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      • SCOPUSKCI등재

        A Case of Oculomotor Nerve Palsy and Choroidal Tuberculous Granuloma Associated with Tuberculous Meningoencephalitis

        ( Sung Hyuk Moon ),( Jun Hyuk Son ),( Woo Hyok Chang ) 대한안과학회 2008 Korean Journal of Ophthalmology Vol.22 No.3

        We report a rare case of oculomotor nerve palsy and choroidal tuberculous granuloma associated with tuberculous meningoencephalitis. A 15-year-old male visited our hospital for an acute drop of the left eyelid and diplopia. He has been on anti-tuberculous drugs (isoniazid, rifampin) for 1 year for his tuberculous encephalitis. A neurological examination revealed a conscious clear patient with isolated left oculomotor nerve palsy, which manifested as ptosis, and a fundus examination revealed choroidal tuberculoma. Other anti-tuberculous drugs (pyrazinamide, ethambutol) and a steroid (dexamethasone) were added. After 3 months on this medication, ptosis of the left upper eyelid improved and the choroidal tuberculoma decreasedin size, but a right homonymous visual field defect remained. When a patient with tuberculous meningitis presents with abrupt onset oculomotor nerve palsy, rapid re-diagnosis should be undertaken and proper treatment initiated, because the prognosis is critically dependent on the timing of adequate treatment.

      • KCI등재

        연령관련 황반변성에서 발생한 황반하출혈에 대한 조직플라스미노겐 활성제 및 가스 주입술의 효과

        김종호,손준혁,장우혁,Jong Ho Kim,Jun Hyuk Son,Woo Hyok Chang 대한안과학회 2008 대한안과학회지 Vol.49 No.2

        `Purpose: To study the results of intravitreal tissue plasminogen activator (tPA) and expansile gas injection for the treatment of submacular hemorrhage in age-related macular degeneration (AMD). Methods: Eleven consecutive patients (11 eyes) with submacular hemorrhage in AMD were included in this study. All patients were treated with intravitreal injections of tPA and C3F8 gas. Postoperatively, patients' follow-up period were at least 3 months. Outcome measures included early and final visual acuity, age, disc areas of hemorrhage, duration of symptoms, displacement of blood from the fovea, and final macular status. Results: The maximum diameter of the hematoma ranged from 2 to 10 disc diameters. The mean duration of submacular hemorrhage was 7.5 days. Submacular blood was completely displaced in 7 patients (64%) and partially in four (36%). Best postoperative visual acuity improved in 7 eyes; in 6 eyes (55%), the improvement was two or more lines. Final visual acuity improved in 7 eyes (64%), remained stable in 2 eyes (18%), and worsened in 2 eyes (18%). Choroidal neovascularization positioned at subfovea in 7 eyes (64%) and juxtafovea in 4 eyes (36%). No significant difference was found between postoperative visual recovery and these factors. Conclusions: Our findings suggest that intravitreal tPA and expansile gas injection are safe and of useful for displacing hemorrhages secondary to age-related macular degeneration. Final visual acuity was limited by the underlying choroidal neovascularization of AMD.`

      • KCI등재

        부유식방파제의 수리특성 및 와 상호작용에 관한 실험적 연구

        윤재선,손혁준,전시영,조용식,Yoon. Jae-Seon,Son. Hyok-Jun,Chun. Si-Young,Cho. Yong-Sik 한국방재학회 2010 한국방재학회논문집 Vol.10 No.6

        본 연구에서는 LDV시스템을 이용하여 부유식 방파제 주변의 유동장의 변화를 수리모형실험을 통해 분석하였다. LDV시스템은 유체의 유속을 측정하기 위해 다양한 수리모형실험에서 폭넓게 사용되어왔다. LDV시스템을 이용하면 측정시간이 오래 걸리는 단점이 있지만, 측정한 자료를 가공하지 않고 정확한 유속장을 제시할 수 있다는 장점이 있다. 방파제의 형상과 흘수를 달리하여 수리모형실험을 수행하였으며, 유동장과 와류의 상관관계를 분석하였다. 또한, 연직 2차원 Navier-Stokes 방정식 모형을 이용하여 수치모형실험을 수행하였으며, 수치모형실험 결과와 수리모형실험 결과를 비교분석하였다. In this study, laboratory experiments are conducted to investigate flow-fields around floating breakwaters by using the LDV(Laser Doppler Velocimetry) system. The LDV system is a well-known equipment to measure fluid particle velocities in laboratory experiments. Although the system requires great efforts and enormous time for measurements, it can provide precise velocity fields comparing to other available equipments. Various types of drafts and shapes for breakwaters are employed in laboratory experiments to analyze a relation between flow-fields and vorticity. A series of numerical experiments are also carried out by using a two-dimensional Navier-Stokes equations model. Numerically predicted results are compared with laboratory measurements.

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