우리나라의 면부 유구낭충증

초록

Though not often found in the past, ocular cysticercosis tends to be found more frequently throughout the nation lately since Son reported four cases of subretinal cysticercosis in 1958. Although intra-ocular cysticercosis may often lead to blindness and atrophy of the globe, we have not epidemiological data on this case in Korea. In order to know the incidence, distribution and others of the ocular cysticercosis, the author recently studied 45 cases which were diagnosed as ocular cysticercosis at six university hospitals, three general hospitals and six private eye clinics from January, 1967 to July, 1972. It is still a problem in surgical extraction and diagnosis of the cysticercus that is located behind the lens. The author performed operation for five cases of cysticercosis cellulosae in the posterior segment of the eye during the time form February, 1968 to July, 1971. Based on this experience, the author reports several essentials helpful to the diagnosis and surgery. The results obtained were as follows: 1. Epidemiologically, ocular cysticercosis can be found all throughout the nation and in all classes of people. 2. In diagnosis, especially when the ocular media is cloudy, Goldmann's three-mirror contact lens is of great help. 3. Surgically, (a) when the cysticercus is retolental, surgical extraction is difficult. Even in markedly advanced cases, however, visual acuity can be improved after surgery. (b) Although surgery should be undertaken at an early date before the intra-ocular structures have suffered irreversible damage, it is advised that the operation may be postponed when the cysticercus in active. 4. Prophylaxis is urgent in order to prevent blindness and atrophy of the globe.