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Dr. GalalÀÌ 2005³â 5¿ù 20ÀÏ~ 23ÀÏ ÇùÁøÁø·á¸¦ À§ÇØ Çª¸¥¼¼»ó¾È°ú¸¦ ³»¹æÇÏ¿´½À´Ï´Ù.Ǫ¸¥¼¼»ó¾È°ú´Â ÀÏ¹Ý ¶ó½Ä¼ö¼ú ÈÄ ¹ß»ýÇÑ ºÎÀۿ붧¹®¿¡ ¾ß°£½Ã·Â°¨¼Ò¿Í ¾ß°£ºû¹øÁü Çö»óÀ» È£¼ÒÇϼ̴ø ºÐµéÀÇ ¸ð½ÀÀÌ ¾ÈŸ±î¿Í ¶ó½Ä ¹× ¿þÀ̺êÇÁ·ÐÆ®¼ö¼úÀÇ Ã¢½ÃÀÚÀÎ Dr. Siganos & Dr. Alio ÀÇ º´¿ø°ú ÇùÁøüÁ¦¸¦ ±¸ÃàÇÏ¿© ¶ó½Ä ÀçÄ¡·á ¼¾Å͸¦ ¿î¿µÇÏ°í ÀÖ½À´Ï´Ù.À̸¦ À§ÇØ "¿þÀ̺êÇÁ·ÐÆ®"ÀÇ Ã¢½ÃÀÚÀÎ Dr. Alio°¡ president professor·Î ÀÖ´Â SpainÀÇ Alicante¿¡ À§Ä¡ÇØ ÀÖ´Â Vissum eye center¿¡¼ Dr. Galal(¿þÀ̺êÇÁ·ÐÆ® ¹× ¶ó½ÄÀçÄ¡·á ¼ö¼®Àü¹®ÀÇ)ÀÌ º»¿ø ¾Ð±¸Á¤¼¾ÅÍ¿¡ ³»¹æÇÏ¿©, ¶ó½ÄÈÄ ºÎÀÛ¿ëÀ¸·Î °í»ýÇϴ ȯÀںеéÀÇ ¼öÂ÷ µ¥ÀÌÅ͸¦ ¹ÙÅÁÀ¸·Î ¸¸Á·µµ ÀúÇÏ ¿øÀÎ ºÐ¼®°ú Ä¡·á¹æ¹ý¿¡ ´ëÇؼ ³íÀÇÇÏ¿´½À´Ï´Ù.Vissum eye center´Â Àü¼¼°è¿¡¼ ¾ç»êµÇ´Â ¸ðµç ¶ó½Ä¼ö¼úÀåºñ¸¦ °®Ãß°í Çظ¶´Ù ¼ö¹éÆíÀÌ»óÀÇ ¶ó½Ä°ü·Ã³í¹®À» ÇÐȸ¿¡ ¹ßÇ¥ÇÏ°í ÀÖ´Â ¼¼°èÃÖ°íÀÇ ·¹ÀÌÀú¼ö¼úÀü¹®º´¿øÀ¸·Î¼ º»¿ø°ú´Â Áö¼ÓÀûÀÎ ÇùÁø°ü°è¸¦ À¯ÁöÇÏ°í ÀÖ¾î ¼±Áø±â¼úµµÀÔ¿¡ ¾ÕÀå¼°í ÀÖÀ¸¸ç, ƯÈ÷ ÀÚÁÖº¸±â ¾î·Á¿î Èñ±ÍÇÑ caseÀÇ ¶ó½ÄºÎÀÛ¿ë¿¡ ´ëÇØ ¼·ÎÀÇ °æÇè°ú ³ëÇϿ츦 °ø°³ÇÏ°í Åä·ÐÇÏ¿© »óÈ£ Ä¡·á¹æÇâÀ» »óÀÇÇÏ°í ÀÖ½À´Ï´Ù.º»¿ø¿¡¼ ½ÃÇàÇÏ´Â ¶ó½ÄÀçÄ¡·á±â¹ýÀº ±âÁ¸ÀÇ ÀϺΠº´¿ø¿¡¼ ½ÃÇàÇÏ´Â ´Ü¼øÇÑ Àç¼ö¼úÀÌ ¾Æ´Ñ, º¸´Ù ÷´ÜÀÇ ±â¼ú·ÂÀ» ¹ÙÅÁÀ¸·ÎÇÑ "Á¦´ë·ÎµÈ Àåºñ"¿Í "Á¦´ë·ÎµÈ ÀÇ·áÁ¤º¸°øÀ¯"·Î ÀÌ·ç¾îÁø ¼±ÁøÈµÈ ±â¼úÀÔ´Ï´Ù.Ǫ¸¥¼¼»ó¾È°ú´Â ¾ÕÀ¸·Îµµ 100% ¸¸Á·µÈ °á°ú¸¦ ¾ò±â À§Çؼ ³ë·Â ¿¬±¸ÇÒ °ÍÀÔ´Ï´Ù.- ´ÙÀ½Àº ¾ó¸¶Àü °°ÀÌ Áø·áÇÑ ÇÑ È¯ÀÚ¿¡ ´ëÇÑ Åä·ÐÀÇ final result reportÀÔ´Ï´Ù. -Our provisional diagnoses is Silent Cogan basement membrane dystrophy. conclusions: 1. There are some deep stromal opacities that we think it was there pre-op and overlooked2. The laser energy delivered was inadequately more that requested and led to hyperopic shift3. Flap reposition was not adequate and resulted in flap striae that caused lose of 2 lines of the patients BCVA4. The interface was clean and there is no further problem with it solution:1. Flap elevation and stretching should be performed by using distilled water and 7 stitched 10/0 and stitched should be removed after 10 days.2. If the flap improves in the character (less striae) then next step ( 3 months later) is refraction and custom-LASIK using Schwind Esiris laser to optimized the results3. If flap did not improved we then will discuss the surgical technique to correct this complications |