• 제목/요약/키워드: Central vision loss

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동측 반맹 및 시력저하를 호소하는 후두엽 및 측두엽 뇌출혈 환자 한의복합치료 1례 (A Case of Combined Korean Medicine Treatment for Homonymous Hemianopia and Loss of Visual Acuity after hemorrhagic Stroke)

  • 성시윤;이다빈;이영선;조기호;문상관;정우상;권승원;이한결
    • 대한중풍순환신경학회지
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    • 제24권1호
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    • pp.25-40
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    • 2023
  • Background: Although not clarified, the overall prevalence of visual field loss after stroke was estimated at 52% of stroke survivors and for visual acuity loss, at 70% of them. Among visual field loss patients after stroke, homonymous hemianopia is the most common symptom. Visual defect degrades the quality of life by disrupting independent life and affecting the survival of the patients, but highly-evidenced treatment has not been found until now. ■Case report A 51-year-old female with left-side homonymous hemianopia and central vision loss by a right occipital-temporal hemorrhage was treated with Hyeolbuchukeo-tang, Ikgibohyeol-tang, acupuncture, electroacupuncture, and moxibustion. We used a confrontation visual field exam, automated perimetry and visual analog scale, and visual acuity test to observe changes in the patient's symptoms and evaluate the efficacy of the treatment. After 61 days of such interventions, the patient's subjective discomfort lessened, followed by positive changes in the scales of tests mentioned above. ■Conclusion This case suggests that combined Korean medicine treatment might be an effective tool for treating post-stroke homonymous hemianopia and central vision loss. More studies should be conducted to support the effectiveness of the treatment.

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Foveated Contrast Sensitivity를 이용한 인지품질 기반 비디오 코딩 (Perceptual Quality-based Video Coding with Foveated Contrast Sensitivity)

  • 유지우;심동규
    • 방송공학회논문지
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    • 제19권4호
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    • pp.468-477
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    • 2014
  • 본 논문은 FCS(foveated contrast sensitivity)를 이용한 인지품질 기반 비디오 코딩 방법을 제안한다. CS(contrast sensitivity)를 이용한 기존의 인지품질 기반 비디오 코딩 방법은 공간주파수에 따라 시각적 인지능력이 달라지는 인간시각체계(HVS, human visual system)의 특징을 이용하여 비디오 압축 시 인지품질의 손상을 최소화하며, FM(foveated masking)을 이용한 방법에서는 HVS의 중심시(central vision) 와 주변시(peripheral vision)의 차를 이용한다. 본 연구에서는, 정신물리학 실험을 통하여 기존의 DCT(discrete cosine transform)기반 JND(Just-noticeable difference) 모델과 FM이 서로 의존성을 갖고 동시에 고려된 새로운 FCS 모델을 제안하였고, 이를 HM10.0 부호화기에 적용하여 인지품질기반 부호화를 수행하였다. 제안된 방법으로 부호화된 영상은 인지품질 관점에서 동일한 화질을 유지하면서 평균 10%의 비트율 감소를 보였다.

Successful treatment of central retinal artery occlusion using hyperbaric oxygen therapy

  • Kim, Soo Han;Cha, Yong Sung;Lee, Yoonsuk;Kim, Hyun;Yoon, Ie Na
    • Clinical and Experimental Emergency Medicine
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    • 제5권4호
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    • pp.278-281
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    • 2018
  • Central retinal artery occlusion (CRAO) is considered an ophthalmologic emergency. The prognosis of this disease is very poor. Currently, there is no generally effective therapy available to treat CRAO. Hyperbaric oxygen therapy (HBOT) can increase the volume of oxygen delivered to the ischemic retinal tissue until spontaneous or assisted reperfusion occurs. We report the case of a patient who experienced sudden visual loss due to CRAO that was treated with HBOT. The patient was an 81-year-old woman who presented with CRAO in her right eye (OD). She exhibited "hand motion" visual acuity before treatment. She underwent three sessions of HBOT at a pressure of 2.8 atmospheres absolute, performed over 3 days. After 4 days in hospital, her visual acuity improved to 0.4 (OD) for far vision and 0.5 (OD) for near vision. Her vision was stable without the supply of oxygen; therefore, she was discharged.

딥 러닝을 사용한 초광각 망막 이미지에서 당뇨망막증의 등급 평가 (Diabetic Retinopathy Grading in Ultra-widefield fundus image Using Deep Learning)

  • ;;추현승
    • 한국정보처리학회:학술대회논문집
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    • 한국정보처리학회 2023년도 추계학술발표대회
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    • pp.632-633
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    • 2023
  • Diabetic retinopathy (DR) is a prevalent complication of diabetes that can lead to vision impairment if not diagnosed and treated promptly. This study presents a novel approach for the automated grading of diabetic retinopathy in ultra-widefield fundus images (UFI) using deep learning techniques. We propose a method that involves preprocessing UFIs by cropping the central region to focus on the most relevant information. Subsequently, we employ state-of-the-art deep learning models, including ResNet50, EfficientNetB3, and Xception, to perform DR grade classification. Our extensive experiments reveal that Xception outperforms the other models in terms of classification accuracy, sensitivity, and specificity. his research contributes to the development of automated tools that can assist healthcare professionals in early DR detection and management, thereby reducing the risk of vision loss among diabetic patients.

일부 나환자의 전신 불구정도에 관한 조사연구 (A Study on the Degree of Impairment of Whole Person in Leprosy Patients)

  • 윤욱희;황인담
    • Journal of Preventive Medicine and Public Health
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    • 제19권2호
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    • pp.263-272
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    • 1986
  • During the 8 months from October 1985 to May 1986, the survey was performed on 211 leprosy patients over fifty years old, settled in the four villages of Iksan county, North of Chulla province. In that obserbation, we investigated the frequency and the degree of impairments according to sex, age, and anatomical location by the 'guides to the evaluation of permanent impairment'. The noticeable findings were made as follows: 1) Frequency of impairment by anatomical location was significantly higher in hand than eye and foot (p<0.01). 2) Frequency of impairment was significantly increased in eye according as age increase (p<0.01). 3) The degree of impairments of all patients was the highest in hand as 28.7%. 4) By the kinds of impairment, the flextion and the amputation were most common in hand and foot, and loss of central vision was common symptom in eye. 5) The degree of impairments of 211 leprosy patients was shown as 44.1% and increased according as age increase.

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Safety and outcomes of subconjunctival allogenic mesenchymal stem cell transplantation in canine experimental corneal defects

  • Kim, Ju-Won;Lee, So-Young;Park, Hee-Myung
    • 대한수의학회지
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    • 제52권3호
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    • pp.157-162
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    • 2012
  • Corneal injury is very common clinical condition in veterinary medicine and delayed or incomplete corneal healing has the potential of vision loss due to the loss of corneal transparency. For the reconstruction of corneal epithelium, tissue graft and cell transplantation have been prosperously investigated. The purpose of this study was to evaluate the clinical value and short-term safety of application of cultured allogenic mesenchymal stem cells (MSCs) in the treatment of canine experimental corneal defect. Corneal defects were surgically generated in the central corneas of healthy beagle dogs and cultured canine allogenic MSCs were transplanted via subconjunctival injection. Although mean healing time, the rate of epithelial regeneration, and the degree of corneal transparency were not significantly improved after MSC transplantation, significant immune reaction or incompatibility reaction was not detected except transient local irritation. These results propose the possibility of MSC application as a new regenerative medicine in canine ocular disorders.

Comprehensive Review of Ocular Angiostrongyliasis with Special Reference to Optic Neuritis

  • Feng, Ying;Nawa, Yukifumi;Sawanyavisuth, Kittisak;Lv, Zhiyue;Wu, Zhong-Dao
    • Parasites, Hosts and Diseases
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    • 제51권6호
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    • pp.613-619
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    • 2013
  • Angiostrongyliasis, caused by Angiostrongylus cantonensis infection, is a food-borne parasitic disease. Its larvae evoke eosinophilic inflammation in the central nervous system, but can also cause pathological changes in the eyes. Among ocular angiostrongyliasis cases, the incidence of optic neuritis is low and only few sporadic reports exist. Some patients with optic neuritis developed obvious hypopsia or even vision loss, which would seriously influence the quality of life of patients. Prompt treatment of optic neuritis caused by A. cantonensis is the key factor for minimizing the incidence of serious complications of this disease. In this review, we first provide a comprehensive overview of ocular angiostrongyliasis, and then focus on the clinical features of optic neuritis caused by A. cantonensis.

인터넷을 통한 자율이동로봇 원격 제어 (Internet Based Tele-operation of the Autonomous Mobile Robot)

  • 심귀보;변광섭
    • 한국지능시스템학회논문지
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    • 제13권6호
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    • pp.692-697
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    • 2003
  • 지난 몇 년 동안 인터넷기반 원격제어 연구에 대한 관심이 높아지고 있다. 본 논문에서는 인터넷기반 원격 제어시스템을 구현한다. 로봇의 주변환경 및 제어 정보를 강인하게 전송하기 위하여 데이터를 패킷 형태로 만든다. 또한 매우 큰 용량을 갖는 영상 데이터를 전송하기 위하여 JPEG 압축 알고리즘을 이용한다. 인터넷 기반 원격제어의 주된 문제점은 데이터 전송 지연 또는 데이터 손실이다. 이러한 특수한 문제를 해결하기 위하여 2-layer fuzzy controller를 장착한 자율이동로봇을 소개한다. 그리고, 컬러 인식 시스템을 구현하여 로봇을 물체를 인지할 수 있도록 하였다. 다양한 입력 센서가 장착된 로봇에 2-layer fuzzy controller를 적용하여 그 효율성을 입증한다. 2-layer fuzzy controller는 다양한 입력과 출력을 갖는 로봇을 강인하게 제어할 수 있고 제어 비용도 낮기 때문에 그것이 다양한 분야에 적용되어 질 것으로 기대된다.

광범위한 두개안면부 섬유성골이형성증의 치험 2례 (TWO CASES OF MASSIVE CRANIOFACIAL FIBROUS DYSPLASIA)

  • 김종렬;정기돈;김홍식;김기원
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제18권1호
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    • pp.61-68
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    • 1996
  • 1. 첫 번째 증례에서 관상 절개를 이용한 부분골 절제술과 Le Fort씨 1급 골절단술을 시행한 결과, 골절단술을 시행한 부위에 원활한 골 치유가 일어났다. 2. 두 번째 증례에서 관상 절개를 이용하여 두개안면부에 광범위한 부분골 절제술을 시행하여 만족할만한 결과를 얻었으며, 병소 부위 말초 혈관 과다는 병소의 성장에 따른 생리적 변화로 추정된다.

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안와부 자가지방이식술 후 시력 저하에 대한 증례보고 (Visual Disturbance following Autologous Fat Injection into Periorbital Area)

  • 전영우;김성수;하상욱;이영대;설철환;탁관철;조을제;유원민
    • Archives of Plastic Surgery
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    • 제34권5호
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    • pp.663-666
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    • 2007
  • Purpose: Autologous fat injection into the facial area is a frequently used technique in aesthetic plastic surgery for augmentation of the soft tissue. Fat injection is a very safe procedure because of the advantage of being autologous tissue. Minimal foreign body reaction or infections are noted after fat injection. However, there may be some complications including those as severe as blindness. There have been some case reports on visual disturbances after autologous fat injection reported in the literature. Methods: A 21-year-old female patient underwent autologous fat injection into left eyebrow area to correct depression of soft tissue. Immediately after injection of autologous fat, she complained sudden visual loss on the left eye. She had come to our emergency room and ophthalmologic evaluation showed that the patient could only recognize hand motion. There was no abnormality of the optic nerve on magnetic resonance imaging. Suspecting an ischemic optic neuritis from fat embolism of the central retinal artery, the patient was treated conservatively with occular massage, antiglaucomatic agent, anti-inflammatory drugs and antibiotics. Visual field examination showed visual defect of half the lower hemisphere. Results: While maintaining antiglaucomatic agents and non steroidal anti inflammatory drugs, fundoscopic examination showed no abnormalities on the second day of admission. Visual field examination showed an improvement on the fourth day along with decreased eyeball pain. Significant improvement of vision was noted and the patient was discharged on the fifth day of admission. The patient was followed-up 2 days afterwards with improved vision and visual field defect. Conclusion: We describe an unusual case of sudden unilateral visual disturbance following autologous fat injection into periorbital area.