• The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
• /
• v.27 no.2
• /
• pp.14-32
• /
• 2014

Objective : This study was carried out to analyze the trends of ophthalmology related articles that have been published in the Journal of Korean Medical Ophthalmology, Otolaryngology, Dermatology(JKOOD). Method : We studied 72 research papers relevant to Ophthalmology that published in JKOOD from 1988 to 2013. All the paper were classified into three categories; original article, review article and case report. We also analyzed the articles according to the sort of diseases. We sub-classified the original articles into three categories descriptive study, analytic study and experimental study. We analyzed the case report according to various types of treatment. Result : 1. The number of searched journals is 72 papers; 21 review articles, 18 original articles, 33 case reports 2. Classification of 18 original articles into three categories; 12 descriptive studies, 0 analytic study, 6 experimental studies. 3. Distribution of diseases in ophthalmology; the percentage of 'strabismus' ranked the highest(25%) in case report. 4. Method of Evaluation in retina disease ; the percentage of fundus photography ranked the highest(50%) Conclusions : It is needed to develop the methods of study in part of eye disease. The studies using modern medical equipment should be increased in ophthalmology of Korean Medicine. It will be helpful to obtain objectivity and increase quality of studies.

• Archives of Craniofacial Surgery
• /
• v.22 no.4
• /
• pp.177-182
• /
• 2021

Background: Although prompt surgery after an orbital fracture is preferable, the actual timing of surgery in real-world settings varies. Therefore, this study investigated the outcomes of implant surgery for inferior orbital wall fractures by comparing three groups according to the time interval between the injury and surgery. Methods: A retrospective review was conducted of patients' medical charts and initial computed tomography images from 2009 to 2020. The time to treatment was chosen by patients or their guardians based on the patients' comorbidities and the physician's explanation. The patients were divided into three groups according to the time of surgery (group 1: 3-7 days, group 2: 8-14 days, group 3: 15 or more days). Data were collected on age, the time interval until surgery, the dimensions of the defect, the operation time, the follow-up period, and the postoperative paresthesia score (ranging from 0 to 10). The outcomes were evaluated using a 4-point scale: 4=good (no complications), 3=fair (no subjective symptoms), 2=poor (remaining paresthesia), and 1=very poor (strabismus and/or enophthalmos). Results: The study included 85 patients with unilateral fractures who underwent surgery from 3 to 93 days after injury. The overall score distribution of the surgical outcomes was as follows: good=63, fair=7, poor=6, and very poor=9. The three groups showed no significant differences in the transverse dimension of the injury (p=0.110) or the anteroposterior dimension (p=0.144). In groups 1, 2, and 3, the postoperative outcome scores were 3.84±0.37, 3.63±0.87, and 2.93±1.33 (p=0.083), and the percentage of patients with good outcomes was 84%, 81.25%, and 57.14%, respectively. Conclusion: Performing surgery using an artificial implant within 2 weeks of the injury showed better outcomes and fewer postoperative complications than when treatment was delayed.

• Korean Journal of Ophthalmology
• /
• v.32 no.6
• /
• pp.478-482
• /
• 2018

Purpose: The aim of this study was to investigate the quantitative effect of inferior oblique (IO) 10- and 14-mm recession on postoperative horizontal deviation. Methods: Patients (22 men and 18 women) who underwent IO recession were divided into two groups for comparison studies: group 1 (10-mm IO recession, 15 patients) and group 2 (14-mm IO recession, 25 patients). Preoperative and postoperative horizontal deviations were measured, and the resulting horizontal deviations from the 10- and 14-mm IO recession surgeries were compared. The effects of superior oblique underaction, IO overaction, and combined exodeviation on postoperative horizontal deviation were analyzed. Results: Although group 1 did not show a significant horizontal deviation change after surgery ($1.9{\pm}4.5$ prism diopters [PD], p = 0.452), group 2 had a meaningful horizontal change after 14-mm recession ($2.2{\pm}3.8PD$, p = 0.022). Both groups showed a significant esodrift in horizontal deviation (group 1, p = 0.017; group 2, p = 0.030) in patients with exodeviation over 8 PD. The mean change in horizontal deviation was $6.0{\pm}5.4PD$ for group 1 and $9.0{\pm}5.0PD$ for group 2. Although the amount of superior oblique underaction did not affect the extent of change in horizontal deviation, patients with severe IO overaction showed a significant change in horizontal deviation after 14-mm IO recession. Conclusions: Fourteen-millimeter IO recession could make a statistically significant change in horizontal deviation after surgery. In addition, esodrift should be considered after IO recession in patients with a preoperative exodeviation greater than 8 PD or severe IO overaction.

• Journal of Convergence for Information Technology
• /
• v.8 no.6
• /
• pp.101-106
• /
• 2018

We examined refractive error, the corrected visual acuity, phoria and fusional reserve of 114 healthy myopes and hyperopia who had no strabismus, no ocular and physical diseases. We evaluated the occurrence of asthenopia according to phoria and fusional reserve. 41 out of 114 subjects which exophoria was 69% and esophoria was 5.5%, orthophoria was 26% made a complaint against asthenopia. The subjects who had exophoria of $0-6{\Delta}$ in the range of normal state was 61.4%, while the subjects who had exophoria of $7{\Delta}$ or more in the range of abnormal state was 38.6%. Reducing fusional reserve was associated with increasing phoria. The fusional reserve twice or more than phoria were 27.2%, and twice or under were 72.8%. Futhermore, AC/A ratio for heterophoria was found from 1.0 to 12.6 and its relationship to asthenopia of phoria could not be determined.

• Journal of Genetic Medicine
• /
• v.18 no.1
• /
• pp.64-69
• /
• 2021

Primary cilium has a signal transduction function that is essential for brain development, and also determines cell polarity and acts as a mediator for important signaling systems, especially the Sonic Hedgehog (SHH) pathway. TBC1D32 is a ciliary protein, implicated in SHH signaling. Biallelic mutations in the TBC1D32 gene causes a kind of ciliopathy, heterogeneous developmental or degenerative disorders that affect multiple organs, including the brain. Here we report a boy who carried compound heterozygous variants in TBC1D32. The patient showed hypotonia, respiratory difficulty, and multiple anomalies at his birth. He was diagnosed with congenital hypopituitarism and treated with T4, hydrocortisone, and growth hormone. Despite the hormonal replacement, the patient needed long-term respiratory support with tracheostomy and nutritional support with a feeding tube. His developmental milestones were severely retarded. Hydrocephalus and strabismus developed and both required surgery, during the outpatient follow-up. Whole-exome sequencing indicated compound heterozygous variants, c.2200C>T (p.Arg734^*) and c.156-1G>T, in TBC1D32 gene. This is the first Korean case of TBC1D32-related ciliopathy and we reported detailed and sequential clinical features. This case demonstrated the utility of whole-exome sequencing and provided valuable clinical data on ultra-rare disease.

• Journal of Korean Clinical Health Science
• /
• v.11 no.1
• /
• pp.1639-1643
• /
• 2023

Purpose. We wanted to find out how the changes in brain function affected by the beats per minute (BPM) of music affected visual function. Methods. The subjects were 40 people in their 20s (30 men, 10 women) with no eye disease, strabismus, amblyopia and a corrected visual acuity of 1.0 or higher. Wearing headphones while excluding surrounding noise as much as possible, we played music while adjusting the beat rate at 40 BPM intervals from 80 to 200 BPM. Then, pupil size measurement, lag of accommodation test, and minus lens addition method maximum accommodation test were performed and analyzed. Results. As a result of analyzing changes in visual function according to beats per minute [BPM], it was found that although sound can be consciously affected, it does not directly affect visual function significantly in terms of accommodative lag and changes in pupil size. It was confirmed that the effect was limited to the maximum accommodation. Conclusions. In clinical practice, it is necessary to conduct a refraction test while keeping in mind that there are changes in visual function depending on the BPM of surrounding sounds.

• Journal of Preventive Medicine and Public Health
• /
• v.33 no.3
• /
• pp.334-342
• /
• 2000

Objectives . This study was conducted in order to investigate the degree of recognition, acceptability, and altitude towards day surgery of patients who were hospitalized with diseases that were candidates for day surgery; in order to analyze the average length of stay for treatment of the ailments; and to analyze the percentage of patients who could be discharged on the same day after the surgery ,using the post-anesthesia discharge scoring system. Methods : Data was collected between February 1 and March 31, 1999 from 353 patients who received surgery for cataract, adenoid hypertrophy, inguinal hernia, strabismus, ptosis, cholelithiasis, hemorrhoid, or anal fistula, at a general hospital in Daegu city. The patients were interviewed and surveyed by a post-anesthesia discharge scoring system(PADS) in order to collect data on patient condition such as vital signs, activity and mental status, pain, nausea and vomiting, surgical bleeding, intake and output after the surgery. Results : Among the 353 patients, 52.7% were after of the day surgery and 52.7% were interested in day surgery. Of the respondents, 43.1% said 'my ailment was not serious and the surgery was simple' and 30.4% said 'according to my condition rest at home was desirable' as the reasons for wanting day surgery Alternatively, 56.5% of those declining day surgery said the 'uncertainty of staying home' was the reason. The greatest concern in discharging within 24 hours after surgery was a post-op emergency situation. On the other hand, the shortened hospitalization was the largest advantage of day surgery with 39.1% responding this way, followed by the savings in hospitalization costs (25.8%) and emotional stability (13.7%). The majority of those surveyed (47.6%) believed that discharge should be determined within 1-2 days after the surgery. The average hospital stay was 3.1 days for dischargeable ailments. Pain (45.6%), nausea and vomiting (10.5%), and headache (7.9%) were the common symptoms following surgery. The percentage of patients who were able to be discharged within 24 hours after surgery revealed 95.2% were dischargeable after approximately 3 hours, 99.2% dischargeable after 12 hours, and 100% dischargeable after 24 hours. Conclusions : According to the PADS score, the cataract extract and strabismus correction patients were eligible for day surgery and the further evaluation concerning the reason for delayed recovery of the other diseases is needed.

• Journal of Korean Ophthalmic Optics Society
• /
• v.14 no.2
• /
• pp.41-46
• /
• 2009

Purpose: Stereopsis is one of primary characteristics for assessment of binocular function. The purpose of this study was to determine the possible relationship between the degree of exophoria and stereoacuity at near. Methods: 110 exophores (male n=71, female n=39, mean $age{\pm}SD=11.30{\pm}1.47$ years) without amblyopia, strabismus, and ocular and systemic pathology were studied. Subjects were also excluded if they had visual acuity poorer than 0.8 in either eye or vertical phoria greater than 1 prism diopter. Clinical tests were performed for near phorias by von Graefe technique using a Digital Refractor (CDR-3100, Huvitz, Korea) with chart (Predio CDC-4000, Huvitz, Korea), and for stereoacuity using the Titmus fly. Results: A one-way analysis of variance revealed that mean values of the stereoacuity classified according to the degrees of the exophoria were not significantly different (p>0.05). Conclusions: Based on the result of this study, it was found that there was no relationship between the degree of exophoria and stereoacuity.

• The Journal of Korea Assosiation for Disability and Oral Health
• /
• v.9 no.1
• /
• pp.42-45
• /
• 2013

De Grouchy syndrome or Distal 18q- is a genetic condition caused by a deletion of genetic material within chromosome 18, and the deletion involves the distal section of 18q. It causes a wide range of medical and developmental concerns. Congenital orthopedic anomalies, cleft lip and palate are relatively common. People with distal 18q- are often small for their age. Most individuals with distal 18q- fall in the mild to moderate range of intellectual disability. Strabismus and nystagmus, changes in the optic nerve as well as colobomas are also fairly common. People with distal 18q- frequently have conductive and/or sensorineural hearing loss. At present, treatment for distal 18q- is only symptomatic. This article presents a case report: Caries treatment of a 4-year-old female patient with de Grouchy syndrome under general anesthesia. The special considerations of dental care, especially caries treatment for the patient with de Grouchy syndrome are discussed.

• The Journal of Korea Assosiation for Disability and Oral Health
• /
• v.13 no.2
• /
• pp.108-113
• /
• 2017

Moyamoya disease is a disorder in which certain arteries in the brain are constricted. Blood flow can be blocked by the constriction and blood clots. The patients frequently experience transient ischemic attacks (TIA), cerebral hemorrhage, or may not experience any symptoms at all. It is reported that they have a higher risk of recurrent stroke and a distinct underlying pathophysiology. A 3-year-8-month old boy with moyamoya disease experienced cerebral infarctions five times, and he underwent a cerebrovascular anastomosis surgery four years ago. He showed swallow disturbance, general delayed development, hemiplegia, and strabismus. Also he had hypocalcified teeth with or without multiple caries lesions in all dentitions. Dental treatment under general anesthesia using sevoflurane was performed due to his lack of cooperation. Moyamoya disease is associated with various medical conditions requiring a thoughtful deliberation and a careful examination before and during dental treatment. Pain and anxiety control during dental treatment is important because hyperventilation induced by crying has been seen to trigger TIA. Both isoflurane and sevoflurane are commonly used in patients with MMD, but dynamic autoregulation is better preserved during sevoflurane than isoflurane anesthesia. So sevoflurance general anesthesia may be recommendable to manage dental patients having multiple caries with moyamoya disease.