研究者業績

野村 僚子

nomura ryoko

基本情報

所属
藤田医科大学 医学部 医学科 眼科学 講師
学位
博士(医学)

J-GLOBAL ID
201501003260212880
researchmap会員ID
7000013190

論文

 6
  • Atsuhiro Tanikawa, Keita Suzuki, Ryoko Nomura, Hidenori Tanaka, Tadashi Mizuguchi, Yoshiaki Shimada, Masayuki Horiguchi
    Documenta Ophthalmologica 142(2) 177-183 2021年4月  
  • Ryoko Nomura, Yoshiaki Shimada, Mitsuo Sugimoto, Atsuhiro Tanikawa, Tadashi Mizuguchi, Masayuki Horiguchi
    Fujita medical journal 7(3) 105-109 2021年  
    OBJECTIVES: We compared the effects of sub-Tenon's capsule anesthesia (STA) and trans-Tenon's capsule retrobulbar anesthesia (TTRBA) in 68 patients with epiretinal membrane. METHODS: Either STA or TTRBA was induced with 3 mL of lidocaine (2%) before vitrectomy combined with phacoemulsification and aspiration (phacovitrectomy). Akinesia was evaluated by range of eye movement (ROEM) in upward, downward, nasal, and temporal directions at 4, 10, and 30 minutes after injection. Analgesia was evaluated with a visual analogue pain score, which ranged from 0 to 10. RESULTS: The mean cumulative ROEMs were 1.44±1.02 corneal diameters (CDs) at 4 minutes, 0.55±0.76 CDs at 10 minutes, and 0.26±0.33 CDs at 30 minutes in patients who received STA; these values were 0.39±0.35 CDs at 4 minutes, 0.22±0.30 CDs at 10 minutes, and 0.13±0.29 CDs at 30 minutes in patients who received TTRBA. At both 4 and 10 minutes, the cumulative ROEMs in all directions, as well as the temporal ROEMs, were significantly larger in patients who received STA than in patients who received TTRBA. Pain scores did not significantly differ between groups at any time point. CONCLUSIONS: STA and TTRBA produced identical degrees of analgesia, but akinesia was slower in patients who received STA. TTRBA might be preferable for patients undergoing brief vitrectomy.
  • 木全 正嗣, 水口 忠, 三宅 悠三, 野村 僚子, 山本 直樹, 谷川 篤宏, 堀口 正之
    臨床眼科 74(6) 721-728 2020年6月  
    <文献概要>目的:網膜と水晶体前嚢の異常を示し,水晶体再建術により良好な視力を得たアルポート症候群の症例の報告。症例:27歳男性。両眼の視力低下で当院紹介となった。既往歴にアルポート症候群で腎移植歴があった。所見:矯正視力は右0.3,左0.5で,両眼に前部円錐水晶体があり,両眼黄斑耳側に白色斑の散在を認め,光干渉断層計では同部位の網膜内層菲薄化を認めた。黄斑微小視野計では同部位に感度低下を認めず,多局所網膜電図でも同部位に一致した振幅の減弱はなかった。当院にて両眼の水晶体再建術を施行した。採取した前嚢は菲薄化し,亀裂を無数に認めた。水晶体上皮細胞の空胞化と細胞内小器官の減少が観察された。術後矯正視力は両眼とも1.0と改善した。結語:網膜形態異常と前部円錐水晶体を伴うアルポート症候群を経験した。検査上,前部円錐水晶体による屈折異常を認めたが,網膜菲薄部位に一致する明らかな機能的異常は認めず,水晶体再建術により良好な視力を得られた。前部円錐水晶体は,水晶体嚢の脆弱化による構造異常のためと考えられた。
  • Masashi Kimata, Tadashi Mizuguchi, Yuzo Miyake, Ryoko Nomura, Naoki Yamamoto, Atsuhiro Tanikawa, Masayuki Horiguchi
    Japanese Journal of Clinical Ophthalmology 74(6) 721-728 2020年  
    Purpose: To report a case of Alport syndrome with abnormal retina and anterior capsule in the lens. Case: A 27-year-old male was referred to us for reduced visual acuity in both eyes. He had received renal transplantation for renal failure due to Alport syndrome. Findings and Clinical Course: Corrected visual acuity was 0.3 right and 0.5 left. Both eyes showed anterior lenticonus in both eyes. Funduscopy showed dot-and-fleck lesions in the perimacular and peripheral retina. Optical coherence tomography showed thinning of inner layer in the temporal retina in both eyes. There was no loss of sensitivity at these sites by microperimetry. Multifocal ERG showed no amplitude attenuation in the thinned retinal area. Both eyes received cataract surgery. The removed anterior capsule showed thinning and multiple vertical dehiscences by electron microscopy. Lens epithelial cells were vacuolated and contained fewer intracellular organelles. Visual acuity improved to 1.0 in either eye. Conclusion: This case of Alport syndrome showed refractive abnormalities due to lenticonus but no obvious retinal dysfunction. The lens capsule showed structural abnormalities. Visual acuity improved after cataract surgery.
  • 堀口正之, 谷川篤宏, 水口忠, 三宅悠三, 田中秀典, 杉本光生, 佐本大輔, 鈴木啓太, 野村僚子, 森本絵美, 成相由依, 関戸康祐, 高御堂祐基, 小池晃央, 小池絵実果, 加藤大輔, 木全正嗣, 筧清香, 島田佳明, 平野耕治, 宮地栄一, 河合房夫, 山田勝啓, 北島延昭, Geoffrey B Arden, Thor Eysteinsson
    日本眼科学会雑誌 123(3) 226-259 2019年  査読有り招待有り
  • 野村僚子, 水口忠, 谷川篤宏, 堀口正之
    あたらしい眼科 34(7) 1060-1064  査読有り

講演・口頭発表等

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