang Hee Song ),( Jae Woong Koh ) 대한안과학회 2012 Korean Journal of Ophthalmology Vol.26 No.1
To report on Achromobacter xylosoxidans keratitis in two healthy patients who had worn contact lenses foran extended period of time. A 36-year-old female and a 21-year-old female visited our hospital with ocular pain and blurred vision. Both patients had a history of wearing soft contact lenses for over fve years with occasional overnight wear. At the initial presentation, a slit lamp examination revealed corneal stromal infiltrations and epithelial defects with peripheral neovascularization in both patients. Microbiological examinations were performed from samples of corneal scrapings, contact lenses, contact lens cases, and solution. The culture resulting from the samples taken from the contact lenses, contact lens cases, and solution were all positive for Achromobacter xylosoxidans. Confrming that the direct cause of the keratitis was the contact lenses, the frst patient was prescribed ceftazidime and amikacin drops sensitive to Achromobacter xylosoxidans. The second patient was treated with 0.3% gatifoxacin and fortifed tobramycin drops. After treatment, the corneal epithelial defects were completely healed, and subepithelial corneal opacity was observed. Two cases of Achromobacter xylosoxidans keratitis were reported in healthy young females who wore soft contact lenses. Achromobacter xylosoxidans should be considered a rare but potentially harmful pathogen for lens-induced keratitis in healthy hosts.
박정현,송낭희,지남철,고재웅,Jung Hyun Park,MD,Nang Hee Song,MD,Nam Chul Chi,MD,PhD,Jae Woong Koh,MD,PhD 대한안과학회 2010 대한안과학회지 Vol.51 No.9
Purpose: Chemical lights, also called Luminous Sticks, consist of a solution of diphenyl oxalate (C14H10O4) and hydrogen peroxide (H2O2). Human tissue can be damaged when the mixed solution contacts the human body. The authors report a single case of chemical injury of keratoconjunctiva by exposure to chemical lights. Case summary: A 47-year-old man’s right eye accidentally contacted the fluorescent material when breaking a Luminous Stick 7 days before being referred to our clinic. He had pain in the right eye and experienced visual loss. The patient’s best corrected visual acuity in the right eye was 20/50. An ulcerative lesion with edema at the inferior bulbar and palpebral conjunctiva and coneal epithelial defect was observed upon biomicroscopic examination. The patient was hospitalized and antibiotics, steroids, mydriatic and artificial tear eye drops were applied for treatment. After 9 days of treatment, the best corrected visual acuity of the patient recovered to 20/20, and the conjunctiva and cornea were mostly healed. No complication was observed. Conclusions: Chemical lights are commonly used in concerts and festivals. If the contents contact the eyes when breaking the chemical lights, various chemical burns can occur and cause ophthalmologic complications. Since no regulations have been passed regarding chemical lights, safety education and supervision are considered to be necessary for children. J Korean Ophthalmol Soc 2010;51(9):1282-1286