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The Journal of Internal Korean Medicine > Volume 42(5); 2021 > Article
The Journal of Internal Korean Medicine 2021;42(5): 1035-1044.
doi: https://doi.org/10.22246/jikm.2021.42.5.1035
한의 복합 치료를 통해 개선된 뇌졸중 후 시야 장애 환자 2례 증례보고
이영웅1,2, 강건희2, 김광호1,2, 김철현1,2, 강선이2, 이상관1,2
1원광대학교 광주한방병원 한방내과
2원광대학교 한의과대학 순환신경내과학교실
Post-stroke Visual Impairment Treated with Korean Medical Treatment: A Case Series
Young-ung Lee1,2, Geonhui Kang2, Kwangho Kim1,2, Cheol-hyun Kim1,2, Sunny Kang2, Sangkwan Lee1,2
1Dept. of Korean Internal Medicine, Wonkwang University Gwangju Medical Center
2Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University
Correspondence  Sangkwan Lee ,Tel: 062-670-6412, Fax: 062-670-6492, Email: sklee@wku.ac.kr
Received: September 17, 2021,   Accepted: October 25, 2021,   Published online: October 30, 2021.
ABSTRACT
Objective:
This study investigated two cases of Korean medical treatment for visual field impairment after stroke: Case 1, a 56-year-old male with a posterior cerebral artery infarction and right homonymous hemianopsia, and Case 2, a 46-year-old male with an intracerebral hemorrhage in the left parietal lobe and right homonymous hemianopsia.

Methods:
Case 1 was treated with acupuncture, electroacupuncture, and herbal medicine (Mangeum-tang) for two months, and Case 2 was treated with acupuncture, electroacupuncture, and herbal medicine (Oryeong-san) for 40 days.

Results:
Following treatment, for Case 1, the Humphrey visual field test showed improvement. The visual field indexes (VFIs) for the left and right eyes improved from 44% to 55% and 49% to 64% respectively, and the mean deviations (MDs) for the left and right eyes improved from -21.11 dB to -19.91 dB and -17.45 dB to -13.89 dB, respectively. The mean visual sensitivities (MVSs) of the left and right eyes also improved from 8.67 dB to 11.33 dB and 1.67 dB to 9.67 dB, respectively, with no side effects. For Case 2, the VFI for the left eye improved from 36% to 64% and that for the right eye remained unchanged. The MDs for the left and right eyes also improved from -22.02 dB to -14.47dB and -22.11 dB to -21.34 dB, respectively, with no side effects.

Conclusions:
This study suggests that Korean medical treatment may improve visual impairment after stroke, but further research is needed.
Key words: homonymous hemianopsia, visual impairment, visual field test, acupuncture
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