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망막박리 수술 후 발생한 브라운증후군 1예

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Author(s)
문 건김진희이세엽
Keimyung Author(s)
Lee, Se YoupKim, Jin Hee
Department
Dept. of Ophthalmology (안과학)
Dept. of Radiation Oncology (방사선종양학)
Journal Title
대한안과학회지
Issued Date
2006
Volume
47
Issue
11
Abstract
Purpose: To report a case of acquired Brown syndrome found in the left eye of a female patient who had undergone surgery for proliferative vitreoretinopathy.
Methods: A 41-year-old female patient presented with right hypertropia and esotropia. We reviewed her history, conducted an ophthalmic examination and performed surgery.
Results: Prior to presentation, the patient experienced a sudden decrease in visual acuity. She was diagnosed with proliferative vitreoretinopathy caused by rhegmatogenous retinal detachment, and underwent scleral buckling. After surgery, with the eye in the primary position, the right hypertropia was 9 prism diopters and the esotropia was 30 prism diopters. The patient was unable to elevate the eye in the adducted position. A forced duction test was performed and we detected a restricted elevation in adduction. By performing a tenectomy of the superior oblique muscle and a recession of the medial rectus muscle, orthophoria was obtained in the primary position, and the elevation in adduction improved.
Conclusions: Herein, we report satisfactory results of a procedure in one case of acquired Brown syndrome following retinal detachment surgery.
목적 : 증식유리체망막병증으로 수술받은 여자 환자에서 좌안 후천브라운증후군을 경험하였기에 보고하고자 한다.
대상과 방법 : 우안 상사시 및 내사시를 주소로 내원한 41세 여자환자를 대상으로 병력청취, 안검사 및 수술을 시행하였다.
결과 : 좌안에 갑자기 발생한 시력저하로 내원하여 열공망막박리에 의한 증식유리체망막병증 진단 후 공막돌륭술을 시행받았다. 술 후 환자는 일차안위에서 9프리즘디옵터의 우안 상사시, 30프리즘디옵터의 내사시를 보였다. 단안 검사상 좌안 내전시 상전장애를 보였고 사시수술 중 시행한 견인검사에서도 내상전 제한을 보였다. 좌안 상사근힘줄절제술 및 양안 내직근후전술을 시행하여 일차안위에서 정위를 보였고, 내전시 상전 제한이 호전되었다.
결론 : 저자들은 망막박리 수술 후 발생한 후천브라운증후군 1예를 수술하여 만족할 만한 결과를 보였기에 보고하는 바이다.
Alternative Title
Acquired Brown Syndrome After Retinal Detachment Surgery
Keimyung Author(s)(Kor)
이세엽
김진희
Publisher
School of Medicine
Citation
문 건 et al. (2006). 망막박리 수술 후 발생한 브라운증후군 1예. 대한안과학회지, 47(11), 1875–1878.
Type
Article
ISSN
0378-6471
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/37977
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Ophthalmology (안과학)
1. School of Medicine (의과대학) > Dept. of Radiation Oncology (방사선종양학)
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