• 제목/요약/키워드: intraocular pressure

검색결과 97건 처리시간 0.026초

세포교정영양요법(OCNT)을 이용한 ICE 증후군 개선 사례 연구 (A Case study on improvement of ICE syndrome using Ortho-Cellular Nutrition Therapy (OCNT))

  • 조종빈
    • 셀메드
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    • 제14권3호
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    • pp.67.1-67.3
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    • 2024
  • Objective: A Case study on improvement of ICE syndrome through the use of OCNT. Methods: OCNT was performed on a 45-year-old Korean female who had difficulty in opening the eyes widely due to painful and xerophthalmias, and suffered inconvenience in daily life due to myodesopsia. Results: After the implementation of OCNT, the intraocular pressure (IOP) level was restored to normal, and the pain, dryness and myodesopsia symptoms were alleviated. This resulted in improvement in depressive symptoms and quality of life. Conclusion: For patients suffering from problems such as elevated intraocular pressure, myodesopsia, and xerophthalmia, OCNT can be helpful in improvement and treatment of symptoms.

안압 변동 요인에 관한 연구 (A Study of the Variation Factors of Intraocular Pressure)

  • 김상문
    • 한국안광학회지
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    • 제13권1호
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    • pp.131-135
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    • 2008
  • 목적: 한국 정상인 청년의 안압에 영향을 미치는 요인을 조사하고자 실시하였다. 방법: 정상인 청년 805명(남: 367, 여: 438)을 대상으로 비접촉식 안압계인 AT555 Tonometer(Reichert사)를 사용하여 조사대상자의 기본 안압을 측정하였으며 안압변동에 영향을 미치는 요인으로 주시, 기대는 자세, 순목의 경우는 남녀 각각 6명을 대상으로 10~30분 동안 요인에 따른 우좌안의 안압 변동을 조사하였으며 음수, 음주, 담배, 커피는 측정안압이 유사한 6명씩을 한 집단으로 하여 각 요인별로 4~5개 집단의 우안 안압변동을 조사하였다. 결과: 조사대상자의 평균안압은 남녀에서 각각 15.2 mmHg와 15.8 mmHg로 여자가 약간 더 높았으며 99%가 평균안압의 범위 내에 있었다. 주시, 기대는 자세, 의식적인 순목에 의하여 남녀의 안압은 각각 우좌안에서 기울기가 0.15, 0.13/0.07, 0.08와 0.09, 0.08/0.08, 0.08 및 0.19, 0.08/0.26, 0.31의 추세선으로 상승하였다. 음수에 의해 안압이 상승하였는데 1000 ml 이상에서 변동폭이 현저하였으며 음주에 의해서는 음주량에 비례하여 안압이 감소하였다. 흡연 시에는 안압이 증가하였으며 흡연량과는 유의성 있는 연관을 보이지 않았다. 커피에 의해서는 유의성 있는 안압변동을 보이지 않았다. 결론: 주시, 기대는 자세, 의식적 순목, 음수, 흡연에 의해 안압이 상승하였으며 음주에 의해서는 안압이 감소하였다.

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알코올 섭취에 의한 눈의 굴절변화와 해부학적 변화와의 관계 (Relationship of Refractive and Anatomical Changes on Eyes after Alcohol Ingestion)

  • 김정욱;문병연;조현국
    • 한국안광학회지
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    • 제15권2호
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    • pp.195-199
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    • 2010
  • 목적: 알코올 섭취 후 발생하는 일시적인 눈의 근시성 굴절변화와 동반되어 나타나는 해부학적 변화가 갖는 상호 관련성을 알아보고자 하였다. 방법: 평균 $24.5{\pm}1.5$세의 남자 8명(16 안)을 대상으로 0.42 g/kg의 알코올을 30분간에 걸쳐 섭취토록 한 다음, 알코올 섭취 1시간, 4시간, 24시간 후의 교정굴절력, 각막곡률반경과 두께, 동공직경, 안압, 그리고 안구축의 길이 변화를 측정하여 알코올 섭취 전과 비교하였다. 결과: 알코올 섭취 1시간 후에 알코올 섭취전과 비교하여 호흡 중 알코올 농도가 가장 높았고(p<0.001), 교정굴절력의 구면 (-)굴절력 증가(p<0.05), 동공 크기의 감소(p<0.05), 안압의 하강(p<0.001), 그리고 안구축의 길이 증가가 나타났다. 알코올 섭취 4시간 후에도 모든 측정값들이 섭취 1시간 후와 동일한 경향이었다. 그러나 알코올 섭취 24시간 후에는 알코올 섭취 전과 비교하여 의의 있는 변화를 보이지 않았다. 결론: 알코올 섭취로 인한 일시적인 근시성 굴절변화는 안압하강과 안구축의 길이 변화와 관련성이 있을 것으로 판단된다.

녹내장의 침치료 효과에 대한 체계적 문헌고찰 및 메타분석 (Acupuncture for glaucoma: A systematic review and meta-analysis of randomized controlled trials)

  • 이길희;정찬영;장석주;홍승욱
    • 한방안이비인후피부과학회지
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    • 제33권3호
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    • pp.45-68
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    • 2020
  • Objectives : This study aims to evaluate the effectiveness and safety of manual and electroacupuncture on glaucoma. Method : We searched 11 electronic databases using index words to identify randomized clinical trials. Meta-analysis of weighted mean difference (WMD) or standardized mean difference (SMD) were used to evaluate the outcomes. Cochrane bias risk assessment tool was used to assess the risk of bias in each clinical study. The collected data was analyzed using RevMan software (ver. 5.3). Results : At the initial stage of data retrieval, 549 papers were searched. After reviewing 37 full texts, a total of 10 RCT studies (426patients, 715 eyes) were selected and 8 RCT studies (357 people, 617 eyes) were involved in meta-analysis. Meta-analysis of 8 RCTs showed that acupuncture alone was more effective in reducing intraocular pressure(IOP) than conventional treatment (WMD = -5.73, 95% CI: [-12.30, 0.83], P = 0.09, I2 = 97%) The combination of acupuncture or electroacupuncture with conventional treatment was also effective in lowering IOP (WMD = -1.84, 95% CI: [-2.31, -1.37], P <0.00001, I2 = 45%). It was estimated that the combination of acupuncture with conventional treatment was also effective for improving visual field (VF) (WMD = -2.17, 95% CI: [-4.32, -0.02], P = 0.05, I2 = 89%) but improvement in visual acuity (VA) was not significant (MD = 0.06, 95% CI: [-0.03, 0.15], P = 0.23, I2 = 0%). Subgroup analyzes were performed only for the studies that used open glaucoma as the study's disease and combination of acupuncture or electroacupuncture with conventional therapy would have an effect on lowering intraocular pressure (WMD = -1.68)., 95% CI: [-2.46, -0.90], P <0.0001, I2 = 29%). Conclusion : This study suggests that acupuncture treatment for glaucoma may be effective in reducing intraocular pressure and helpful in improving visual field defects. However, due to the small sample size, high risk of bias and high heterogeneity in the methodology, it is expected that further studies will be needed to verify the results. Further studies in large-scale samples based on a minimized biased methodology would be necessary.

A new insight into the use of antihypertensives in glaucoma

  • Jani, Ashutosh;Goyal, Ramesh K;Mehta, Anita A
    • Advances in Traditional Medicine
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    • 제5권3호
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    • pp.178-187
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    • 2005
  • People with hypertension (high blood pressure) are at an increased risk of suffering from glaucoma, a condition in which the pressure within the eye increases. Its noted that several antihypertensive are found to be useful in lowering the intraocular pressure, this review throws some light on the use of these antihypertensives as antiglaucoma drugs and about their probable mechanisms.

Retrospective study of postoperative intraocular pressure and complications in phacoemulsification combined with endoscopic cyclophotocoagulation and phacoemulsification alone in dogs

  • Sol Kim;Seonmi Kang;Youngseok Jeong;Kangmoon Seo
    • Journal of Veterinary Science
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    • 제24권1호
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    • pp.16.1-16.11
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    • 2023
  • Background: Long-term comparative data of phacoemulsification combined with endoscopic cyclophotocoagulation (phaco-ECP) versus phacoemulsification (phaco) alone in dogs are rare. Objectives: To investigate the effects of ECP on postoperative intraocular pressure (IOP) and complications after phaco in dogs with normal IOP. Methods: Medical records of IOP, conjunctival hyperemia, corneal edema, aqueous flare, posterior synechia, intraocular fibrin, and posterior capsule opacification (PCO) formation in 15 canine eyes that underwent phaco-ECP and 36 eyes that underwent phaco alone were evaluated retrospectively. ECP was applied when either the iridocorneal angle or the ciliary cleft was narrow or closed. Results: The IOP of the phaco-ECP group persisted within the normal range postoperatively. The phaco-ECP group had a shorter period of dorzolamide use than did the phaco group. PCO was formed earlier in the phaco-ECP group than in the phaco group. The phaco-ECP group showed more severe corneal edema than the phaco group at every follow-up visit. Posterior synechia was more severe in the phaco-ECP group than in the phaco group from two weeks until the last follow-up. Conclusions: Although ECP might cause more postoperative complications such as corneal edema and posterior synechia, it could effectively reduce the incidence of IOP increase after phaco in dogs with a high risk of postoperative glaucoma.

內障과 眼盲疾患의 韓方治驗에 關한 小考 (A clinical analysis on glaucoma, cataract and causing-blindness-diseases by oriental medical therapy)

  • 김경준;채병윤
    • 한방안이비인후피부과학회지
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    • 제10권1호
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    • pp.340-348
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    • 1997
  • The glaucoma, cataract and causing-blindness-diseases have high clinical importance by their severity of the symptoms and possibility of causing visual loss. Glaucoma is caused by an increase in the intraocular pressure, if severe enough, can cause field loss and eventually complete blindness. In cataract, the general clarity of vision is impaired due to a loss of transparency of the chrystalline lens of the eye. The causing-blindness-diseases can be divided to PokMaeng which cause sudden blindness and ChungMaeng, in which visual acuity is losed gradually. In glaucoma, cataract and causing-blindness-diseases, the visual acuity is affected and the patient may complain blurriness, fatigue of eye, visual field loss deficiency or scintillant feeling, vitreous floaters. In this study, 32 patients who have cataract, glaucoma or other causing-blindness-diseases was treated with oriental medicine or acupuncture from July, l996 to May. 1997, and was followed up by their symptoms and visual acuity. 1. In glaucoma patients, intraocular pressure decreased significantry and the symptoms improved positively. 2. In cataract patients, there was no improvement of visual acuity but $40\%$ of patients found their symptoms improved. 3. In causing-blindness-diseases, $57\%$ of patients reported improvement of their symptoms such as blurriness or fatigue of eye. 4. Through oriental medical treatment, the symptoms of glaucoma, cataract and causing-blindness-diseases can be treated effectively. Therefore oriental management seems to be possible to cure glaucoma, cataract and causing-blindness-diseases.

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초음파 유화흡인술 후 발생된 난치성 동공 차단 녹내장의 수술적 치료 (Surgical Managements for Refractory Pupillary Block Glaucoma after Phacoemusification in a Dog)

  • 박영우
    • 한국임상수의학회지
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    • 제32권1호
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    • pp.130-134
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    • 2015
  • A 13-year-old, castrated male Yorkshire terrier was presented with acute blepharospasm 2 months after phacoemulsification with intraocular lens implantation in the left eye. Menace response was weakly positive in the left eye. Intraocular pressure (IOP) was 98 mmHg in the left eye. On ophthalmic examination using slit lamp biomicroscope, episcleral injection and corneal edema were observed in the left eye. Aqueous flare (1+) and iris bombe with peripheral anterior synechia were also detected in the left eye. In spite of medical treatments, IOP was remained more than 50 mmHg. Synechiolysis and radial iridectomy with irrigation/aspiration of anterior chamber were performed in the left eye. One week after the surgery, tissue plasminogen activator was injected to resolve the blood and fibrin clot in the left anterior chamber. Menace response was recovered completely 1 month after the surgery and IOP was maintained less than 20 mmHg more than 6 months.

하안검 성형수술 후 발생한 양측 안구 뒤 혈종의 치험례 (A Case Report of Bilateral Retrobulbar Hemorrhage after Lower Blepharoplasty)

  • 손경민;박철우;천지선
    • 대한두개안면성형외과학회지
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    • 제14권2호
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    • pp.133-136
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    • 2013
  • Retrobulbar hemorrhage is a rare but serious complication after blepharoplasty, mid-face injury, and treatment of facial bone fractures. The incidence of postoperative retrobulbar hemorrhage is 0.055% with an incidence of associated permanent blindness of 0.005%. A 69-year-old male came to the emergency room with pain on both orbital areas and uncontrolled bleeding after cosmetic lower blepharoplasty performed at a private clinic. He had not been evaluated preoperatively by the private clinic, but we found that he had undergone percutaneous transluminal coronary angioplasty and taken anticoagulants for 10 years. We performed an emergency operation to evacuate the hematoma. However, after surgery, he persistently complained of orbital pain, pressure and diminished visual acuity. Intraocular pressure was increased, and computed tomography demonstrated a retrobulbar hemorrhage with globe displacement. Emergent lateral canthotomy and cantholysis were performed. Intraocular pressure was decreased to 48/30 mm Hg immediately after the operation, falling within the normal range the next day. We recommend three points to minimize loss of vision by retrobulbar hematoma. Firstly, careful preoperative evaluation must be conducted including current medications, underlying diseases and previous history of surgeries. Secondly, cautious postoperative observation is important for the early diagnosis of retrobulbar hematoma. Lastly, immediate treatment is crucial to prevent permanent blindness.