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2.
Artículo en Coreano | WPRIM | ID: wpr-108078

RESUMEN

PURPOSE: To evaluate the clinical effects of excimer laser refractive surgery on eyes with residual refractive error after implantation of ReSTOR(R) multifocal intraocular lenses. METHODS: We retrospectively reviewed the medical records of 10 eyes of 6 patients who had undergone cataract surgery with implantation of multifocal intraocular lenses. Photorefractive keratectomy (PRK) (5 eyes) and laser-assisted in situ keratomileusis (LASIK) (5 eyes) was performed on 10 eyes with residual refractive error. RESULTS: After cataract surgery and before laser surgery, the mean spherical equivalent (SE) was -0.34 +/- 0.89 D and the mean astigmatism was 2.08 +/- 0.55 D. Six months after laser surgery, the mean SE was -0.33 +/- 0.30 D (p = 0.354) and the mean astigmatism was 0.23 +/- 0.28 D. The changes in astigmatism between paired preoperative and postoperative values were statistically significant (p < 0.0001). At 6 months after surgery, uncorrected distance visual acuity significantly improved to 0.11 +/- 0.10 (log MAR) (p < 0.0001) There were no significant changes in the best corrected distance visual acuity and uncorrected near visual acuity (p = 0.073, p = 0.100). CONCLUSIONS: On the basis of predictability and stability, excimer laser surgery appears to be a clinically useful procedure to correct residual refractive error after implantation of ReSTOR(R) multifocal intraocular lenses.


Asunto(s)
Humanos , Astigmatismo , Catarata , Ojo , Queratomileusis por Láser In Situ , Terapia por Láser , Láseres de Excímeros , Lentes Intraoculares , Registros Médicos , Queratectomía Fotorrefractiva , Errores de Refracción , Procedimientos Quirúrgicos Refractivos , Estudios Retrospectivos , Agudeza Visual
3.
Artículo en Coreano | WPRIM | ID: wpr-187951

RESUMEN

A 42-year-old female was admitted to our hospital complaining of a dyspnea. Chest X-ray showed left atelectasis. A mass was detected in left main bronchus by computed tomography and bronchoscopy. The mass was diagnosed as a endobronchial leiomyoma by biopsy exam. After open thoracotomy and bronchotomy, mass removal was done and middle lobe was ventilated normally. Aberrant arterial supply from descending aorta to left lower lobe of the lung was detected and left lower lobectomy was done. The lower lobe of the left lung was pathologically diagnosed as intralobar pulmonary sequestration. Herein we report a rare coexistent case of endobronchial leiomyoma and intralobar pulmonary sequestration.


Asunto(s)
Adulto , Femenino , Humanos , Aorta Torácica , Biopsia , Bronquios , Neoplasias de los Bronquios , Secuestro Broncopulmonar , Broncoscopía , Disnea , Leiomioma , Pulmón , Atelectasia Pulmonar , Toracotomía , Tórax
4.
Artículo en Coreano | WPRIM | ID: wpr-172672

RESUMEN

Occult bronchial foreign body is that long-standing foreign body lodge in bronchial tree. A 63-year-old male was admitted our hospital complaining of a cough. Chest computerized tomography and bronchoscopy showed collapse of right middle lobe and foreign body in the bronchus intermedius. After open thoracotomy and bronchotomy, foreign body was removed and collapsed middle lobe was ventilated. Herein we report a case of middle lobe syndrome caused by occult foreign body in the bronchus intermedius.


Asunto(s)
Humanos , Masculino , Persona de Mediana Edad , Bronquios , Broncoscopía , Tos , Cuerpos Extraños , Síndrome del Lóbulo Medio , Toracotomía , Tórax
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