• Title/Summary/Keyword: 백내장 수술

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Tracking Method of Intraocular Lens Insertion Area by Using SURF (SURF를 이용한 인공수정체 삽입영역 추적방법)

  • Kil, Gi-Beom;Kim, Min-Jun;Park, Kyung-Seok;Oh, Hyun-Ju;Kim, Sung-Ho
    • Proceedings of the Korea Information Processing Society Conference
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    • 2011.04a
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    • pp.459-462
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    • 2011
  • 백내장 수술에서 인공수정체 삽입영역을 표시하고 제어하는 것은 매우 중요하다. 수술시 발생하는 삽입영역 제어의 오차는 시력의 저하를 가져온다. 이를 위해 디지털 이미지 프로세싱을 이용한 많은 추적방법이 연구 중에 있다. 그 중에서 템플릿 매칭은 영상과 템플릿 영역의 상관관계만을 따지며 추적하기 때문에 추적 할 객체의 크기나 각도 그리고 배경의 변화가 발생하면 정확히 추적을 하지 못하는 경우가 발생한다. 따라서 본 논문에서는 이러한 문제점을 객체의 특징점을 이용하여 매칭시키는 방법인 SURF를 이용하여 해결하고자 한다.

The Effect of a Hand Massage Program on Anxiety and Immune Function in Clients with Cataract Surgery under Local Anesthesia (손마사지 프로그램이 백내장 수술환자의 불안과 면역기능에 미치는 영향)

  • 조경숙
    • Journal of Korean Academy of Nursing
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    • v.29 no.1
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    • pp.97-106
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    • 1999
  • This study was designed to investigate the effect of a hand massage program on anxiety and immune function in patients during cataract surgery. The hand massage program, in this study, consisted of hand massage and hand-holding. The subjects were sixty-three patients, thirty for the experimental and thirty-three for the control group, who were admitted at Kang Nam St. Mary's Hospital for cataract surgery. This study was carried out from December 10, 1997 to February 26, 1998. The level of anxiety as measured by the Visual Analogue Scale, systolic blood pressure, diastolic blood pressure, and pulse rate were measured before, after hand massage, and after hand-holding. Epinephrine, norepinephrine, cortisol, blood sugar levels, neutrophil, lymphocyte, and natural killer cell percentages also were measured before hand massage and five minutes before the end of the operation. Data were analyzed by t-tests, ANCOVA, repeated measures ANOVA, and Bonferroni multiple comparisons. The results were as follows : 1) After hand massage, psychological anxiety levels decreased significantly compared with before hand massage in the experimental group, not in the control group. After hand holding, there were significant decrease in both groups. 2) There were not significant differences on systolic blood pressure, diastolic blood pressure, and pulse rates in both groups. 3) The hand massage program decreased epinephrine, norepinephrine, and cortisol significantly in the experimental group, and increased epinephrine, norepinephrine, and cortisol in the control group. 4) There were no differences in blood sugar levels, neutrophil and lymphocyte percentages in white blood cells after the hand massage program. However, natural killer cells in lymphocytes were significantly increased in the experimental group. These findings indicate that a hand massage program could be a effective nursing intervention in decreasing the psychological and physiological anxiety levels and improving immune function in clients having cataract surgery under local anesthesia.

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Predictive analysis of the Number of Cataract Surgeries (백내장 수술건수 추이예측 분석)

  • Jeong, Ji-Yun;Jeong, Jae-Yeon;Lee, Hae-Jong
    • Korea Journal of Hospital Management
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    • v.25 no.2
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    • pp.69-75
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    • 2020
  • Purposes: This study aims to investigate the number of cataract surgeries and predict future trends using 13-year data. Methodology: Trends investigation and comparison of prediction methods was conducted to determine better prediction model using Major Surgery Statistics from Korean Statistical Information Service in 2006-2018. ARIMA(Auto Regressive Integrated Moving Average) was selected and prediction was conducted using R program. Findings: As a results, the number of surgeries will continue to increase. The trends was predicted to increase during January-April, and it declined over time and was the lowest in August. Pratical Implications: Therefore, it is necessary that management will be needed by continuously investigating and predicting the demand and trend for surgery to prepare an alternative to the increase.

Evaluation of Visual Performance for Implanted Aspheric Multifocal Intraocular Lens in the Cataract Patients (백내장 환자에서 비구면 다초점 인공수정체 삽입 후 시기능 평가)

  • Kim, Jae-Yoon;Lee, Koon-Ja
    • Journal of Korean Ophthalmic Optics Society
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    • v.18 no.3
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    • pp.347-356
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    • 2013
  • Purpose: To evaluate the visual acuity and visual performance after implantation of a aspheric multifocal (ReSTOR$^{(R)}$ SN6AD3) intraocular lens (IOL). Methods: Nineteen cataract patients (30 eyes) implanted with an aspheric multifocal IOL (ReSTOR$^{(R)}$ SN6AD3) either unilaterally or bilaterally were participated. Visual acuity (VA) and objective optical performance were evaluated at the time of preoperation, 1 week, 1 month, and 3 month after operation. At 3 month of post-operation, objective visual performance were measured and compared with the 38 eyes of 20 age-matched normal control. Distance VA was measured by using the ETDRS LCD chart and intermediate and near visual acuity were measured using Jaeger chart. Objective visual performance was assessed preoperatively and 1 week, 1 month and 3 month postoperatively using a double-pass system (Optical Quality Analysis System) with a 4-mm pupil diameter, the OSI (objective scatter index), MTF (modulation transfer function) cut off and strehl ratio. At 3 month of post-operation, visual acuity and visual performance compared with age matched normal control. Results: The uncorrected distance VA, OSI, MTF cut off and strehl ratio were significantly improved (p<0.05) until 1 month postoperatively. Visual performance of MTF cut off and strehl ratio after 3 month of operation were significantly improved compared to the normal control (p=0.063, p=0.103 respectively), however, OSI was higher than normal control. Patients implanted with aspheric multifocal IOL were satisfied with distance and near VA however, were unsatisfied with intermediate VA and reported glare and halos. Conclusions: The visual performance reaches to a stable condition in 1 month of implantation of aspheric multifocal IOL and improved to the level of age-mated normal patients. Also patients were satisfied with their quality of vision, however, intermediate VA, glare and halos were reported as complications.

Clinical Results of Silicone Oil Injection following Vitrectomy as a Primary Procedure in Retinal Detachment Patients (망막박리(網膜剝離)에서 일차수술(一次手術)로 유리체절제술(節制術)과 실리콘기름 주입술(注入術)을 시행한 환자(患者)의 임상결과(臨床結果))

  • Gyeong, Gil-Hyeon;Lee, Moo-Sik;Na, Bak-Ju;Kim, Chul-Woung;Hwang, Hye-Jeong
    • Proceedings of the KAIS Fall Conference
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    • 2009.05a
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    • pp.612-615
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    • 2009
  • 본 연구는 망막수술의 기왕력이 없고 고식적인 수술방법으로는 예후가 나쁠 것으로 예상되는 망막박리에서 유리체절제술과 일차적으로 실리콘 기름을 사용했을 경우의 초기적용의 유용성 및 합병증을 알아보고자 망막박리로 유리체절제술과 실리콘기름주입술을 시행하고 6개월 이상 추적관찰이 가능한 환자 44명을 대상으로 연구하였다. 결과는 다음과 같다. 1. 유리체절제술 후 시력이 두 줄 이상 호전된 경우는 45안 중 24안(53%)이었으며, 18안(40%)에서는 시력의 변화가 없었다. 2. 실리콘기름주입술 후 16안에서 평균 6.9개월에 실리콘기름을 제거하였으며 그 중 1안에서 망막박리가 재발되어 실리콘기름 재주입술을 시행하여 망막재유착을 이루었다. 3. 재수술을 포함하여 해부학적인 재유착은 45안 중 44안(97%)에서 이루었다. 4. 실리콘기름주입 후 발생한 합병증은 백내장(16안), 녹내장(10안), 실리콘기름의 유화(5안), 각막병증(2안), 재발성 망막박리 (1안)이었다.

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The Effects of the Music Therapy on the Anxiety and Satisfaction of Clients with Cataract Surgery under Local Anesthesia (음악 요법이 백내장 수술환자의 불안과 수술 만족도에 미치는 효과)

  • You, Sun-Young;Jung, Hye-Sun;Koo, Jung-Wan
    • Research in Community and Public Health Nursing
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    • v.14 no.3
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    • pp.407-414
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    • 2003
  • Purpose: The purpose of this study was to discern the effects of music therapy on the patients' level of anxiety and operative satisfaction during cataract surgery under local anesthesia. Method: The subjects for this study were fifty patients. Half of the subjects were categorized as an experimental group and the other half as a control group. All of the subjects were admitted to one hospital in Seoul for cataract surgery. This study was conducted from September 7 to October 2, 2002. The level of anxiety determined by self-reporting anxiety, pulse rate, systolic blood pressure, and diastolic blood pressure, was measured before and after the music therapy. The satisfaction degree was measured after the surgery. The tools for this study were Spilberger's state anxiety inventory and Patient Care Management System. Each patient in the experimental group chose the music used in his/her surgery and it was played through an audio system in the operating room. The data analysis was performed using the SAS/pc+(version 8.0). Results: 1. The anxiety of the experimental group decreased significantly compared to the control group. 2. The pulse rate of the experimental group decreased more than the control group. 3. The blood pressure of the experimental group decreased more than the control group. 4. The operative satisfaction of the experimental group was higher than the control group. Conclusion: According to the previous results, music therapy turned out to be a very efficient way to increase the satisfaction of a cataract patient after surgery by reducing the anxiety and the pulse rate of the patient during an operation with local anesthesia.

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Clinical Results of Silicone Oil Injection following Vitrectomy as a Primary Procedure in Retinal Detachment (망막박리에서 일차수술로 유리체절제술과 실리콘 주입술에 대한 임상결과 분석)

  • Gyeong, Gil-Hyeon;Lee, Moo-Sik;Hwang, Hye-Jeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.12
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    • pp.3919-3924
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    • 2009
  • To evaluate clinical results of silicone oil injection for retinal detachment. The 45 eyes of 44 patients underwent vitrectomy and silicone oil injection from 1999 to 2002. 1.There were no history of previous retinal surgery and ocular trauma. In 24 of the 45 eyes(53%) visual acuity increased and stabilized in 18 of the 45 eyes(40%). 2. 1 of 16 eyes(6.3%) had recurred retinal detachment after silicone oil removal. 3. Final retinal reattachment was achieved in 44 eyes(97%). Postoperative complications were cataract(16 eyes), glaucoma(10 eyes), emulsification of silicone oil(5 eyes), keratopathy(2 eyes) and recurrent retinal detachment(1 eye). These results show that silicone oil injection for primary retinal detachment yields a high rate of anatomic success and the good visual outcome

Optical Models of the Finite Schematic Eyes for Presbyopia (노안을 위한 정밀 모형안 설계)

  • Baarg, Saang-Bai
    • Korean Journal of Optics and Photonics
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    • v.19 no.6
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    • pp.439-447
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    • 2008
  • There is a need for a finite schematic presbyopic eye that models vision and image quality under various conditions such as cataract or refractive surgery, as well as near vision corrections with an ophthalmic lens or contact lens. Using recently measured biometric data of presbyopic eyes, new model eyes were designed that are optically and anatomically close to real eyes. The parameters changing significantly with age were incorporated into models for four different age groups. The new model eyes have alpha angle, decentered pupil, aspheric GRIN lens and aspheric retinal surface. It is likely that the new finite presbyopic model eyes will be useful for designing visual instruments such as low vision aids, PALs, IOL and contact lenses, and for the clinical prediction of the retinal image quality of a presbyopic patient.