분야
pptDecreased vision으로
내원한 16세 여자
Admission note
Chief complaint
: “흐리게 보여요”
Present illness
16세 여자환자, 1995년(생후 4개월)에 congenital cataract 진단 후, 1996년 (생후 12개월)경 양안에 irrigation & aspiration of lens 및 Ant. vitrectomy 와 왼쪽 눈의 Post. capsulohexis 시행받았으며, 이후 안경 처방받아 시력교정 해오던 환자로 Secondary IOL (Intraocular Lens) implantation 위해 입원함.
정 O 경
F/16
Past medical history
DM/HTN/Tb/hepatitis (-/-/-/-)
Operation history:
1996.05.30
Right) irrigation & aspiration of lens / ant. vitrectomy
- 1996.06.07
Left) irrigation & aspiration of lens / ant. Vitrectomy / post. Capsulohexis
2000.02.20 Adenoidectomy and tonsilectomy
Admission note
Drug history (-)
Family history:
: 친할머니 congenital cataract history
Admission note
환자
*
*
Review of Systems
Eyes
pain / discharge / injection / visual disturbance (-/-/-/+)
diplopia / dryness / itching (-/-/-)
Physical Examinations
Vital Signs
BP 120/80mmHg - HR 60/min - RR 20/min - BT 36.3℃
BW 63kg Height 158.1m (BMI 25.2 kg/m2)
General : alert consciousness, not so ill looking
Ophthalmology 안과학 9판, 일조각, chapter 11
The infant aphakia treatment study: evalucation of cataract morphology in eyes with monocular cataract, Journal of American Association for Pediatric Ophthalmology and Strabismus 2011; 15; 421-426
