• 제목/요약/키워드: LASIK

검색결과 15건 처리시간 0.04초

라식수술을 시행한 환자에서 결막절개를 통한 하안검성형술 시 발생한 각막손상 (Corneal Abrasion Occurred during Transconjunctival Blepharoplasty in a Patient with History of LASIK Operation)

  • 신종인;권인오;김창연
    • Archives of Plastic Surgery
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    • 제38권4호
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    • pp.543-546
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    • 2011
  • Purpose: LASIK, one of the currently popular ophthalmic procedures, can sometimes result in dry eye symptoms. In the patient who had underwent LASIK operation, the periorbital surgery may be more likely to lead to such a complication as dry eye symptom. We would like to report a case of corneal abrasion occurred after transconjunctival blepharoplasty in post-LASIK state and suggest the method about preventing the complication. Methods: A 30-year-old female patient underwent transconjunctival blepharoplasty and microfat graft into the face. She had history of LASIK operation 2 years ago. Corneal protector was applied to both eye during transconjunctival operation. After the surgery, she complained of visual blurring at left side. Ophthalmic examination revealed corneal abrasion of left eye. Results: Cornea protecting lens was applied to left eye for 2 weeks. Steroid and antibiotic eye drops were applied for relieving the symptoms and the prevention from progressing of complication. After 1 week, visual power and acuity was recovered to preoperative state. No other specific complications happened. Conclusion: Post-LASIK patient may have possibility of decreased corneal sensation and tear production. Preoperative ophthalmic examination is recommended for the prevention of complication. When corneal protector is applied, we suggest Optagel$^{(R)}$ as a useful lubricant.

라식수술 후 환자만족도에 영향을 미치는 요인 (Assessing the Factors Influencing Patient Satisfaction after Receiving Laser in situ Keratomileusis (LASIK))

  • 조우현;김지윤;최윤정;이종호;이제명;강혜영
    • Journal of Preventive Medicine and Public Health
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    • 제37권2호
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    • pp.111-119
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    • 2004
  • Purpose : To identify those factors influencing the post-operative satisfaction in myopia patients receiving laser in situ keratomileusis (LASIK) Methods : This study included 288 consecutive patients who received LASIK between July and December 2001 from two eye clinics located in Seoul and Pusan. Factors that were considered to influence post-operative satisfaction included pre-operative baseline characteristics, pre-operative expectation for treatment outcomes, and treatment outcomes. Before undergoing LASIK, study subjects were asked to rate the degree of their expectation for the improvement of visual functions and symptoms after LASIK on a 5-point Likert-type scale: where 1 referred to 'somewhat worse,' 2 to 'no change,' 3 to 'somewhat improved,' 4 to 'improved,' and 5 to 'very improved.' Self-administered questionnaire was used to evaluate baseline visual functions and symptoms on a 5-point scale before LASIK. At 6 months after LASIK, the evaluation was repeated to measure treatment outcomes in terms of the difference in the score before and after LASIK. Post-operative satisfaction was also measured at 6 months on a 5-point scale. Multiple regression analysis was performed to examine the independent relationship between influencing factors and postoperative satisfaction. Results : A total of 171 patients (59.4%) participated in the 6-month follow-up investigation. The average expectation scores for the improvement in visual functions and symptoms were 3.8 and 3.4, respectively. The average score for the 7 questions assessing satisfaction was 4.0. The results of the regression analysis showed that the post-operative satisfaction increased with improvement in the visual function ($\beta$=0.16, p<0.05) and symptoms ($\beta$=0.25, p<0.05), the degree of preoperative refractive error ($\beta$ =0.26-0.67, p<0.05) and in male patients ($\beta$=0.31, p<0.1). The pre-operative expectation was not a statistically significant factor in explaining postoperative satisfaction in the regression model. Conclusion : The finding from this study was that patients with very severe myopia tended to be more satisfied with the treatment than those with mild myopia, which implies that LASIK can be more beneficial to those suffering from a severe visual condition. Patient satisfaction was also significantly affected by the treatment outcomes experienced after LASIK. This suggests that improving the clinical outcome is the most fundamental requirement for the improvement of patient satisfaction.

양안시 변화에 대한 라식수술의 영향에 관한 연구 (Study on the Influence of LASIK on Binocular Change)

  • 이기석;성아영
    • 한국안광학회지
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    • 제11권3호
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    • pp.267-273
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    • 2006
  • 본 연구는 LASIK(Laser-assisted In Situ Keratomileusis)을 받은 성인 남녀 36명을 대상으로 수술 전과 후의 사위, Calculated AC/A, Gradient AC/A, 조절력에 관하여 변화를 분석하였다. 사위의 경우, 수술 전 후 원거리에서 정위 2.78% 감소, 외사위 2.78% 증가로 나타났으며, 근거리에서는 외사위에서 5.55% 증가, 내사위에서는 5.55%감소를 나타내었다. AC/A비의 경우, Calculated AC/A에서 0.36만큼, 조절력은 1.25D만큼의 감소결과를 나타내었다. Gradient AC/A는 0.34감소와 PC/A는 0.09의 증가를 보였으나, 유의성은 보이지 않았다.

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굴절교정수술에 대한 follow-up Study Review (A Review on the Follow-up Study of the Refractive Surgeries)

  • 정세연;김윤범
    • 한방안이비인후피부과학회지
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    • 제17권2호
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    • pp.170-176
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    • 2004
  • Refractive surgeries for myopia are rapidly spreading in our daily lives. In this study Korean and foreign follow-up studies, mainly focused on long-term outcomes of LASIK and LASEK, were analyzed. Examining the evidence of the efficacy, accuracy, stability, complications and patient satisfaction will help refine our approach to refractive surgeries.

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K병원 라식센타 인테리어 디자인 (K Hospital Lasik Center Interior Design)

  • 김정신;임오연
    • 한국실내디자인학회:학술대회논문집
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    • 한국실내디자인학회 2005년도 춘계학술발표대회 논문집
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    • pp.273-274
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    • 2005
  • The purpose of this design is to find out the design for an ophthalmic hospital focusing on the patient needs and changed healthcare environment. A cellularized hospital system appears variety design. This space needs well-balanced and ease of mind, because of ophthalmic needs a clear description attention. The concept of this design is to give human colour intellect and rich colour-sense. The waiting area wall is finished the graphic design sheet of leaves, which is covered with the fluting glass and indirect lighting. The colour is extracted in nature. The colour techniques of graphic design is gradation, the colour plan select from Y to G-GB. The material is selected within natural colour. The treatment area is functional space and the waiting area is sensitivity space. The hospital design must change with user as a leader.

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광시증 환자를 위해 개발된 광변색렌즈와 임상 효과 평가 (Photochromic lens for patients with photophobia and estimation of clinical trial efficacy)

  • 하진욱;유동식
    • 한국안광학회지
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    • 제10권1호
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    • pp.27-34
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    • 2005
  • 광변색렌즈는 자외선 조사를 받아 무색의 렌즈가 유색의 렌즈로 변하는 렌즈다. 이 렌즈는 백내장의 원인이기도 하는 자외선-B로부터 눈을 보호할 수 있으며 차단율 70~80%를 갖는 선글라스로 이용될 수 있다. 표면코팅기술을 접목하여 광투과율이 70%를 유지하고 색의 변화주기를 5분이내로 하는 청색, 녹색, 갈색, 보라색, 노랑색 등의 여러 색상의 광변색렌즈를 개발하였다. 이 렌즈는 100%의 부착력과, 4~5H의 경도, 탁월한 내약품성, 내마모성 및 내열성을 보였다. 여러 가지 원인으로 눈부심을 호소하는 광시증 환자 65 명을 대상으로 순천향대학병원 안과에서 임상시험을 하였다. 임상시험 한 결과 현저하게 눈부심이 감소하였고 시력보호의 효과가 있는 것으로 나타났다. 특히 LASIK수술환자에서는 야간의 눈부심 방지효과가 좋았다. 광변색렌즈는 자외선-B와 청색광을 차단하여 백내장과 노인성 황반변성 등의 빛과 관련된 눈의 손상을 줄여 시력보호를 할 수 있으며 임상결과로부터 광시증 환자의 치료와 예방을 위한 새로운 기술이 될 수가 있음을 알 수 있었다.

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마케팅믹스에 대한 고객만족이 신뢰 및 관계몰입에 미치는 영향 (Influence of Patient's Satisfaction to Marketing Mix on Trust and Relationship Commitment)

  • 유현식;지재훈;김원중;최현주;김광;방기현;이선찬;조희정
    • 보건의료산업학회지
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    • 제7권3호
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    • pp.137-147
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    • 2013
  • This study classifies the marketing mix of LASIK eye surgery clinics into 7Ps, examines the influence of each factor of 7Ps(product, place, price, promotion, process, people and physical evidence) on customer satisfaction, and investigates the effect of customer satisfaction on trust and relationship commitment. Survey of 500 patients who received surgeries in 3 eye clinics in Busan area was conducted through self-administered questionnaires, and, with this data, path analysis was performed to estimate the study model. Main result showed that, among 7Ps, product, price, promotion, people and physical evidence had significant positive effect on customer satisfaction which, in turn, had significant positive effect on trust and relationship commitment. Also, it was found that trust positively affected relationship commitment. This result would be considered helpful in medical institution's efforts to establish trust on customer satisfaction and maintain relationship commitment. It also implies that, in order to enhance competitiveness in increasingly competitive medical market, establishment of proper marketing strategy is urgently required where the determinants of customer satisfaction are effectively administered and ultimate relationship commitment of customers based on trust can be maintained and enhanced.