• 제목/요약/키워드: Punctum

검색결과 13건 처리시간 0.017초

들뢰즈 극장의 홍상수 (Hong Sang-soo in Deleuzean theater)

  • 이왕주
    • 철학연구
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    • 제117권
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    • pp.249-273
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    • 2011
  • 큰 틀에서 이 글은 철학적 성찰이 비쥬얼로 무대화되는 극장(劇場 movie theater)과 영화적 상상력이 개념으로 결정(結晶)되는 극장(極場 extreme field)에 관한 담론이다. 들뢰즈와 홍상수는 이 극장의 환유들이다. 이 환유들은 서로 긴밀하게 내통한다. 홍상수의 영화는 들뢰즈의 경험론을 이미지로 전시해주고, 들뢰즈의 유목론은 홍상수의 카메라를 이론으로 갈무리한다. 들뢰즈의 어휘로 말하자면 <돼지가 우물에 빠진 날>에서 <하하하>에 이르는 10편의 필모그래피를 채운 홍상수의 작품들은 어떤 국가장치로도 포획될 수 없는 전쟁기계들이다. 그것들은 영화관 내부에서만이 아니라 외부에까지 '되기'(becomming)의 생성을 확장해나간다. 우리의 관심사는 그 작품들의 '되기'를 계열선 위에 배치하는 게 아니라 탈주선 위로 방면하는 것이다. 차이, 되기, 놀기 등으로 유쾌하고 발랄하게 전개되는 홍상수의 영상들이 기존의 영화문법에 보내는 통렬한 야유를 들뢰즈 유목론의 맥락에서 조명해본다.

Dacryocystectomy for Chronic Dacryocystitis in a Beagle Dog

  • Jeong, Youngseok;Lee, Songhui;Kim, Su An;Woo, Sangho;Ko, Dumin;Seo, Kangmoon;Kang, Seonmi
    • 한국임상수의학회지
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    • 제38권3호
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    • pp.152-158
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    • 2021
  • A 3-year-old spayed female beagle dog was presented with epiphora, severe hemorrhagic and purulent ocular discharge in the right eye (OD). A reflux of the discharge through the other canaliculi, associated with signs of chronic inflammation, was observed on cytology. Dacryocystorhinography revealed retention of contrast media ventral to the lower punctum, indicating complete obstruction and the potential presence of radiolucent foreign body. Ocular discharge subsided after the first treatment, including flushing of the nasolacrimal duct and application of topical antibiotics and corticosteroids, but clinical symptoms of the dacryocystitis waxed and waned thereafter. Surgical treatment was delayed for 8 months due to Dirofilaria immitis infection, and topical treatment and monthly flushing were maintained. On the day of operation, a foreign body was released through the fistula, while flushing for disinfection under general anesthesia, just before the surgery. Dacryocystectomy was performed to remove necrotic tissue and residual foreign body around the nasolacrimal cyst. Upon histopathologic findings, the removed foreign body was considered to be a plant, and the nasolacrimal cyst was comprised of chronic active ulcerative inflammation and necrotic tissues. At the 1-week recheck, improvement of epiphora and ocular discharge and healing of the surgical site was noted. In conclusion, nasolacrimal duct foreign body can be considered in recurrent dacryocystitis, despite nasolacrimal flushing and topical medication. In this study, dacryocystectomy was curative without recurrence of dacryocystitis or epiphora.

누소관 열상환자에서 Mini Monoka$^{(R)}$를 이용한 지연된 스텐트 삽입술 (Delayed Lacrimal Stent Implantation Using Mini Monoka$^{(R)}$ in Canalicular Laceration)

  • 황재하;김홍민;김지훈;김광석;이삼용
    • Archives of Reconstructive Microsurgery
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    • 제20권1호
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    • pp.32-37
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    • 2011
  • Purpose: Canalicular laceration is relatively common due to its exposed, vulnerable location in case of facial trauma. Conjunctivodacryocystorhinostomy has been the standard treatment for canalicular obstruction secondary to unrepaired canalicular laceration. In spite of a high rate of relieving tear-duct obstruction, this method is noted to be associated with low rate of patient satisfaction and a number of complications. The goal of this study is to report the good results of delayed lacrimal stent implantation with Mini Monoka$^{(R)}$ for patients whose canaliculi were not repaired by initial surgery. Methods: From May of 2005 to February of 2007, four patients who underwent delayed lacrimal stent implantation using Mini Monoka$^{(R)}$ in canalicular laceration were retrospectively reviewed. First, the previous scar incision was made over the lower lid and we identified the cut end of proximal lacerated canaliculus. The Mini Monoka$^{(R)}$ was passed through the punctum to the cut end of the proximal lacerated canaliculus. We identified the cut end of the distal lacerated canaliculus, whose cut end has rolled white edges after careful excision of the scarred lid tissue. We then passed Mini Monoka$^{(R)}$ through the lacerated inferior canaliculus. Using an operating microscope, we placed three interrupted sutures of 8-0 Ethilon to join the canalicular ends. Silicone stent was left in place for 6 months. The mean age of the patients was 48.5 years (range, 35 to 59 years). The time interval from initial trauma to delayed lacrimal stent implantation was between 3 and 31 days. Follow-up periods ranged from 12 and 20 months. Results: The results of reconstruction were classified into normal, fair and poor. Patent lacrimal drainage systems were achieved in three of the four cases. In one case, epiphora was encountered. No cases of stent displacement, conjunctivitis or granuloma formation were encountered. Conclusion: Even though canalicular reconstruction was delayed for a long time, attempting canalicular reconstruction would be acceptable before considering secondary operations like dacryocystorhinostomy and conjunctivodacryocystorhinostomy.

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