• Title/Summary/Keyword: lens surgery

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A Clinical Study of Ocular Dimention and Visual Acuity Before and After Cataract Surgery Over Ninety Years Old (90세 이상 초고령 환자들의 백내장 수술전.후 안수치와 시력에 관한 임상연구)

  • Lee, Jung-Mi;Kim, In-Suk;Shin, Jin-Ah
    • Journal of Korean Ophthalmic Optics Society
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    • v.15 no.3
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    • pp.275-280
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    • 2010
  • Propose: Due to the rapid growth of medical technologies and the increasing population of older people, we investigated clinical status of ocular dimensions and visual acuity for pre and post cataract surgeries of people over age 90. Methods: From March 2007 to February 2009, we investigated eighty-two eyes of forty-eight patients who had undergone cataract surgeries at an ophthalmic clinic (Ansung, Kyungi-do), investigated maximum corrected vision, axial length, anterior chamber depth and accompanied ocular diseases before and after the surgeries based on the collected data. Results: As patients aged, axial length unchanged but anterior chamber depth decreased over all due to the increase of intraocular lens thickness, and men tended to have a higher degree than women. Seventy-one (86.6%) of eighty-two eyes showed improved corrected vision than before surgeries and forty-three (52.4%) eyes could see more than visual acuity of 0.5. Conclusions: Patients with the systemic disease and accompanied ocular disease showed low vision less than 0.5 after cataract surgery compared to same healthy age peoples. But the others improved correction visual acuity more than 0.5, so the cataract surgery was surely necessary for people over 90 years old and also the presence of ocular disease could have a great influence on correction visual acuity.

Analysis on the corneal thickness and anterior chamber depth of the Keratoconus using Pentacam

  • Kim, Douk-Hoon;Sapkota, Kishor
    • Journal of Korean Clinical Health Science
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    • v.6 no.1
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    • pp.1089-1096
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    • 2018
  • Purpose: To investigate the corneal thickness and anterior chamber depth (ACD) of eyes with Keratoconus in the Korean population with the Pentacam. Methods: The subjects consisted of 84 eyes from Keratoconic adults aged 7-59 years during 2010. The thinnest area, apex zone, and pupil centre of the corneal thickness were measured using the Pentacam pachymetry. ACD value was also measured with Pentacam. Results: There was a statistically significant relationship between thickness of the cornea at the apex area and the pupil centre (p=0.0001). However, there was no statistical difference (p>0.5) in the mean thickness of thinnest area, apex zone, pupil centre of cornea between right eye and left eye. Also, correlation between ACD and corneal thickness in all subjects had no statistical differences (p>0.05) in all subjects. Conclusion: These results suggested that the regional thickness of cornea and ACD with Pentacam can provide correct and useful diagnostic information of the morphology of Keratoconus for the RGP contact lens and diagnosis of abnormal corneal refraction surgery.

Assessment of Organ Dose in Mammoplasty Patient by Monte Carlo Simulation during Mammography (유방촬영 시 몬테칼로 전사모사를 이용한 유방 성형 환자의 장기선량 평가)

  • Kim, Ji-Soo;Cho, Yong-In;Kim, Jung-Hoon
    • Journal of radiological science and technology
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    • v.43 no.5
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    • pp.337-341
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    • 2020
  • Although the screening with a mammography has been shown to be economical, simple and effective in detecting breast cancer, it is accompanied by the risk from radiation. Therefore, this study analyzed the glandular dose and organ dose according to the target-filter combination and the presence and absence of implants using Monte Carlo simulation. The results indicate that at a tube voltage of 30 kV and a tube current of 50 mAs, the dose increased in the order of Mo/Mo. Mo/Rh, Rh/Rh and W/Rh in proportion to the atomic number of the target-filter. In addition, in phantom without implant a reduction in dose was seen when compared to the phantom with implant. The organ dose was highest in the lens except for the breast on the examination side regardless of the presence or absence of the implant. These results may contribute to use basic data for the diagnostic reference level of breast plastic surgery patients.

A Novel Single Lens 3D Endoscope and Endoscopic View Controller for Immersive Robotic Surgery System (몰입 로봇 수술을 위한 새로운 단일렌즈 3D 내시경과 시점 조절 시스템)

  • Yoo, Sunggeun;Park, Sangil;Yoon, Sojeong;Eom, Yumi
    • Proceedings of the Korean Society of Broadcast Engineers Conference
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    • 2015.07a
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    • pp.524-526
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    • 2015
  • 본 논문은 자유 시점조절과 깊이감 조절이 가능한 단일렌즈 양안시 3D 내시경과 Head-mounted display 를 사용한 새로운 로봇수술 시스템을 제안한다. 최근 들어서 여러 양안식 입체영상장치가 의료 영역에 적용되고 있다. 그러나 3D 의료 장비들은 zooming 과 자유로운 시점조절, 그리고 접사를 하는 데에 한계가 존재한다. 입체영상 장비에서 필연적으로 발생하는 이러한 문제점들은 3D 영화를 찍기 위해서 사용되는 것과 같은 2 대의 카메라와 2 개의 렌즈를 사용하는 데에서 원인을 찾을 수 있다. 이러한 문제점들은 Da Vinci 로봇 수술 시스템과 같은 가장 최신의 시스템에서도 해결되지 못하였다. 본 논문에서 제안하는 새로운 시스템은 지금까지 제시된 문제점들을 해결하고, 현재 존재하는 로봇 수술 시스템에 몰입 입체영상 수술이나 증강 현실 수술을 가능하게 하기 위한 목적으로 제안되었다.

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Rehabilitation of an Amur Leopard Cat (Prionailurus bengalensis) with Complex Injury by a Road Accident

  • Sungryong Kim;Sungin Lee;Ok-Joo Lim;Ki-Jeong Na;Dong-Hyuk Jeong
    • Journal of Veterinary Clinics
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    • v.39 no.6
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    • pp.411-416
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    • 2022
  • A 2.2 kg adult female Amur leopard cat (Prionailurus bengalensis) injured in a road accident was rescued. Severe abrasions on the left chin were washed daily with an antiseptic and silver sulfadiazine ointment was applied. Corneal edema of the oculus sinister (OS) was treated with ofloxacin and 5% sodium chloride eye drops. The skin wounds gradually improved, but the eye condition did not improve and the lens was also found to be detached. In addition, on the 6th day of hospitalization, melena was observed. On radiographic examination, foreign bodies in the stomach and a fracture of the sternum were confirmed. Subsequently, endoscopic removal of foreign bodies and enucleation of the OS using an electrothermal vessel sealer were performed sequentially over several days. However, corrective surgery of the fractured sternum was not carried out because a natural union of the fracture had occurred, which was found to be fairly stable. The patient completely recovered on the 83rd day and was successfully released into the wild on the 97th day, after two weeks of adaptation training in a natural environment. This report describes the rehabilitation of a wild Amur leopard cat injured in a road accident through a series of diagnostic and treatment steps until its eventual return to the wild and highlights some improvements needed in the process.

Thermographic Assessment on Temperature Change of Eye Surface in Cataract Surgery Observation (백내장수술 안에서 열화상카메라를 이용한 안구표면 온도의 변화)

  • Park, Chang Won;An, Young-Ju;Kim, Hyojin
    • The Korean Journal of Vision Science
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    • v.20 no.4
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    • pp.497-504
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    • 2018
  • Purpose : The purpose of this study was to investigate the temperature changes of the ocular surface before and after cataract surgery using thermography of a thermal imaging camera. Methods : The study included 75 patients (75 eyes) aged from 50 to 79 years who underwent cataract surgery. In the past, those who underwent corneal-related surgery, wearing contact lens, disorder of tear secretion and taking medication for systemic disease were excluded from this study. The temperature changes of the eyeball surface were measured using a thermal imager (Cox CX series, Answer, Korea) following Tear Break Up Time (TBUT) test, Mcmonnies questionnaire and Schirmer's Test in real time, Results : While the temperature of preoperative ocular surface was $35.20{\pm}0.54^{\circ}C$ and that of postoperative temperature was $35.30{\pm}0.53^{\circ}C$, the difference was not significant. The temperature changes in the ocular surface were statistically significant at $-0.12{\pm}0.08{\Delta}$ ($^{\circ}C/sec$) before the surgery and $-0.18{\pm}0.07{\Delta}$ ($^{\circ}C/sec$) after the surgery. In comparison of the age groups, it was shown that the changes in the surface temperature before the surgery were from $-0.19{\pm}0.05{\Delta}$ ($^{\circ}C/sec$) to $-0.14{\pm}0.09{\Delta}$ ($^{\circ}C/sec$) in the 50s group, and from $-0.12{\pm}0.08{\Delta}$ ($^{\circ}C/sec$) to $-0.15{\pm}0.07{\Delta}$ ($^{\circ}C/sec$) in 60s group, and $-0.18{\pm}0.07{\Delta}$ ($^{\circ}C$) to $-0.12{\pm}0.08{\Delta}/sec$) in the 70s group, showing significant changes in the ocular surface temperature at all ages. Conclusion : Following the cataract surgery, all the indicators of dry eye syndrome were decreased, and eye surface temperature changes were significant. The thermography technique of the ocular surface would be expected to be useful for the evaluation of various dry eye syndromes because it is easy to evaluate dry eye syndrome noninvasively and can be quantified.

The Relationship between Refractive Myopia and Corneal Astigmatism in Korea Women University Students (한국 여자대학생의 굴절성 근시와 각막난시 관계)

  • Kim, Douk-Hoon
    • Journal of Korean Clinical Health Science
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    • v.1 no.1
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    • pp.1-7
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    • 2013
  • Purpose. To analysis the prevalence of the myopia and corneal astigmatism in Korea women university students. Methods. From August 2011 to December 2012, one hundreds subjects were performed in refraction test using the Auto-Keratometry. Results. The mean age of the 100 subjects (200 eyes) was $21.23{\pm}2.34$. The mean spherical refractive power was -$1.78{\pm}1.65$(OD) and -$1.83{\pm}1.67$(OS) Diopter. The mean astigmatism power was $1.22{\pm}0.96$ (OD) and $1.27{\pm}0.91$ (OS). The mean corneal astigmatism was $1.44{\pm}0.81$(OD) and $1.55{\pm}0.93$(OS). Corneal astigmatism was between 0.25 D and 1.25 D in 67.7% of eyes, 1.25 D or higher in 27.5% eyes, and less than 0.25 D in 4.8% of eyes. Astigmatism was with the rule in 65%, against the rule in 31.5%, and oblique in 3.5%. There was a statistical significance between right eye and left eye in the spherical equivalent power(p=0.002). Also there was a statistical significance between spherical power and refractive astigmatism in OD(p=0.006) and OS(0.003) and a statistical significance between corneal astigmatism and refractive astigmatism in OS(p=0.0003). However, there was not a statistical significance between spherical power and corneal astigmatism in OD(p=0.08) and OS(0.1) and a statistical significance between corneal astigmatism and refractive astigmatism in OS(p=0.48). Conclusions. In this study, these results suggested that the analysis of the refractive myopia and corneal astigmatism can provide the visual correct and useful diagnosis information for the eyewear dispensing, contact lens fitting and corneal refraction surgery.

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Endoscopic Removal of Traumatic Intracerebral Hematoma via Superolateral Keyhole (외상성 뇌실질내 혈종에 대한 상측방 키홀을 통한 내시경적 혈종 제거)

  • Park, Sung-Jin;Ha, Ho-Gyun;Jung, Ho;Lee, Sang-Keol;Park, Moon-Sun
    • Journal of Korean Neurosurgical Society
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    • v.29 no.2
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    • pp.249-254
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    • 2000
  • Objective : As a minimally invasive strategy, endoscopic technique was introduced for removal of the traumatic intracerebral hematoma. Material and Method : A 54-year-old man with three-day history of seizure and progressive mental deterioration after traffic accident was presented. Computerized Tomography(CT) of the brain showed a huge intracerebral hematoma on the right frontal lobe and ventricle. The operation was performed via right frontal superolateral keyhole with 2cm eyebrow skin incision. Using 0-degree and 30-degree angled lens 4mm rigid endoscopes, nearly all of the hematoma was evacuated under the direct endoscopic visualization and a ventricular catheter was exactly placed into the frontal horn of the right lateral ventricle at the end of procedure. Results : The seizure was discontinued and neurological status had been improved during postoperative periods. Postoperative CT demonstrated that most of the hematoma was removed and the ventricular drainge tube was exactly placed in the right foramen of Monro. Conclusion : With endoscopic technique, the authors successfully evacuated traumatic intracerebral hematoma and exactly placed the ventricular drainage catheter under direct visualization. This technique may be considered as an another option for removal of traumatic intracerebral hematoma.

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Analysis of the Central Corneal Thickness and Anterior Chamber Depth of Eyes in Korean Young Population using the Pentacam (Pentacam을 이용한 한국 청소년 집단에서 각막의 중심두께와 전방깊이 분석)

  • Kim, Douk-Hoon;Bae, Han-Yong
    • Journal of Korean Clinical Health Science
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    • v.1 no.2
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    • pp.31-37
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    • 2013
  • Purpose. This study was to investigate the analysis of the central corneal thickness and anterior chamber depth of eyes in Korean Young Population using the Pentacam topography. Methods. The subjects consisted of 126 eyes from normal cornea of Korean aged 7-12($8.857{\pm}1.501$) years during 2009. The thinnest location, pachy apex, and pupil central region of the cornea thickness was measured using the Pentacam pachymetry. The anterior chamber depth of normal corneas was measured with Pentacam. Results. The thinnest location of corneal thickness was $547.413{\pm}37.893$um. The pachy apex of cornea thickness was $552.103{\pm}36.016$um. Also, the pupil center of corneal thickness was measured $552.143{\pm}36.418$um. On the other hand, the mean thickness in the central cornea was a statically significant relationship(t-test, p=0.0002) between pachy apex and thinnest zone. Also the mean thickness of the central cornea was a statically significant correlation(pearson p=0.0001) among the pupil center, pachy apex and thinnest zone. The anterior chamber depth was $3.137{\pm}0.308$mm. The mean depth in the anterior chamber of cornea was a statically relationship(t-test, p>0.05) between OD and OS. Conclusions. The results of this clinical study suggested that the analysis of the central corneal thickness and anterior chamber depth using Pentacam in Korean young population can provide the useful morphological information in diagnosis of cornea for the contact lens fitting and corneal refraction surgery.

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Surgical Anatomy of Lateral Extracavitary Approach to the Thoracolumar Spine - Cadaveric Study - (흉요추부 외측 강외 접근법(Lateral Extracavitary Approach)의 수술해부학적 구조 - 사체해부실험 -)

  • Kim, Sang-Don;Suh, Jung-Keun;Ha, Sung-Kon;Kim, Joo-Han;Cho, Tae-Hyung;Park, Jung-Yul;Kim, Hyun
    • Journal of Korean Neurosurgical Society
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    • v.30 no.10
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    • pp.1187-1192
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    • 2001
  • Objective : The lateral extracavitary approach(LECA) to the thoracolumbar spine is known as one of procedure which allows not only direct vision of pathologic lesion, but also ventral decompression, and dorsal fixation of the spine through the same incision. However, some drawbacks of LECA, including the technically- demanding, time-consuming, unfamiliar surgical anatomy and excessive blood loss, make surgeons to hesitate to use this approach. This study is to provide the surgical anatomy of LECA using cadavers, for detailed informations when LECA is considered for the surgery. Methods : We performed the 10 cadaveric studies, 7 male and 3 female, and careful dissection was carried out on right side of thoracolumbar region, except one for thoracic region. The photographs with micro-lens were taken to depict the close-up findings and for demonstrating detailed anatomy. Results : The photographs and hand-drawings demonstrated the relationships among the musculature, segmental vessels and nerve roots seen during each dissection plane. The lateral branches of dorsal rami of spinal nerve and the transverse process were confirmed to be the most important landmark of this approach. Conclusion : We concluded that detailed anatomical findings for LECA through this step-by-step dissection would be useful during operative intervention to reduce the intraoperative complications in LECA.

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