• 대한두개안면성형외과학회지
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• 제18권3호
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• pp.197-201
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• 2017

Maxillary sinus mucocele can occur due to many medical factors such as chronic infection, allergic sinonasal disease, trauma, and previous surgery. However, it occurs mainly after Caldwell-Luc operation, usually more than 10 years after surgery. There are a few cases of maxillary sinus mucocele with ocular symptoms. Also, a case causing ocular symptoms because of invasion to the orbital floor is rare. Therefore, we report a case of a 55-year-old male patient who underwent Caldwell-Luc operation about 30 years ago. Then, symptoms such as exophthalmos, diplopia, and visual disturbance developed suddenly 3 months prior to admission. Computed tomography showed a cyst invading the orbital floor which resulted in eyeball deviation. The orbital floor defect measured approximately $2.5{\times}3.3cm$. Maxillary sinus mucocele was removed through an endoscopic approach. After this, we reconstructed the orbital floor through a subciliary incision. Observation was carried out after three years, and ocular symptoms such as diplopia and exophthalmos did not recur.

• 대한두개안면성형외과학회지
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• 제13권2호
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• pp.130-134
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• 2012

Purpose: Brown syndrome is motility disorder of the eyeball which shows limited elevation in adduction and occurs very rarely after eye surgery. The authors have experienced a case of strabismus-like Brown syndrome combined with blepharoptosis and report this case with the review of literatures. Methods: A 28-year-old female suffered from hypotropia in the primary gaze and severe blepharoptosis with diplopia of the right eye after upper blepharoplasty. Rotation showed an inability to elevate the adducted right eye. She underwent extraocular muscle surgery about the 7 mm tucking of the right superior rectus muscle and 6 mm recession of right inferior rectus muscle. Intraoperatively, injury of the superior rectus muscle and foreign body were observed. Seven months after the extraocular surgery, the patient underwent frontalis muscle transfer on the right upper eyelid for the correction of blepharoptosis. Results: Postoperatively, the patient was orthophoric in the primary gaze, and she had improvements in the correction of blepharoptosis and eyeball movement. Conclusion: Repeated eyelid surgeries increase the risk of ocular motility disorder. Careful approach is essential for the proper treatment and successful outcome in secondary surgeries.

• 정보처리학회논문지B
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• 제17B권6호
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• pp.437-444
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• 2010

본 논문에서는 한의학의 진단법인 사진법 중 망진(望診)이론을 기반으로 인체 오장 중 가장 중요한 장기의 하나인 신장의 질환 진단을 위해 영상처리기법을 적용하여 색과 신장 질환과의 상관성을 분석하는 방법을 제안하고자 한다. 이를 위해 안면 영상을 처리하고 분석하여 신장 질환에 따른 얼굴색의 색차를 시각화, 객관화하기 위한 방법을 제시하고자 한다. 특히 본 논문은 신장질환자 중 만성신부전으로 인해 혈액 투석 치료 중인 신장 기능 이상자 들을 대상으로 피 실험자 집단군을 구성하고 안면 영상 및 임상 자료를 수집하여 한의학적 망진 이론에서 신장과 관련된 얼굴 부위가 지각 이며 신장에 이상이 생길 경우 이 부위를 통해 흑색이 발현한다는 이론을 가설로 제시하고 안면 영상 중 지각 부위를 추출하는 알고리즘과 이 부위의 흑색의 변화를 측정 하는 방법에 대해 제안하고자 한다. 끝으로 임상 실험 및 자료 분석을 통해 제안한 방법의 유용성을 입증하고자 한다.

• 대한한방내과학회지
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• 제40권2호
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• pp.254-261
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• 2019

Internuclear Ophthalmoplegia (INO) is characterized by lesion side eye's adduction limitation in lateral horizontal gaze and nystagmus in the abducting eye due to lesions in the Medial Longitudinal Fasciculus (MLF). Brainstem infarction is one of the causes of INO, but related issues have seldom been reported in the Korean medical literature. The present case was a pontine infarction patient with INO who complained of diplopia and eye movement disorder. The patient was treated with Korean medicine treatment, including herbal medicine, acupuncture, cupping, and moxibustion for 30 days. Her changes in clinical symptoms were measured with a Numeric Rating Scale (NRS) and a length of External Ocular Movement (EOM), in which the patient's right eyeball moved to the left from the midline in the left gaze. After treatment, her clinical symptoms were improved. Diplopia decreased from NRS 10 to NRS 2, and eye movement disorder was improved such that EOM increased from 1mm to 5 mm. Therefore, integrative Korean medicine treatment may be effective in the treatment of INO patients caused by pontine infarction.

• Journal of Acupuncture Research
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• 제24권4호
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• pp.237-245
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• 2007

Objective : The Dry Eye Syndrome is characterized by reduction of the stability of the tearfilm and a set of alterations of the eye surface which could relate to tear quality, normal makeup of tearfilm and alterations in blinking or regular closing of eyelids. We treated 3 patients who was suffering with severe Dry Eye Syndrome and assessed the effectiveness of Oriental Medicine in the treatment of Dry Eye Syndrome. Methods : The patients were treated by acupunture, Gi Guk Yang Hyeol-decoction(Qijuyangxie-decoction). The improvement of the symptom was judged the subjective symptoms by the change of Ocular Surface Disease Index. Result : We observed in 2 cases of the patient significant decrease in the frequency of subjective symptoms, 1 case was not treated. Conclusion: The Oriental Medicine had effective results in Dry Eye syndrome. We need to have more observation and examination of Dry Eye syndrome.

• Journal of Yeungnam Medical Science
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• 제35권2호
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• pp.232-235
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• 2018

Fabry disease (FD) is an X-linked, recessively inherited, rare, progressive, disorder of glycosphingolipid metabolism affecting multiple organs resulting in organ dysfunction. It is rare to find only one FD affected subject with a de novo mutation. Here we report a case of a 41-year-old Asian male diagnosed with de novo FD. Comprehensive ophthalmological evaluation was performed using slit lamp, color fundus photography, optical coherence tomography, fluorescein angiography, and indocyanine green angiography. On slit lamp examination, cornea verticillata and slightly tortuous, and aneurysmal dilatation of inferior bulbar conjunctival vessels were observed. Other imaging modalities showed unremarkable findings. Cornea verticillata and inferior bulbar conjunctival vascular abnormalities may be detected earlier than other ocular abnormalities in de novo FDs like hereditary FDs.

• 한국임상수의학회지
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• 제24권4호
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• pp.640-643
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• 2007

A 3-month-old female mixed breed cat was referred to the veterinary medical teaching hospital of Seoul National University with ocular discharge and blepharospasm of both eyes. On ophthalmic examination, the patient was diagnosed as multiple ocular defects : eyelid coloboma, keratoconjunctivitis sicca, persistent pupillary membrane, uveal cyst, incipient cataract and choroidal hypoplasia. On histopathologic examination, choroidal hypoplasia was confirmed.

• 대한소아치과학회지
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• 제51권2호
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• pp.109-131
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• 2024

This review aims to examine safety concerns in pediatric dental care and underscore the need for comprehensive patient safety initiatives within the Korean Academy of Pediatric Dentistry. Drawing insights from the prevailing patient safety policies of the American Academy of Pediatric Dentistry, case reports, and systematic reviews, this review elucidates issues such as dental fires during sedation, ocular complications from local anesthesia, and surgical emphysema. This review highlights the significance of safety toolkits encompassing infection control, medical error reduction, dental unit waterline infection, and nitrous oxide safety in pediatric dental settings, underscoring the need to foster a safety culture. Furthermore, this study explores the curriculum for pediatric dentistry residency programs, emphasizing concepts such as high-reliability organizations and mortality and morbidity conferences. The study suggests the need for initiatives to enhance patient safety, including establishing safety committees, expanding reporting systems, policy development, and supporting research related to patient safety. In conclusion, this study underlines key messages, emphasizing the utmost priority of patient safety, acknowledging the inevitability of human error, promoting effective communication, and cultivating a patient safety culture. These principles are vital for advancing patient safety in pediatric dental care and improving outcomes among pediatric patients.

• 대한두개안면성형외과학회지
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• 제17권3호
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• pp.128-134
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• 2016

Background: Blowout fracture is one of the most common facial fractures, and patients usually present with accompanying ocular complications. Many studies have looked into the frequency of persistent ocular symptoms, but there is no study on assault patients and related ocular symptoms. We evaluated the incidence of residual ocular symptoms in blowout fractures between assaulted and non-assaulted patients, and sought to identify any connection among the degree of enophthalmos, defect size, and assault-related injury. Methods: A retrospective review was performed for any patient who sustained a unilateral blowout fracture between January 2010 to December 2014. The collected data included information such as age, gender, etiology, and clinical ocular symptoms as examined by an ophthalmologist. This data was analyzed between patients who were injured through physical altercation and patients who were injured through other means. Results: The review identified a total of 182 patients. Out of these, 74 patients (40.7%) have been struck by a fist, whereas 108 patients (59.3%) have sustained non-assault related injuries. The average age was 36.1 years, and there was a male predominance in both groups (70 patients [94.6%] in the assaulted group and 87 patients [80.6%] in the non-assault group). Diplopia and enophthalmos were more frequent in patients with assault history than in non-assaulted patients (p<0.05). Preoperatively, 25 patients (33.8%) with assault history showed diplopia, whereas 20 patients (18.5%) showed diplopia in the non-assaulted group (p<0.05). Preoperative enophthalmos was present in 34 patients (45.9%) with assault history, whereas 31 patients (28.7%) showed enophthalmos in the non-assaulted group (p<0.05). Conclusion: Patients with an assault history due to a fist blow experienced preoperative symptoms more frequently than did patients with non-assault-related trauma history. Preoperative diplopia and enophthalmos occurred at a higher rate for patients who were assaulted. Surgeons should take into account such characteristics in the management of assaulted patients.

• 한국통신학회논문지
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• 제30권6C호
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• pp.585-592
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• 2005

질병과 관련한 연구 중 가장 중요한 것은 질병이 발생치 알도록 하기 위해 치료보다는 예방과 보건 그리고 약품보다는 식품을 더 중요시해야 한다는 것이다. 따라서 일단 환자를 접할시 가장 중요한 것은 질환의 유무 그리고 만약 질환이 있다면 어떤 질환인지를 정확히 진단해 내는 것이 가장 중요하고 그 후에 용약(用藥) 과정을 거치게 된다. 본 논문에서는 한방에 있어 4대 질환 진단 방법중 가장 중요한 망진(望診)에 대해 기술하고자 한다. 망진은 관형(觀形)과 찰색(察色)이 주된 방법인데 지금까지는 이를 모두 의사의 직관에 의지 하였 왔던 것이 현 실정이었다. 이를 위해 본 연구에서는 의사에게 망진에 필요한 기초 자료를 자동으로 제공해 주는 시스템을 개발하고자 한다. 이때 시스템 개발시 개발 단계상 첫 번째 개발 단계이며 가장 중요한 작업은 관형이나 찰색에 상관없이 우선적으로 얼굴 영역을 자동으로 추출해 내는 작업이 수행되어야 한다. 또한 추출된 얼굴 영역에서 정면 얼굴인 경우는 중요한 얼굴내 요소인 눈, 눈썹, 코, 입등의 영역을 추출해 주고, 측면 얼굴의 경우는 코와 귀를 추출해 내는 작업이 전체 시스템 구축시 두 번째 작업 단계가 된다. 따라서 본 논문에서는 관형과 찰색을 위한 전체 시스템 개발 작업중 첫 번째와 두 번째 단계 작업인 정면 얼굴의 얼굴 영역 추출 방법, 그리고 추출된 정면얼굴 영역에서 눈, 눈썹, 코, 입등의 영역을 추출해 주는 방법에 대해 제안하고자 한다. 또한 제안한 방법의 유용성을 확인하기 위해 20명을 대상으로 실험을 수행한 결과 정면 얼굴의 영역 추출은 $100\%$ 성공하였다. 그리고 눈, 눈썹, 코, 입등과 같은 정면 얼굴내 주요 특징 영역 추출도 $100\%$ 성공하였으나 머리카락과 눈썹이 붙어 있는 경우에는 해당 눈썹 영역을 추출하지 못하는 결과도 있었다. 이는 차후 형태학적 연산등을 사용하여 추출해야 할 으로 사료된다.