1.Surgical Results of Scleral Buckling without Subretinal Fluid Drainage in Patients with Primary Rhegmatogenous Retinal Detachment
Sung Uk HAN ; Hun Jin CHOI ; Ji Hun SONG
Journal of the Korean Ophthalmological Society 2020;61(11):1302-1310
Purpose:
To assess the clinical outcomes of scleral buckling (SB) without subretinal fluid drainage (SRFD) on primary rhegmatogenous retinal detachment (RRD).
Methods:
The medical records of patients with RRD treated via SB without SRFD from March 2009 to Feb 2018 were retrospectively reviewed. Cases with histories of previous intraocular surgery (except cataract removal) were excluded. The primary and final surgical success rates were the main outcome measures. Pre- and post-operative visual acuity and intraocular pressure (IOP), factors that might affect the surgical success rate, secondary operative procedures, re-operation rates, and complications were analyzed.
Results:
A total of 66 eyes of 66 patients were included. The mean patient age was 38.9 ± 18.6 years and the mean symptom duration 19.23 ± 25.14 days. The retinae were reattached after single surgeries on 57 eyes (success rate 86.36%); the final success rate was 100% after a second operation (when necessary). Of the nine eyes requiring additional surgery, seven required vitrectomy and two vitrectomy combined with buckle revision. The mean preoperative logMAR visual acuity of 0.578 ± 0.647 improved to 0.518 ± 0.512 at 1 month after surgery (p < 0.001) and to 0.262 ± 0.372 at the last follow-up visit (p < 0.001). The postoperative IOP was higher than the preoperative IOP at 3 months (p = 0.024).
Conclusions
Scleral buckling without SRFD used to treat primary RRD afforded a high reattachment rate (compared to those of previous reports employing vitrectomy or scleral buckling with SRFD). Given the possible complications of SRFD, our method may be a safe and feasible surgical option, affording good results with few complications in patients with primary RRD.
2.Surgical Results of Scleral Buckling without Subretinal Fluid Drainage in Patients with Primary Rhegmatogenous Retinal Detachment
Sung Uk HAN ; Hun Jin CHOI ; Ji Hun SONG
Journal of the Korean Ophthalmological Society 2020;61(11):1302-1310
Purpose:
To assess the clinical outcomes of scleral buckling (SB) without subretinal fluid drainage (SRFD) on primary rhegmatogenous retinal detachment (RRD).
Methods:
The medical records of patients with RRD treated via SB without SRFD from March 2009 to Feb 2018 were retrospectively reviewed. Cases with histories of previous intraocular surgery (except cataract removal) were excluded. The primary and final surgical success rates were the main outcome measures. Pre- and post-operative visual acuity and intraocular pressure (IOP), factors that might affect the surgical success rate, secondary operative procedures, re-operation rates, and complications were analyzed.
Results:
A total of 66 eyes of 66 patients were included. The mean patient age was 38.9 ± 18.6 years and the mean symptom duration 19.23 ± 25.14 days. The retinae were reattached after single surgeries on 57 eyes (success rate 86.36%); the final success rate was 100% after a second operation (when necessary). Of the nine eyes requiring additional surgery, seven required vitrectomy and two vitrectomy combined with buckle revision. The mean preoperative logMAR visual acuity of 0.578 ± 0.647 improved to 0.518 ± 0.512 at 1 month after surgery (p < 0.001) and to 0.262 ± 0.372 at the last follow-up visit (p < 0.001). The postoperative IOP was higher than the preoperative IOP at 3 months (p = 0.024).
Conclusions
Scleral buckling without SRFD used to treat primary RRD afforded a high reattachment rate (compared to those of previous reports employing vitrectomy or scleral buckling with SRFD). Given the possible complications of SRFD, our method may be a safe and feasible surgical option, affording good results with few complications in patients with primary RRD.
3.A case of oculopharyngeal muscular dystrophy: electrophysiological review.
Sae Yoon KANG ; Seung Han YANG ; Dae Heon SONG ; Sung Hun NAM
Journal of the Korean Academy of Rehabilitation Medicine 1991;15(3):377-383
No abstract available.
Muscular Dystrophy, Oculopharyngeal*
4.A Case of Pena-Shokeir Phenotype in Trisomy 18 Syndrome.
Ki Hun SONG ; Jee Yeon SONG ; In Kyung SUNG ; Kyong Su LEE
Journal of the Korean Pediatric Society 1997;40(9):1303-1308
Pena-Shokeir syndrome is a rare, often lethal disease, characterized by intrauterine growth retardation, craniofacial anomalies, limb ankylosis, polyhydramnios and pulmonary hypoplasia. This autosomal recessive disease should be differentiated from trisomy 18, which the second most common multiple congenital malformation syndrome. It is therefore clear that the two syndromes have certain features in common, the most consistent being craniofacial and limb abnormalities and intrathoracic pathology. Therefore, final diagnosis should be based on chromosome study. The case that we experienced had typical Pena-Shokeir phenotype, but chromosomal study show 47, XY, +18.
Ankylosis
;
Diagnosis
;
Extremities
;
Fetal Growth Retardation
;
Pathology
;
Phenotype*
;
Polyhydramnios
;
Trisomy*
5.Five-year Experience of Extracorporeal Life Support in Emergency Physicians.
Yong Soo CHO ; Kyoung Hwan SONG ; Byung Kook LEE ; Kyung Woon JEUNG ; Yong Hun JUNG ; Dong Hun LEE ; Sung Min LEE
Korean Journal of Critical Care Medicine 2017;32(1):52-59
BACKGROUND: This study aimed to present our 5-year experience of extracorporeal cardiopulmonary resuscitation (ECPR) performed by emergency physicians. METHODS: We retrospectively analyzed 58 patients who underwent ECPR between January 2010 and December 2014. The primary parameter analyzed was survival to hospital discharge. The secondary parameters analyzed were neurologic outcome at hospital discharge, cannulation time, and ECPR-related complications. RESULTS: Thirty-one patients (53.4%) were successfully weaned from extracorporeal membrane oxygenation, and 18 (31.0%) survived to hospital discharge. Twelve patients (20.7%) were discharged with good neurologic outcomes. The median cannulation time was 25.0 min (interquartile range 20.0-31.0 min). Nineteen patients (32.8%) had ECPR-related complications, the most frequent being distal limb ischemia. Regarding the initial presentation, 52 patients (83.9%) collapsed due to a cardiac etiology, and acute myocardial infarction (33/62, 53.2%) was the most common cause of cardiac arrest. CONCLUSIONS: The survival to hospital discharge rate for cardiac arrest patients who underwent ECPR conducted by an emergency physician was within the acceptable limits. The cannulation time and complications following ECPR were comparable to those found in previous studies.
Cardiopulmonary Resuscitation
;
Catheterization
;
Emergencies*
;
Extracorporeal Membrane Oxygenation
;
Extremities
;
Heart Arrest
;
Humans
;
Ischemia
;
Myocardial Infarction
;
Retrospective Studies
;
Treatment Outcome
6.A Case of Rhino-orbito-Cerebral Mucormycosis Presenting with Recurrent Transient Ischemic Attacks(TIAs).
Woo Youl KANG ; Ju Hun LEE ; Young Hee SUNG ; Il Soo CHOI ; Hong Ki SONG ; Byung Chul LEE
Journal of the Korean Geriatrics Society 2002;6(3):239-242
Rhino-orbito-cerebral muconnycosis is an uncommon fatal fringal infection, almost exclusively seen in diabetic or other itnmunocompromised patients. Recurrent transient ischemic attacks(TIAs) as initial presenting sign of rhino-orbito-cerebral mycormycosis has not been reported to our knowledge. We report a patient with muconnycosis unusually presenting with recurrent TIAs, followed by central retinal artery occlusion, multiple cranial nerve palsies, and then cerebral infarction in the territory of middle cerebral artery.
Cerebral Infarction
;
Cranial Nerve Diseases
;
Humans
;
Middle Cerebral Artery
;
Mucormycosis*
;
Retinal Artery Occlusion
7.Perinatal Factors Affecting Thyroid Stimulating Hormone(TSH) and Thyroid Hormone Levels in Cord Blood.
Eun Young KIM ; Sang Kee PARK ; Chang Hun SONG ; Sung Chul LIM
Korean Journal of Pediatrics 2005;48(2):143-147
PURPOSE: The aim of the this study was to evaluate the effect of various perinatal conditions on TSH and thyroid hormone levels in cord blood. METHODS: Cord blood samples were collected from 130 neonates immediately after birth. TSH, T3, and free T4 levels were measured by the radioimmunoassay(RIA) method. The effects of gestational age, sex, birth weight, delivery method, perinatal asphyxia, maternal diabetes mellitus(DM), and preeclampsia on TSH and thyroid hormone levels were assessed by ANOVA test, Student t-test, and multiple regression analysis. RESULTS: Birth weight and sex did not affect TSH and thyroid hormone levels. TSH level increased according to gestational age(P<0.05). TSH level was 4.42+/-0.66 microIU/mL in infants born vaginally, which was higher than that of cesarian section delivery(3.31+/-0.33 microIU/mL)(P<0.05). TSH level was 5.18+/-0.93 microIU/mL in asphyxiated newborns and 2.97+/-0.84 microIU/mL in non-asphyxiated newborns(P< 0.05). TSH level in infants with maternal DM(8.911+/-1.25 microIU/mL) was higher than that of infants without maternal DM(4.32+/-0.42 microIU/mL)(P<0.05). TSH level was 5.28+/-0.42 microIU/mL in infants with maternal preeclampsia and 3.65+/-0.46 microIU/mL in infants without maternal preeclampsia(P<0.05). Thyroid hormones were lower in infants with perinatal asphyxia(P<0.05). In asphyxiated infants, T3 level was 75.33+/-55.65 ng/mL and free T4 was 0.54+/-0.21 ng/mL. T3 and free T4 level was 109.85+/-41.77 ng/mL and 0.76+/-0.22 ng/mL each in infants without perinatal asphyxia. Among the perinatal factors, gestational age, 1 min Apgar score and maternal DM influenced TSH level independently. CONCLUSION: In our study, cord blood TSH and thyroid hormone levels were affected by perinatal stress events.
Apgar Score
;
Asphyxia
;
Birth Weight
;
Fetal Blood*
;
Gestational Age
;
Humans
;
Infant
;
Infant, Newborn
;
Parturition
;
Pre-Eclampsia
;
Thyroid Gland*
;
Thyroid Hormones
;
Thyrotropin
8.Prenatal cytogenetic studies by midtrimester amniocentesis.
Young Ho YANG ; Seung Hun LEE ; Sei Kwang KIM ; Yong Won PARK ; Hae Ree SUNG ; Chan Ho SONG
Korean Journal of Obstetrics and Gynecology 1992;35(3):333-340
No abstract available.
Amniocentesis*
;
Cytogenetics*
;
Female
;
Humans
;
Pregnancy
;
Pregnancy Trimester, Second*
9.Clinical experiences of osseous genioplasty.
Sung jin HWANG ; Jin hoo JOO ; Il Dong KIM ; Chung Hun KIM ; Song Chul KIM ; Seok Jun OH
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1993;20(2):312-324
No abstract available.
Genioplasty*
10.Effect of the Mixture of Thrombin Powder and Gelfoam Powder on Control of Exposed Cancellous Bone Bleeding.
Sung Wan PARK ; Ha Young CHO ; Seung Myoung LEE ; Seong Hun JEONG ; Jin Kyu SONG ; Suk Jung JANG ; Ho SHIN
Journal of Korean Neurosurgical Society 2000;29(5):664-667
No abstract available.
Gelatin Sponge, Absorbable*
;
Hemorrhage*
;
Thrombin*