• Journal of Physiology & Pathology in Korean Medicine
• /
• v.17 no.3
• /
• pp.842-844
• /
• 2003

Miller Fisher syndrome is characterized by ophthalmoplegia, ataxia and areflexia and develops after respiratory tract viral infection. Other events are GI tract infection, vaccination, digitalis intoxication, insect bite and delivery. Diagnosis of Miller Fisher syndrome can be made with clinical history taking, cardinal symptoms and normal findings of CT or MRI. We have experienced a case of Miller Fisher syndrome and treated with herbal medicine, eletro-acupuncture at paralytic external ophthalmic muscles. We enforced electro-acupuncture for 10 minutes daily. We used the PG-306 electro-acupuncture products(Suzuki Iryoki Co. Japan) and applied the low consequence wave of 1-8Hz. In 3 months, all the main symptoms disappered and the patient improved in health. Based on this experience, herbal medicine and eletro-acupuncture can be applied to the Miller Fisher syndrome.

• Journal of Korean Ophthalmic Optics Society
• /
• v.13 no.2
• /
• pp.37-41
• /
• 2008

Purpose: The purpose of this case study is to prescribe a prismatic correction in uncommon case of cyclovertical heterophoria. Methods: The prescribed prism was used to balance the vertical vergence break values by the binocular vision evaluation such as phoria, vergence, accommodative function and the others. Results: Although asymptomatic lateral phoria was changed, the vertical prismatic correction improved the symptoms such as eyestrain, headaches, diplopia and others. And cyclophoria was disappeared by prismatic correction. Conclusions: The prismatic correction for this case was useful for alleviating symptoms of cyclovertical deviations.

• Journal of Korean Ophthalmic Optics Society
• /
• v.13 no.3
• /
• pp.19-28
• /
• 2008

Purpose: To understand symptoms and signs in soft contact lens wearers the authors evaluate the attribution of the tear test to the contact lens related symptoms and signs. Methods: Sixty-two healthy soft contact lens wearers (23.95${\pm}$4.38 years old, 18.60${\pm}$16.92 months of prior lens wear) were participated in this study. 3 kinds of tear test and McMonnies' questionnaire test were performed for the soft contact lens wearers and subjective symptoms and objective signs were graded using CCLRU scales during the study period. Results: In this surveys, we found ocular dryness, redness and tiredness are the most common frequent and severe symptoms in soft contact lens wearers. Frequency of the ocular dryness, redness and tiredness are associated with grittiness, burning sensation and foreign body sensation respectively, and severity of the photophobia, foreign body sensation are associated with unstable vision and grittiness and which are associated with score of McMonnies' Questionnaire. Conjunctival redness and limbal redness are major signs but those are not need to be clinical care and rarely occurred corneal and conjunctival staining which are associated with tear break-up-time statistically. Conclusions: Dryness, redness and tiredness are primary common symptoms in Korean soft contact lens wearers. The frequency of those symptoms are increased with the period of soft contact lens wear and those are associated with other symptoms but have no relationship with signs.

• Journal of Korean Neurosurgical Society
• /
• v.59 no.3
• /
• pp.296-301
• /
• 2016

Dural arteriovenous fistula (DAVF) of the transverse sinus with ophthalmic manifestations in young children are rare. We reviewed two cases of direct AVF of the transverse sinus with ocular manifestations managed at our institution. The first, a 2.5 years old male child presented with left exophthalmos. Angiography revealed AVF between the occipital artery and the transverse sinus. The second, a 2 years old female child, complained of left exophthalmos. Imaging studies showed bilateral direct AVFs of the transverse sinus with bilateral dysmaturation of the sigmoid sinus. Transarterial embolization was done in both cases. Clinical and radiological follow up revealed complete cure. This report suggests that DAVF of the transverse sinus supplied by the external carotid branches can present with ophthalmic manifestations especially if there is distal venous stenosis or obliteration involving sigmoid sinus. Transarterial embolization using coils and liquid embolic agents could be safe and feasible to obliterate the fistula.

• Journal of Korean Ophthalmic Optics Society
• /
• v.9 no.2
• /
• pp.301-312
• /
• 2004

This study was performed to compare the relationship between contact lens wearer and dry-eye patient. In this study, TBUT, SIT, TTT, Rose bengal staining and McMonnies dry eye symptom questionnaire were performed as a baseline. With the base data, the subjects were classified to 3 groups : 3S patients who have dry eye signs and symptoms, 38 patients who are wearing soft contact tenses, 35 subjects who have health eyes and never worn on a contact lenses as control subjects. Contact lens wearers were divided into 3 groups according to the duration of contact lens wear. There were no significant differences in TBUT, STT, TTT, Rose-bengal staining and McMonnies dry eye symptom questionnaire result between contact lens wearer group and dry eye patients group. We suggest that there are similarities in tear function tests between the dry-eye patient and the contact lens wearer.

• Journal of Korean Ophthalmic Optics Society
• /
• v.12 no.3
• /
• pp.27-33
• /
• 2007

This research investigated the effects of spherical and aspherical R.G.P lenses which was performed by optometrists in In-Cheon and Kyung-Gi region. This research survey included various questions such as the fitting status, after-care method, preliminary test. Results of the survey revealed that the optometriests sold the asperical and spherical lenses with a ratio of 7:3, respectively, and most of them did not cheked Topography, Fluorescein test by slit lamp biomicroscope, Tear Break up time test, Schirmer test and so on. And, with fitted R.G.P lenses symptoms like light odd-feeling, congestion, eye-stimulus, dimness and dryness were frequently reported. The purposes of this study are to search for the ideal fitting check of R.G.P lens and remind the most important preliminary test for contact lens fitting.

• Journal of Korean Ophthalmic Optics Society
• /
• v.17 no.4
• /
• pp.381-388
• /
• 2012

Purpose: In this study, the changes in the shape of silicone hydrogel lenses, dryness of lens and objective/ subjective symptoms that could be induced by repeating dryness of lens and objective/subjective symptoms were investigated. Methods: After drying and rehydrating of silicone hydrogel lenses with different lens material and thickness for 4 times, their overall diameters and base curves were compared. Subjective symptoms, non-invasive tear break-up time (NIBUTs) and blinking rate were evaluated after wearing dehydrated silicone hydrogel lens. Results: Overall diameter and base curve increased in all tested silicone hydrogel lenses by repeating dryness and rehydration. The degree of change in over all diameter and base curve were variable on the material. There were irregular change of lens parameters in thicker lens. When the subjects wore silicone hydrogel lenses after drying and rehydrating, their NIBUTs were decreased and blink rates were increased regardless of lens material or thickness. In addition, repetitive drying of silicone hydrogel lenses affected the lens fitting. Therefore, subjective symptoms such as itching, pain, irritation, foreign body sensation, dryness tended to be increased. Conclusions: The results obtained from the study may suggest to develop durable silicone hydrogel contact lenses against dry environment since the changes in parameters of silicone hydrogel lens and the subjective discomfort were observed after repetitive drying and rehydration.

• Journal of Korean Ophthalmic Optics Society
• /
• v.18 no.4
• /
• pp.555-560
• /
• 2013

Purpose: The aims of this study were to investigate the stereoacuity and subjective symptoms of aniseikonia with prescription of the size lens. Methods: Participants were myopic anisometropia patients with the binocular refraction difference between 1.75 D~3.50 D. Inclusion criteria of participants were no ocular pathology, no amblyopia, more than 1.0 of corrected visual acuity. With fully corrected spectacles and a correction with the size lens, Awaya aniseikonia test and Randot Stereo test were conducted respectively. In addition, subjective symptoms were also examined using questionnaire. Results: As the anisometropia increased, the aniseikonia increased. Under the anisometropia with same refractive correction was different for each individual. The prescription of size lens caused less aniseikonia than the general prescription of glasses. In addition, prescription of the size lens improved stereoacuity and relieved the symptoms of asthenopia. Conclusions: The prescription of size lens that can correct aniseikonia with prescription of glasses can improve stereoacuity and reduced asthenopia.

• Journal of Korean Ophthalmic Optics Society
• /
• v.14 no.3
• /
• pp.75-81
• /
• 2009

Purpose: The purpose of this controlled study was to determine the effectiveness of vision therapy for accommodative infacility in children. Methods: 10 children 9 to 13 years of age with symptomatic accommodative infacility were divided into a treatment group (n=6) and a contol group (n=4). The treatment group received 12 weeks of vision therapy while the control group received nothing. Results: The visual symptom assessed by COVD-QOL score for the treatment group showed both statistically and clinically significant reduction from 27.50${\pm}$5.68 to 12.00${\pm}$7.24 (p<0.01). Also, there were statistically and clinically significant improvement in the clinical measures of monocular accommodative facility of right eye (from 0.67${\pm}$1.03 cpm to 15.42${\pm}$4.85 cpm; p<0.001) and binocular accommodative facility (from 0.33${\pm}$0.82 cpm to 13.92${\pm}$3.58 cpm; p<0.001). In contrast, there were no significant improvement in symptoms and in the clinical measures of monocular and binocular accommodative facility for the control group (p>0.05). Conclusion: Vision therapy is an effective mode of treatment in eliminating symptoms and improving accommodative facility in children with accommodative infacility.

• Journal of Korean Ophthalmic Optics Society
• /
• v.20 no.4
• /
• pp.511-518
• /
• 2015

Purpose: The purpose of this study is to evaluate correlation between convergence insufficiency and concentration by evaluating attentiveness in children who have convergence insufficiency symptoms. Methods: The CISS survey and examination for the near point of convergence were conducted to 74 in children aged 12 to 13 years in order to divide them into a normal binocular vision (NBV) and a convergence insufficiency (CI) group. The attentiveness examination was used to all subjects to figure out their emotional problems, hyperactivity and impulsiveness problems, and managerial or functional problems with a 5-point scale. Correlation between convergence insufficiency-related symptoms included in CISS and attentiveness problems was analyzed. Results: there were 29 children (39.2%) in the CI group, the mean scores of CISS of the NBV and CI group were $5.91{\pm}3.69$ and $18.31{\pm}7.00$ each (p<0.001). On the survey of CISS symptoms, children in the CI group frequently expressed such symptoms as eye fatigue, loss of attentiveness, blurry vision, and forgetting the line they have been reading. In the attentiveness examination, the CI group ($74.83{\pm}9.83$) gained higher scores in problematic concentration than the NBV group ($46.80{\pm}11.30$). Convergence insufficiency had significantly positive correlation with total attentiveness (r=0.798). Conclusions: In elementary school students, it has been found that when perceived symptoms related with convergence insufficiency are more serious, problematic attentiveness gets serious, too.