• Title/Summary/Keyword: Central vision loss

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A Case of Combined Korean Medicine Treatment for Homonymous Hemianopia and Loss of Visual Acuity after hemorrhagic Stroke (동측 반맹 및 시력저하를 호소하는 후두엽 및 측두엽 뇌출혈 환자 한의복합치료 1례)

  • Si Yun Sung;Dabin Lee;Youngseon Lee;Ki-Ho Cho;Sang-Kwan Moon;Woo-Sang Jung;Seungwon Kwon;Han-Gyul Lee
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.24 no.1
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    • pp.25-40
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    • 2023
  • Background: Although not clarified, the overall prevalence of visual field loss after stroke was estimated at 52% of stroke survivors and for visual acuity loss, at 70% of them. Among visual field loss patients after stroke, homonymous hemianopia is the most common symptom. Visual defect degrades the quality of life by disrupting independent life and affecting the survival of the patients, but highly-evidenced treatment has not been found until now. ■Case report A 51-year-old female with left-side homonymous hemianopia and central vision loss by a right occipital-temporal hemorrhage was treated with Hyeolbuchukeo-tang, Ikgibohyeol-tang, acupuncture, electroacupuncture, and moxibustion. We used a confrontation visual field exam, automated perimetry and visual analog scale, and visual acuity test to observe changes in the patient's symptoms and evaluate the efficacy of the treatment. After 61 days of such interventions, the patient's subjective discomfort lessened, followed by positive changes in the scales of tests mentioned above. ■Conclusion This case suggests that combined Korean medicine treatment might be an effective tool for treating post-stroke homonymous hemianopia and central vision loss. More studies should be conducted to support the effectiveness of the treatment.

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Perceptual Quality-based Video Coding with Foveated Contrast Sensitivity (Foveated Contrast Sensitivity를 이용한 인지품질 기반 비디오 코딩)

  • Ryu, Jiwoo;Sim, Donggyu
    • Journal of Broadcast Engineering
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    • v.19 no.4
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    • pp.468-477
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    • 2014
  • This paper proposes a novel perceptual quality-based (PQ-based) video coding method with foveated contrast sensitivity (FCS). Conventional methods on PQ-based video coding with FCS achieve minimum loss on perceptual quality of compressed video by exploiting the property of human visual system (HVS), that is, its sensitivity differs by the spatial frequency of visual stimuli. On the other hand, PQ-based video coding with foveated masking (FM) exploits the difference of the sensitivity of the HVS between the central vision and the peripheral vision. In this study, a novel FCS model is proposed which considers both the conventional DCT-based JND model and the FM model. Psychological study is conducted to construct the proposed FCS model, and the proposed model is applied to PQ-based video coding algorithm implemented on HM10.0 reference software. Experimental results show that the proposed method decreases bitrate by the average of 10% without loss on the perceptual quality.

Successful treatment of central retinal artery occlusion using hyperbaric oxygen therapy

  • Kim, Soo Han;Cha, Yong Sung;Lee, Yoonsuk;Kim, Hyun;Yoon, Ie Na
    • Clinical and Experimental Emergency Medicine
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    • v.5 no.4
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    • pp.278-281
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    • 2018
  • Central retinal artery occlusion (CRAO) is considered an ophthalmologic emergency. The prognosis of this disease is very poor. Currently, there is no generally effective therapy available to treat CRAO. Hyperbaric oxygen therapy (HBOT) can increase the volume of oxygen delivered to the ischemic retinal tissue until spontaneous or assisted reperfusion occurs. We report the case of a patient who experienced sudden visual loss due to CRAO that was treated with HBOT. The patient was an 81-year-old woman who presented with CRAO in her right eye (OD). She exhibited "hand motion" visual acuity before treatment. She underwent three sessions of HBOT at a pressure of 2.8 atmospheres absolute, performed over 3 days. After 4 days in hospital, her visual acuity improved to 0.4 (OD) for far vision and 0.5 (OD) for near vision. Her vision was stable without the supply of oxygen; therefore, she was discharged.

Diabetic Retinopathy Grading in Ultra-widefield fundus image Using Deep Learning (딥 러닝을 사용한 초광각 망막 이미지에서 당뇨망막증의 등급 평가)

  • Van-Nguyen Pham;Kim-Ngoc T. Le;Hyunseung Choo
    • Proceedings of the Korea Information Processing Society Conference
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    • 2023.11a
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    • pp.632-633
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    • 2023
  • Diabetic retinopathy (DR) is a prevalent complication of diabetes that can lead to vision impairment if not diagnosed and treated promptly. This study presents a novel approach for the automated grading of diabetic retinopathy in ultra-widefield fundus images (UFI) using deep learning techniques. We propose a method that involves preprocessing UFIs by cropping the central region to focus on the most relevant information. Subsequently, we employ state-of-the-art deep learning models, including ResNet50, EfficientNetB3, and Xception, to perform DR grade classification. Our extensive experiments reveal that Xception outperforms the other models in terms of classification accuracy, sensitivity, and specificity. his research contributes to the development of automated tools that can assist healthcare professionals in early DR detection and management, thereby reducing the risk of vision loss among diabetic patients.

A Study on the Degree of Impairment of Whole Person in Leprosy Patients (일부 나환자의 전신 불구정도에 관한 조사연구)

  • Yoon, Wook-Hee;Hwang, In-Dam
    • Journal of Preventive Medicine and Public Health
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    • v.19 no.2 s.20
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    • pp.263-272
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    • 1986
  • During the 8 months from October 1985 to May 1986, the survey was performed on 211 leprosy patients over fifty years old, settled in the four villages of Iksan county, North of Chulla province. In that obserbation, we investigated the frequency and the degree of impairments according to sex, age, and anatomical location by the 'guides to the evaluation of permanent impairment'. The noticeable findings were made as follows: 1) Frequency of impairment by anatomical location was significantly higher in hand than eye and foot (p<0.01). 2) Frequency of impairment was significantly increased in eye according as age increase (p<0.01). 3) The degree of impairments of all patients was the highest in hand as 28.7%. 4) By the kinds of impairment, the flextion and the amputation were most common in hand and foot, and loss of central vision was common symptom in eye. 5) The degree of impairments of 211 leprosy patients was shown as 44.1% and increased according as age increase.

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Safety and outcomes of subconjunctival allogenic mesenchymal stem cell transplantation in canine experimental corneal defects

  • Kim, Ju-Won;Lee, So-Young;Park, Hee-Myung
    • Korean Journal of Veterinary Research
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    • v.52 no.3
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    • pp.157-162
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    • 2012
  • Corneal injury is very common clinical condition in veterinary medicine and delayed or incomplete corneal healing has the potential of vision loss due to the loss of corneal transparency. For the reconstruction of corneal epithelium, tissue graft and cell transplantation have been prosperously investigated. The purpose of this study was to evaluate the clinical value and short-term safety of application of cultured allogenic mesenchymal stem cells (MSCs) in the treatment of canine experimental corneal defect. Corneal defects were surgically generated in the central corneas of healthy beagle dogs and cultured canine allogenic MSCs were transplanted via subconjunctival injection. Although mean healing time, the rate of epithelial regeneration, and the degree of corneal transparency were not significantly improved after MSC transplantation, significant immune reaction or incompatibility reaction was not detected except transient local irritation. These results propose the possibility of MSC application as a new regenerative medicine in canine ocular disorders.

Comprehensive Review of Ocular Angiostrongyliasis with Special Reference to Optic Neuritis

  • Feng, Ying;Nawa, Yukifumi;Sawanyavisuth, Kittisak;Lv, Zhiyue;Wu, Zhong-Dao
    • Parasites, Hosts and Diseases
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    • v.51 no.6
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    • pp.613-619
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    • 2013
  • Angiostrongyliasis, caused by Angiostrongylus cantonensis infection, is a food-borne parasitic disease. Its larvae evoke eosinophilic inflammation in the central nervous system, but can also cause pathological changes in the eyes. Among ocular angiostrongyliasis cases, the incidence of optic neuritis is low and only few sporadic reports exist. Some patients with optic neuritis developed obvious hypopsia or even vision loss, which would seriously influence the quality of life of patients. Prompt treatment of optic neuritis caused by A. cantonensis is the key factor for minimizing the incidence of serious complications of this disease. In this review, we first provide a comprehensive overview of ocular angiostrongyliasis, and then focus on the clinical features of optic neuritis caused by A. cantonensis.

Internet Based Tele-operation of the Autonomous Mobile Robot (인터넷을 통한 자율이동로봇 원격 제어)

  • Sim, Kwee-Bo;Byun, Kwang-Sub
    • Journal of the Korean Institute of Intelligent Systems
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    • v.13 no.6
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    • pp.692-697
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    • 2003
  • The researches on the Internet based tole-operation have received increased attention for the past few years. In this paper, we implement the Internet based tele-operating system. In order to transmit robustly the surroundings and control information of the robot, we make a data as a packet type. Also in order to transmit a very large image data, we use PEG compressive algorithm. The central problem in the Internet based tele-operation is the data transmission latency or data-loss. For this specific problem, we introduce an autonomous mobile robot with a 2-layer fuzzy controller. Also, we implement the color detection system and the robot can perceive the object. We verify the efficacy of the 2-layer fuzzy controller by applying it to a robot that is equipped with various input sensors. Because the 2-layer fuzzy controller can control robustly the robot with various inputs and outputs and the cost of control is low, we hope it will be applied to various sectors.

TWO CASES OF MASSIVE CRANIOFACIAL FIBROUS DYSPLASIA (광범위한 두개안면부 섬유성골이형성증의 치험 2례)

  • Kim, Jong-Ryoul;Chung, Gi-Deon;Kim, Hong-Sik;Kim, Ki-Won
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.18 no.1
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    • pp.61-68
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    • 1996
  • In Fibrous dysplasia(FD) of the jaws, the majority of cases can await the cessation of growth before surgical intervention, and it seems prudent to delay surgery whenever possible until growth has ceased. In craniofacial FD, however, the dangers of dystopia, dystopia and loss of vision may require early surgery to prevent or control cranio-orbital complications. Delaying surgery in those circumstances may be significantly detrimental to such patients. Conservative surgical management of FD is widely practised and we advocate an extension to this conservative treatment by combining surgical recontouring with appropriate osteotomies if indicated, to achieve an optimal esthetic and functional results in craniofacial FD. One case will be presented to illustrate the feasiblility of such combined treatment, to report the uneventful healing of osteotomies in the FD of the jaws, and to demonstrate the use of titanium miniplate fixation in dysplastic bone. The other case had expansile disease of the left facial and fronto-temporal bones and osteolytic change left mandible. This patient complained of severe spontaneous bleeding of left mandibular premolar area and it was suspected as central hemangioma of the left mandible and craniofacial FD. Angiogram disclosed generalized dilation of the external carotid artery and its branches, especially terminal branches of the left facial and inferior alveolar arteries. But no specific abnormalities, such as A-V shunt, venous lake, or early venous drainage, was seen. So it was diagnosed craniofacial FD with hypercellularity and generalized bony recontouring was performed via coronal and transoral approaches.

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Visual Disturbance following Autologous Fat Injection into Periorbital Area (안와부 자가지방이식술 후 시력 저하에 대한 증례보고)

  • Jeon, Young Woo;Kim, Sung Soo;Ha, Sang Wook;Lee, Young Dae;Seul, Chul Hwan;Tark, Kwan Chul;Cho, Eul Jae;Yoo, Won Min
    • Archives of Plastic Surgery
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    • v.34 no.5
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    • pp.663-666
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    • 2007
  • Purpose: Autologous fat injection into the facial area is a frequently used technique in aesthetic plastic surgery for augmentation of the soft tissue. Fat injection is a very safe procedure because of the advantage of being autologous tissue. Minimal foreign body reaction or infections are noted after fat injection. However, there may be some complications including those as severe as blindness. There have been some case reports on visual disturbances after autologous fat injection reported in the literature. Methods: A 21-year-old female patient underwent autologous fat injection into left eyebrow area to correct depression of soft tissue. Immediately after injection of autologous fat, she complained sudden visual loss on the left eye. She had come to our emergency room and ophthalmologic evaluation showed that the patient could only recognize hand motion. There was no abnormality of the optic nerve on magnetic resonance imaging. Suspecting an ischemic optic neuritis from fat embolism of the central retinal artery, the patient was treated conservatively with occular massage, antiglaucomatic agent, anti-inflammatory drugs and antibiotics. Visual field examination showed visual defect of half the lower hemisphere. Results: While maintaining antiglaucomatic agents and non steroidal anti inflammatory drugs, fundoscopic examination showed no abnormalities on the second day of admission. Visual field examination showed an improvement on the fourth day along with decreased eyeball pain. Significant improvement of vision was noted and the patient was discharged on the fifth day of admission. The patient was followed-up 2 days afterwards with improved vision and visual field defect. Conclusion: We describe an unusual case of sudden unilateral visual disturbance following autologous fat injection into periorbital area.