• 대한안과학회지
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• 제58권11호
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• pp.1260-1268
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• 2017

목적: 사시 질환은 어느 연령대에서도 발병 가능하며 다양한 기능적 또는 비기능적 안과적 문제를 발생시킬 수 있다. 인구 기반 연구를 통해 다양한 인구역학적 요인에 따른 한국의 사시, 눈떨림 등을 포함한 사시 질환의 유병률을 확인하고자 한다. 대상과 방법: 2008년 7월부터 2011년 12월까지 실시된 국민건강영양조사(National Health and Nutrition Examination Survey, n=30,538)의 자료를 사용하여 분석하였다. 사시와 눈떨림의 유병률을 파악하고, 관련된 인구역학적 요인에 대해 평가하였다. 결과: 3세 이상에서 사시 및 눈떨림 환자의 전체 유병률은 $1.4{\pm}0.1%$ (95% confidence interval [CI] 1.3-1.6%, 남자 $1.5{\pm}0.1%$, 여자 $1.3{\pm}0.1%$)였다. 외사시(15프리즘디옵터 이상), 내사시(10프리즘디옵터 이상), 수직 편위, 기타 복잡한 사시 및 눈떨림의 유병률은 각각 1.0%, 0.2%, 0.2%, 0.1% 및 0.1%였다. 유병률은 6-15세 연령층에서 가장 높았으며($1.9{\pm}0.3%$), 40-49세($0.8{\pm}0.1%$)에서 가장 낮았다(p=0.005). 성별, 지역, 주거 지역, 가구 소득, 교육 수준 및 직업과 관련하여 통계적으로 유의한 차이는 없었다. 결론: 국민건강영양조사 자료를 분석한 결과 한국의 인구역학적 요인에 따른 사시 질환의 유병률은 연령 집단을 제외하고는 통계적으로 유의하지 않았다. 향후 사시 질환의 유병률과 관련된 추가적인 다른 보건 및 사회적 지표들의 검토가 유병률 연구에 도움이 될 것으로 판단된다.

• 한방안이비인후피부과학회지
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• 제17권3호
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• pp.126-130
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• 2004

Oculomotor nerve palsy presents itself with sudden onset unilateral ptosis and inability to turn the eye upward, downward, or inward, which causes visual disturbances. Strabismus caused oculomotor nerve palsy refers to muscle imbalance that results in improper alignment of the visual axes of the two eyes It may be divided into paralytic and non paralytic strabismus. paralytic strabismus is primarily a neurologic problem. Characteristic clinical disturbances result from lesions of the third, fourth, and sixth cranial nerves. Lesions of the third nerve result in a paralysis of lateral or outward movement and a crossing of the visual axes. Objective: This study was designed to evaluate the effects of oriental medicine therapy on a peripheral oculomotor nerve palsy. Methods & Result: The clinical data was analyzed on a patient with oculomotor nerve palsy whose main symptoms were right side ptosis and inability to turn the eye inward. The patient was treated by the electroacupucture(4Hz frequency, intensity was adjusted so that localized muscle contractions could be seen). As the result, symptoms are improved remarkably. Conclusion: The patient showed right eye ptosis and unilateral deviation of the right eye ball in neutral position. After acupuncture treatment and electroacupuncture treatment, the ptosis and deviation of the patient's right eye was recovered six weeks after the onset. The study suggests that oriental medicine therapy is significantly effective on the treatment of peripheral oculomotor nerve palsy.

• 한국융합학회논문지
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• 제13권4호
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• pp.147-154
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• 2022

본 논문은 간헐성 외사시 수술 이후 시각 기능과 입체시 기능을 평가하였다. 본 연구의 대상자는 간헐성 외사시로 진단받고, 사시 수술을 받은 18명(남: 10명, 여: 8명)으로 평균연령은 12.06±5.43세이다. 연구대상자들은 사시수술을 1회 받은 경우가 72.2%, 2회 받은 경우가 27.8%이었다. 이들을 대상으로 시각 기능과 입체시 기능을 검사하였다. 자료분석은 빈도분석과, 교차분석, 상관관계 분석을 이용하였으며, 통계학적 유의성은 p<.05로 설정하였다. 사시수술 후의 편위 상태에서는 외편위는 72.2%로 가장 많았으며, 원거리 감각융합에서는 복시(50.0%), 억제(33.3%) 순이었다. 근거리 감각융합에서는 융합(50.0%), 복시(44.4%) 순이었다. 사시수술 후 원거리 입체시맹 대상자는 61.1%로 가장 많았으며 정상범위인 40-60arcsec인 대상자는 없었다. 근거리 입체시맹 대상자는 33.3%로 가장 많았으며 40-60arcsec인 대상자는 1.1%이었다. 간헐성 외사시 수술을 시행하였다 할지라도 편위상태, 입체시 및 감각융합에서 개선이 되지 않는 부분이 있는 것으로 나타났다. 따라서, 간헐성 외사시의 수술 전후에 사시에 대한 비수술적 방법을 통한 관리와 통제가 필요하다.

• Journal of Yeungnam Medical Science
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• 제34권2호
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• pp.290-292
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• 2017

Various changes in ocular position are possible during general anesthesia as opposed to the awakening state. However, unexpected ocular deviation under general anesthesia is a disconcerting event as it can lead to difficult complications intraoperatively. To date, sudden fixed upward ocular deviation has been rarely reported previously. This phenomenon was observed in an 8-year-old boy during strabismus surgery. Suddenly fixed upward ocular deviation occurred when the speculum was inserted into the right eye. When the eyeball was pulled down, using forceps, there was some resistance, such as contracture of superior rectus. The eyeball sprang back into the upward position when the forceps was released. These changes could hamper the good exposition of the surgical field, leading to significant intraoperative difficulties and complications. Surgeons should be aware of this possibility, despite general anesthesia; if it occurs, proceed with the surgery as planned preoperatively, and both ophthalmic and anesthetic interventions should be used to solve this problem.

• Journal of Yeungnam Medical Science
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• 제36권2호
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• pp.152-154
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• 2019

Cornelia de Lange syndrome (CdLS) is a rare multisystemic disorder that is characterized by mental retardation, prenatal and postnatal growth retardation, limb anomalies, and distinctive facial features, which include arched eyebrows that often meet in the middle (synophrys), long eyelashes, low-set ears, small and widely spaced teeth, and a small and upturned nose. Ophthalmic manifestations include long eyelashes, nasolacrimal duct obstruction, myopia, ptosis, and strabismus. There has been no report of surgical treatment for esotropia and unilateral ptosis in patients with CdLS in Korea. I report a patient with CdLS who underwent surgical treatment for esotropia and unilateral ptosis with a good surgical outcome.

• 대한두개안면성형외과학회지
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• 제11권1호
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• pp.33-36
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• 2010

Purpose: Brown's syndrome is characterized by the limited elevation in adduction from mechanical causes around the superior oblique tendon trochlea complex. In this particular case, post-traumatic facial deformity accompanied by Brown's syndrome was observed. We would like to report the satisfying cosmetic results obtained by reconstructing orbital roof and superior orbital rim and repositioning of zygoma. Methods: A 12-year-old patient was observed with facial deformity with strabismus in her right eye and orbital dystopia after the car accident and was eventually diagnosed with traumatic Brown's syndrome. Reconstructive surgeries could not be performed at the time of trauma due to the cerebral hemorrhage. At the second year after the trauma, a depressed fracture of the right orbital roof and superior orbital rim were reconstructed via the intracranial approach, and orbital dystopia was corrected via the zygoma triple ostectomy. In addition, a strabismus surgery was performed one year after her plastic surgery. Results: Facial deformity with orbital dystopia and strabismus was confirmed to be fully reconstructed after the surgery. Moreover, when the patient came in for a follow-up thirteen years after the operation, a developmental imbalance of the facial bones, diplopia, or any other surgical complications were not to be found. Conclusion: After the trauma, the patient with Brown's Syndrome accompanied by post-traumatic facial deformity, who went under the corrective surgeries after the meticulous examination and assessment pre-surgically, was able to acquire cosmetic satisfaction via those operations.

• 대한한방내과학회지
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• 제25권3호
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• pp.640-647
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• 2004

Pregnancy related stroke is significant because it has dire impact on both mother and the fetus. Pregnant or puerperal women are reported to have about 13-fold more risk of stroke compared to non-pregnant women. Pregnancy-related stroke must be differentiated from stroke in elderly patients, because it is different in pathophysiological etiologies and recurrence rates and also diagnostic and therapeutic methods may affect the fetal health status. Because the VI cranial nerve manages lateral rectus muscles, it' s palsy causes sudden onset of double vision. The eyes turn medially. In this article, one case of paralytic strabismus resulting from pontine hematoma during puerperium is reported. It was treated with herb medicine and acupuncture. Symptoms improved. This case is submitted with a brief overview of related lit.

• 한방안이비인후피부과학회지
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• 제9권1호
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• pp.136-145
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• 1996

• 한방안이비인후피부과학회지
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• 제29권3호
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• pp.177-185
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• 2016

양안성 핵간안근마비의 전형적인 임상적 특징을 보이면서 뇌 자기공명영상검사(Brain Brain magnetic resonance imaging, Brain MRI)상 뇌간병변을 확인할 수 없었던 환자에 대하여 침치료, 약침치료, 전침치료, 한약치료 등의 한방치료를 통해 증상의 호전을 경험하였기에 이를 보고하는 바이다.

• Korean Journal of Acupuncture
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• 제32권2호
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• pp.75-79
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• 2015

Objectives : This study is to report one case of the diabetic ophthalmoplegia by acupuncture at Jok-Gwoleum-Gan-Gyeong. Methods : The patient was treated with acupuncture and herbal medicine for about 5 weeks. We evaluated the results of the treatment by observing the patient's symptoms. Results : After acupuncture the patient's symptoms such as strabismus, headache, ptosis, Rt eye pain and discomfort and both shoulder pain were considerably reduced. Conclusions : These results support that acupuncture at Jok-Gwoleum-Gan-Gyeong can have a meaningful effect in improving symptoms of diabetic ophthalmoplegia.