• Title/Summary/Keyword: 각막두께

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Comparison of Anterior Segment Features between Groups with or without Glaucoma in Pseudoexfoliation Syndrome (거짓비늘증후군에서 개방각녹내장 병합 유무에 따른 전안부 소견과 생체 계측치에 대한 비교)

  • Gu, Bon Hyeok;Choi, Sangkyung
    • Journal of The Korean Ophthalmological Society
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    • v.59 no.11
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    • pp.1049-1055
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    • 2018
  • Purpose: To investigate the factors associated with glaucoma in patients with pseudoexfoliation syndrome by comparing features of the anterior segments and ocular biometry according to the presence or absence of open-angle glaucoma in pseudoexfoliation syndrome. Methods: We analyzed 96 patients (115 eyes) diagnosed as having pseudoexfoliation syndrome in this study. The patients were divided into two groups of simple pseudoexfoliation syndrome (64 patients, 76 eyes) and pseudoexfoliation glaucoma (32 patients, 39 eyes). We compared the age, sex, underlying disease, location of pseudoexfoliative material, iris change, degree of nuclear cataract, pupil dilatation, corneal endothelial cell counts, central corneal thickness, anterior chamber depth, axial length, corneal curvature, and intraocular pressure (IOP). Results: There were no significant differences between the two groups in terms of age (p = 0.694), sex (p = 0.161), diabetes (p = 0.440), hypertension (p = 0.238), pseudoexfoliative material observed in anterior capsule (p = 0.700), pupillary margin (p = 0.210), iris depigmentation (p = 0.526), pupillary ruff loss (p = 0.708), degree of nuclear cataract (p = 0.617), pupil dilatation (p = 0.526), central corneal thickness (p = 0.097), anterior chamber depth (p = 0.283), axial length (p = 0.095), or horizontal and vertical corneal curvature (p = 0.066 and 0.306, respectively). In pseudoexfoliation glaucoma, significantly higher IOP (p = 0.026), a high frequency of membrane formation (p = 0.047), and decreased corneal endothelial cell counts (p = 0.048) were observed. Conclusions: Pseudoexfoliation syndrome with open-angle glaucoma was shown to be associated with high IOP, decreased corneal endothelial cell counts, and a high frequency of membrane formation. Therefore, when such changes are observed in pseudoexfoliation syndrome patients, a higher risk of open-angle glaucoma should be recognized, and careful attentionis required accordingly.

The Clinical Study on the Visual Acuity and Cornea of ez-NANOsence II RGP Contact Lens (ez NANOsence II RGP 콘택트렌즈의 시력과 각막에 미치는 임상적 연구)

  • Kim, Douk-Hoon;Bae, Han-Young;Han, Mung-Gyo
    • Journal of Korean Ophthalmic Optics Society
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    • v.12 no.4
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    • pp.55-69
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    • 2007
  • The purpose of this study was to perform a clinical test using ez NANOsence II RGP contact lenses for the effects of visual acuity and cornea on subjects with abnormal refraction status. One hundred twenty one adults (twenty nine males, ninety two females, range = 17 to 43, mean = 22.86) were recorded. The subject's history including, the symptoms from previous lens wear, were studied. The subjects were observed, both pre and post lens wear, for any symptoms and signs of change of the eye. The Visual acuity and the binocular status were tested at the far distance using the contact lens. The refraction test was performed on the naked eye using the objective method (Topcon KR-8100, Japan). The Stereopsis test was performed at the near distance after contact lens wear by the Titmus fly (Stereo Optical Co., U.S.A) and TNO (TECH, The netherlands). The contrast sensitivity diagnosis was performed at 1m distance after contact lens wear by the contrast sensitivity chart (pelli-Robertson, USA). The corneal topography was analyzed on the naked eye after lens wear by ORB scan (Bausch Lomb, U.S.A.). The ultra structure of surface on the contact lens was observed using SEM (JMS-5800, Japan). The chemical component's of the contact lens was analyzed by EDS program. The results of this study were as follows: 1. The longer of contact lens wear period, The subjects have acquired the most improved visual function. 2. Subjects had experienced few side effects wearing the contact lenses. 3. The lenses were easy to use by the subjects. 4. The longer of contact lens wear period, the power of cornea had more decrease. but the base curve of cornea had more increase and corneal astigmatism was decrease (p<0.01). Also, the thickness of corneal center was few decrease. 5. Longer periods of using the contact lens showed stereopsis and contrast sensitivity at more normal values. 6 The corneal topographical after lens wear showed most subjects with similar morphology for different wear periods. 7. The surface ultrastructure of the new and used contact lens was the similar fine shape. 8. The chemical component's of in the new and used contact appeared to have similar results. In conclusion, this study showed that the surface ultrastructure and chemical component's of the new and used contact lens are similar. In addition, the subjects had improved the quality of vision and few experienced any side effects during long periods of contact lens wear. Also they have decrease of corneal astigmatism during the long period of lens wear. Our test has showed that the chemical composition and fine structure of contact lens have related to the visual function on contact lens wearer. In this paper, we suggested that ez NANOsence II RGP contact lenses had a moderate effect for correcting vision of abnormal refraction eye.

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A Study of a Correction Effect of Astigmatism using Spherical RGP Lens (근시성 난시안에서 구면 RGP 콘택트렌즈의 난시교정 효과)

  • Ju, Seok-Hui;Park, Hae-Jung;Shin, Chul-Gun;Shim, Hyun-Seog
    • Journal of Korean Ophthalmic Optics Society
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    • v.8 no.2
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    • pp.85-89
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    • 2003
  • A tear lens formed by between back surface of spherical rigid gas permeable(RGP) contact lens and front surface of cornea shows an excellent correction effect of astigmatism. To study an effects of tear lens power using spherical RGP lens and therefore to utilize them in clinical procedures, we analyze a change of the total astigmatism, the cornea astigmatism, and the residual astigmatism, we derive the following conclusion. 1. Almost all refractive astigmatism below than 2.00D present fully corrected. Thereby resulting good visual acuity. Refractive astigmatism higher than 2.50D show under-corrected and apparent decrease of visual acuity if it is higher than 3.00D. 2. Amount of corneal astigmatism below than 2.50D show acceptable under-corrected while higher than 3.000 present unacceptable visual acuity. 3. An estimated residual astigmatism is not revealed as it is : but it is reduced when it incorporate to refractive astigmatism.

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Study of Ocular Optical Components (안구의 광학적 구조에 관한 연구)

  • Seo, Y.W.;Choe, Y.J.
    • Journal of Korean Ophthalmic Optics Society
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    • v.5 no.2
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    • pp.139-144
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    • 2000
  • In this study, anterior corneal radius of curvature in korean subjects aged between 16 to 79 year-olds were measured using a keratometer. Refractive power was also measured without cyloplegia. A-mode Ultrasonography was used to measure anterior chamber depth, crystalline lens thickness, vitreous chamber depth & axial length. Measurements of anterior chamber depth of subjects in their 20s were between 3.0 mm & 4.0 mm, 70s age group were between 2 mm & 3.50 mm, showing a decrease with age. Crystalline lens thickness of 20s age group was 2.64 mm while 70s age group was 4.62 mm showing an increase with age. Vitreous chamber depth, unaffected by age, was about 17 mm. Axial length was 24.47 mm in subjects below 40s age groups decreasing to 24.11 mm in above 40s age groups. Corneal radius of curvature was 7.79 mm and 7.72 mm in younger and older age groups respectively, showing a decrease with age.

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Ultrasonographic and Biometric Evaluation of the Eyes of Horses and Cattle (말과 소에서 눈의 초음파측정과 생체측정의 평가)

  • ;小谷忠生
    • Journal of Veterinary Clinics
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    • v.14 no.1
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    • pp.70-74
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    • 1997
  • 말과 소의 정상 안구내의 구조와 크기를 알아보기 위하여 10마리의 말과 14두의 Holstein 안구를 적출하여 생리식염수내에서 초음파상으로 안구내의 구조를 확인하였으며 각막의 두께, 전방의 깊이, 수정체의 두께, 초자체의 깊이 및 안구축을 측정하였다. 초음파로 측정한 안구를 $-30{\circ}C$ 로 동결한 후 Diamond cutter로 절단하여 caliper로 측정하여 Student-t test로 처리하여 수치를 비교하였다. 초음파상에서 말은 암컷$(35.99{\pm}1.97)과 숫컷(35.94{\pm} 3.36)$, 좌측(36.26)과 우측$(35.67{\pm}2.65)$눈의 크기가 비슷하였으나, 소에서도 좌측$(29.06{\pm} 3.36)과 우측(28.53{\pm} 3.36)$눈의 크기가 비슷하여 통계학적 유의차는 없었다. 본 연구에서는 7.5MHz 초음파기의 B-Mode 방식을 이용하여 말과 소의 안구의 구조를 확인하고 측정하였는데 임상적으로 매우 유용하여 수의안과학에서 적용할수 있는 가치있는 진단법이다.

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Sex Steroid Hormone and Ophthalmic Disease (성호르몬과 안질환)

  • Kim, Jin-Ju;Yu, Hyeong-Gon;Ku, Seung-Yup
    • Clinical and Experimental Reproductive Medicine
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    • v.37 no.2
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    • pp.89-98
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    • 2010
  • Sex and its tropic hormones influence the lacrimal system, corneal anatomy and disease, aqueous humor dynamics and glaucoma, crystalline lens and cataract, and retinal disease. Dry eye occurs especially frequently during pregnancy, oral contraceptive use, and after menopause, during which androgen levels decrease. Androgen control development, differentiation, and lipid production of sebaceous glands throughout the body, and androgen deficiency also leads to meibomian gland dysfunction and evaporative dry eye. On the other hand, estrogen causes a reduction in size, activity, and lipid production of sebaceous glands. Sex and its tropic hormones also influence the corneal anatomy and disease, and corneal thickening occurred on the second day of the menstrual cycle and around the time of ovulation and appeared to be related to estrogen levels. Fuchs' dystrophy is more commonly seen in postmenopausal women than men and may be linked to hormonal changes that occur with aging. In addition, overexpression of estrogen and progesterone receptors in the conjunctiva of vernal keratoconjunctivitis patients. Serum progesterone levels also may be associated with intraocular pressure especially in pregnant women, and for the women. For women with cataracts, hormone levels were typical of menopause, and there was a significant negative correlation between estradiol and follicular stimulating hormone levels. In addition, serum testosterone levels are associated with the development of diabetic retinopathy. Although the role of sex hormones on the eye is largely unknown, and the results should be interpreted with caution until replicated, the functions of sex hormones in ocular disease remains to be investigated, because they may be involved in structure and function of the ocular components, which are important in the pathogenesis of ocular disease.

Evaluation of Oxygen Permeability of Soft Contact Lenses Based on Thickness (두께 기준에 따른 소프트 콘택트렌즈의 산소투과성 평가)

  • Yu, Dong-Sik;Moon, Byeong-Yeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.8
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    • pp.2157-2163
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    • 2009
  • The oxygen permeability of a soft contact lens is an important parameter for determining corneal health when considering the physiological response of the eye. The aim of this study is to evaluate the oxygen permeability of soft contact lenses based on thickness, using the polarographic method. The thickness of lens was measured using contact and non-contact method. To assess accuracy and reliability, the Bland-Altman plot was used. The reliability was high for the oxygen permeability based on center thickness measured by contact method, whereas the accuracy was high for the oxygen permeability based on center thickness measured by non-contact method. These results indicate that the permeability characteristics were variable according to the measurement and criteria of thickness of soft contact lenses and the measurement of soft contact lenses by non-contact method was more reasonable. Thus, contact lens practitioners should consider some basic differences between methodologies when interpreting or quoting oxygen performance data.

Transparency of various silk fibroin membranes (혼합 실크 피브로인막의 투명도)

  • Jo, You-Young;Kweon, HaeYong;Yeo, Joo-Hong;Lee, Kwang-Gill
    • Journal of Sericultural and Entomological Science
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    • v.51 no.2
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    • pp.197-200
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    • 2013
  • Silk fibroin is a natural biomaterial that has the biocompatibility and other many advantages. But as a silk fibroin membrane thickness increases, the transparency becomes more opaque. Because the transparency of membranes tissue such as the cornea and dura mater are necessary, transparent membrane is required to replace these transparent membranes. In this study, we fabricated blending silk fibroin membranes that made by mixing the various inorganic salts or polymer in an aqueous solution of silk fibroin. The transparency of the membranes were analyzed. the transparency of these membranes is very different, depending on the mixed materials. Inorganic salts mixed silk membrane was more transparent than the polymer mixed one. Especially, the silk fibroin membrane with calcium chloride was very transparent. We showed the possibility of blending silk fibroin membrane, which can be used in perfect transparent membrane such as the cornea. In the future, we expect that the transparent blending silk fibroin membrane can be used in various medical applications.

Dose Distribution for Eye Shielding Block In 6 MV Photon Beam Therapy (6 MV 광자선치료에서 안구차폐기구의 제작과 선량분포 측정)

  • Lee, Kyung-Ja
    • Radiation Oncology Journal
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    • v.10 no.2
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    • pp.155-161
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    • 1992
  • The eye lens is known to be radiosensitive organ and catarat can be induced by relatively low dose of radiation. In the treatment of head and neck tumors, shielding blocks are frequently used to minimize dose on sensitive organs. The shielding block, which is made of high atomic number materials (cerrobend), produce significant dose perturbations in megavoltage photon beams. The effects of these perturbations of eye shielding blocks are measured with film and ion chambers for the treatment of head and neck malignancies. Optimum parameters for the treatment are suggested.

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Effect of Hydrogel lens and Silicone-Hydrogel lens on Corneal thickness (하이드로겔 렌즈와 실리콘-하이드로겔 렌즈가 각막 두께에 미치는 영향)

  • Seo, Jung-Ick
    • Journal of Korean Clinical Health Science
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    • v.5 no.4
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    • pp.1021-1025
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    • 2017
  • Purpose: Changes in corneal thickness after wearing hydrogel lens and silicone-hydrogel lens with different oxygen transmission rates wew syudied. Methods: Experiments were performed on 11 subjects(22 eyes). corneal thickness was measured after wearing contact lenses for 8 hours. Corneal thickness was measured using ORB Scan II(ver. 3.14) Results: In the results of the corneal thickness measurement by direction, in the case of the hydrogel-tor lens, the center thickness was $33.63{\mu}m$, the nasal was $34.29{\mu}m$, the temporal was $27.17{\mu}m$, the inferior was $27.17{\mu}m$, the superior was $18.90{\mu}m$, and change rates were 6.28%, 5.71%, 5.40%, 4.75% and 3.09%, respectively. In the results of the corneal thickness measurement by diameter, in the case of the hydrogel-tor lens, the center was $33.63{\mu}m$, the mid-peripheral was $28.19{\mu}m$, the peripheral was $24.18{\mu}m$, and change rates were 6.28%, 4.76%, and 3.79%, respectively. Conclusions: The hydrogel lenses with relatively low oxygen transmission rates resulted in a significant increase in thickness over the entire cornea compared to silicon-hydrogel lenses with high oxygen transmission rates.