• 대한방사선치료학회지
• /
• 제14권1호
• /
• pp.89-94
• /
• 2002

I. 목적 : Sebaceous gland carcinoma, Squamouse cell ca., basal cell ca., low grade MALToma 등에서 전자선을 이용하여 eyelid 치료시 안구의 선량은 될 수 있는 한 최소선량으로 관리되어야 한다. 그러나 upper나 lower eyelid 전부를 포함하는 조사면은 치료후 백내장등의 심각한 부작용을 만들어 낼 수 있다. 본원에서는 상용되는 Tungsten eyeball shielding block과 기존의 lead block에 의한 차폐시 안구의 선량을 비교하여 Tungsten eyeball shielding block의 유용성에 대해 평가해 보고자한다. 2. 재료 및 방법: 시판되고 있는 BOLX-I 물질을 이용하여 모형안구를 제작하고 안구의 6곳 주요지점을 선정한 후 TLD chip을 이용하여 주로 사용되는 6MeV와 9MeV electron beam의 선량을 측정, Tungsten eyeball shielding block과 lead block의 선량을 비교하였다. 3. 결과 : Tungsten eyeball shielding block의 사용이 안구의 주요 지점인 각막, 망막, 시신경부위의 선량을 lead block사용 때보다 $90\%$에서 $50\%$의 감소효과가 있었다. 4. 결론 : Tungsten eyeball shielding block은 6MeV 전자선 치료시 보다 뛰어난 차폐효과를 보여 임상에서의 유용성이 인정되었다. 그러나 안구에 삽입시 환자의 고통과 불쾌감을 줄일 수 있는 방안이 모색되어야 하는 숙제를 남겼다.

• Archives of Plastic Surgery
• /
• 제32권3호
• /
• pp.397-402
• /
• 2005

For its lowerlid entropion correction, nonsurgical eyelid suture or surgical eyelid suture can be employed. Different types of surgical eyelid suture such as the Hotz method and the Callahan method, are generally performed, but were not sufficient for correcting of entropion. In our hospital we performed modified skin-tarsal fixation on 15 patients, 5 male and 10 female from January 20, 1999 to December 16, 2002. We corrected lower eyelid entropion with the excision of the skin and orbicularis oculi muscle and buried suture of tarsal plate and dermis which is a variant of the Callahan method. All the patients were satisfied with the operation results, and there was no case of recurrence of the lower eyelid pricking the cornea. During the 6 months period after the operation, the lower eyelids slightly turned inward but there was no further progression. The correction was performed excessively, therefore there was no case of recurrence after the operation and the results were satisfactory. There developed a dimple at the suture margin caused by skin contraction but it usually disappeared within 2 months after the operation. To avoid recurrence and to achieve satisfactory results, the orbicularis oculi muscle must be totally resected at the ciliary margin. We resected ciliary as well as pretarsal portion of orbicularis oculi muscle. Also, since most of the recurrences are originated from the medial side, the medial portion of skin flap must be tightly fixed to avoid recurrence and the upper part of the dermis should be fixed tightly to the lower border of the tarsal plate.

• Archives of Plastic Surgery
• /
• 제38권1호
• /
• pp.48-52
• /
• 2011

Purpose: Microfat graft is a common procedure for correcting tear trough deformity and dark circle. Because the tissue in this area is very thin, the grafted fat, sometimes, induces palpable lumps and uneven skin contour. When it happens, the surgical removal of the grafted fat is often needed. The authors made attempt of transconjunctival approach for removal, and this made infraorbital fat repositioning possible at the same time. Methods: 15 female patients with history of microfat graft on lower eyelid, got operation for the grafted fat removal with transconjunctival approach from April of 2009 to July of 2010. The dissection was performed in accordance with infraorbital fat repositioning surgery. Through the transconjunctival incision, knotted fat on orbital septum and orbicularis oculi muscle was removed without damage on skin. After grafted fat removal, subperiosteal space was made 1~2 mm below the inferior orbital rim by elevating periosteum. With preserving orbital septum, infraorbital fat was repositioned and anchored to subperiosteal space. Finally, transconjunctival incision was closed with absorbable suture material. Results: 14 patients in the study showed satisfactory results. The problems like uneven skin contour and knotted fat mass, were all solved. In only one patient, incomplete correction was observed, as bulging on her right lower eyelid still remained. One patient complained of transient numbness on lower eyelid, but there was no specific complication other than this. Conclusion: The authors attempted the method of transconjunctival approach to remove former grafted fat in lower eyelid and reposition infraorbital fat simultaneously. Since the study brought great results, the method would be helpful to patients and surgeons.

• 한국임상수의학회지
• /
• 제30권5호
• /
• pp.399-402
• /
• 2013

8세령의 암컷 잡종 더러브렛 말이 4개월간의 눈물과 함께 좌측 상안검에 종괴가 형성되어 있었다. 편측성 외과적 수술을 실시하여 좌측 안구와 안검 종괴를 절제하여 진단 의뢰되었다. 육안적으로 종괴는 $6{\times}7{\times}2$ cm 크기이고 반구형의 모양이며 표면은 불규칙하게 거칠었다. 단면상에서 종괴는 단단하고 유백색조를 띠고 있었다. 병리조직학적으로 심하게 증식된 중층편평상피세포가 진피층으로 심하게 함입되어 있었으며, 무수히 많은 표피 능선(rete ridge)과 중층편평상피 섬(squamous islands)을 형성하고 있었다. 종양세포의 섬들은 중심부에 층판상의 암진주와 괴사된 세포 붕괴물을 가지고 전형적인 세포 간교(intercellular bridge)로 연결된 여러 층의 가시세포로 구성되어있었다. 이와 같은 결과를 토대로 본 예는 말의 상안검에서 발생한 중층편평상피 암종으로 진단하였다.

• 한국임상수의학회지
• /
• 제23권1호
• /
• pp.50-54
• /
• 2006

To evaluate the effect of punctal occlusion on tear preservation after third eyelid resection, 10 eyes were operated in dogs and observed changes in tear preservation using Schirmer tear test (STT). Punctal occlusion was performed on five healthy dogs with no clinical sings of ocular irritation and no history of dry eye syndrome. The STT was performed for 10 days before surgery, and on the day 0, 1, 3, 5, 7, 9, 11, 13, 17, 21, 25, and 30 after third eyelid resection. The mean STT was $17.4{\pm}0.15$ mm/min($mean{\pm}SEM$) for 10 days before surgery. And, it was $11.5{\pm}0.55$mm/min for 30 days after surgery in puntal occlusion(PO) group. The mean STT was $17.3{\pm}0.32$ mm/min for 10 days before surgery. And, it was more decreased to $6.5{\pm}0.60$ mm/min for 30 days after surgery in control group. The paired t-test was performed. Mean STT after the third eyelid resection was higher in PO group than that of control throughout experimental period (p<0.05). In summary, the effect of thermal punctal occlusion significantly increased on the tear preservation by $28.86{\pm}7.96%$. These results suggest that application of thermal punctal occulsion in dry eye syndrome will promote tear preservation.

• 대한한방내과학회지
• /
• 제42권5호
• /
• pp.939-948
• /
• 2021

Objectives: This study considered the effectiveness of Korean medicine for the treatment of eyelid edema post craniotomy. Methods: The patient was diagnosed with Taeumin-one of the four constitution types in Korean medicine-and treated with herbal medicines: Cheongsimyeunja-tang, Chungpyesagan-tang, and Hwangryunhaedok-tang pharmacoacupuncture treatment. The severity of eyelid edema was assessed using Kara and Gokalan's scale, daily imaging of the patient's eyelids, and the ratio of the length of the left eye to that of the right. Results: Following treatment, the Kara and Gokalan score decreased from 3 to 0. The changes in the ratios were 29% and 50%, respectively. The visual field defect due to edema in the left eye was also repaired. Conclusion: This study suggests that Korean medical treatment could be an effective option for treating eyelid edema following craniotomy.

• Maxillofacial Plastic and Reconstructive Surgery
• /
• 제11권1호
• /
• pp.261-266
• /
• 1989

This study was undertaken to compare those 4 most commonly used incisions for exposure of fractures of the infraorbital rim and the orbital floor. The patient's age ranged from 19 to 67 years, the majority being in the 2nd decade. There were 17males and 1 female. Three orbital rim, 5 lower eyelid, 7 subciliary and 3 combined conjunctival-lateral canthotomy incisions were reviewed. Following points were the summury of author's experience. 1. The average scar following any of four incisions is barely noticeable. 2. Adequate fracture exposure was achieved with lower eyelid, orbital rim, subciliary and combined conjunctival-lateral canthotomy incisions. 3. One transient ectropion following subciliary incision occurred in 29-years old man with prolonged postoperative eyelid edema.

• 대한두개안면성형외과학회지
• /
• 제21권4호
• /
• pp.249-252
• /
• 2020

A marginal zone B-cell lymphoma is a type of B-cell lymphoma which is normally located at the margins of the secondary lymph node follicles. According to 2008 World Health Organization (WHO) classification, there are three main types classified according to the location of invasion: nodal lymphoma in the lymph nodes, splenic lymphoma in the spleen, and extranodal lymphoma in other locations. Recently, we have experienced a rare case of primary nodal marginal zone lymphoma that arose in the lower eyelid. Therefore, we report this case with a review of literature.

• 한국임상수의학회지
• /
• 제36권5호
• /
• pp.289-291
• /
• 2019

An 18-day-old male HanWoo calf was presented to the Animal Medical Center of Jeonbuk National University with a history of bilateral blepharospasm and epiphora. The calf was infected with rotavirus and was severly dehydrated. On ophthalmic examination, enophthalmos was noticed and the calf was diagnosed with bilateral upper eyelid entropion and resultant trichiasis. As a treatment, skin staples were applied, and the entropion was successfully corrected. Further, entropion has not recurred through the follow-up period.

• 대한수의학회지
• /
• 제58권4호
• /
• pp.223-225
• /
• 2018

A 13-year-old neutered male Poodle dog was presented with a third eyelid mass in the left eye. The dog had undergone local resection of the mass about a year prior in a private practice. On cytological examination, the mass was diagnosed as adenocarcinoma. Although lung and lymph node metastases were suspected, based upon the computed tomographic results, exenteration was performed to relieve chronic pain and to improve the dog's quality of life. Exenteration carried a good prognosis with no tumor recurrence until 1 year and 10 months after surgery, when local recurrence occurred near the left zygomatic arch.