• Title/Summary/Keyword: 각막 두께

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An Excel Program for Dk Calculation of Contact Lens (엑셀 프로그램을 이용한 콘택트렌즈의 Dk 결정)

  • Kim, Dae Soo
    • Journal of Korean Ophthalmic Optics Society
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    • v.16 no.1
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    • pp.107-116
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    • 2011
  • Purpose: The review article was written to establish an excel program that could calculate minimal Dk of contact lens without $O^2$ deficiency and actual $O^2$ concentration on cornea when contact lens were being fitted by changing lens-related factors. Methods: An excel program was formulated to calculate the thickness of post-lens lacrimal layer, Dk of contact lens and $O^2$ concentration on cornea. Results: With the excel program established, minimal $O^2$ concentration needed on cornea could be calculated when the thickness of post-lens lacrimal layer was changed by varying lens-related factors. A different route in the excel program was needed to choose based on the shape of lacrimal layer. The thickness of lacrimal layer was determined by the shape of meniscus made of tear between lens edge and cornea with flat fit. Thus, the $O^2$ concentration showing negative number in calculation decreased on peripheral cornea with flatter fitting and actual $O^2$ concentration would be zero on cornea. With tight fitting, the thickness of post-lens lacrimal layer is much thicker than lens itself thus negative number in calculation by the excel program is shown indicating zero oxygen on cornea. It can cause $O^2$ deficiency regardless of Dk of contact lens. Conclusions: The calculation of thickness of post-lens lacrimal layer and $O^2$ concentration on cornea by the established excel program is suggested to avoid $O^2$ deficiency when fitting state is varied by changing lens-related factors.

Study of Ocular Components in Determining the Refractive State of the Eye (굴절이상을 결정하는 안광학 요소에 관한 연구)

  • Seo, Y.W.;Choe, Y.J.
    • Journal of Korean Ophthalmic Optics Society
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    • v.4 no.1
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    • pp.7-14
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    • 1999
  • The purpose of this study is to evaluate the relationship between ocular components and refractive error for human eye. Ocular components were measured by keratometry, phakometry, and ultrasonography. Refractive error was measured by subjective refraction on 38 subjects aged from 17 to 30. The results were as follows; 1) Refractive error and axial length, vitreous chamber depth, axial length/corneal radius were highly correlated that the correlation coefficients were 0.95, 0.96, 0.95, respectively. 2) Refractive error and corneal radius, corneal power, lens thickness were correlated with the correlation coefficients for 0.60, 0.66, 0.67 respectively. 3) There were no significant correlation between refractive error and corneal thickness.

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Study of the cornea characteristics using Oculus Pentacam (Oculus Pentacam을 사용한 각막 특성 분석)

  • Lee, Jeung-Young;Park, Eun-Kyoo
    • Journal of the Korea society of information convergence
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    • v.6 no.1
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    • pp.37-41
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    • 2013
  • In this study, by using the Oculus Pentacam, we analyzed the relationship of corneal front astigmatism corneal and the radius of curvature of the rear face of the 20's to 40's. The vertical radius of curvature were man 7.94mm (${\pm}0.22$), women 7.87mm (${\pm}0.21$), the horizontal radius of the anterior corneal appeared man 7.69mm (${\pm}0.27$), women 7.63mm(${\pm}0.23$). And rear vertical radius of curvature were man 6.52mm(${\pm}0.23$), woman 6.55mm (${\pm}0.22$), the horizontal radius of the anterior corneal appeared man 6.06mm (${\pm}0.24$), woman 6.08mm(${\pm}0.24$). The results of correlation analysis between the radius of corneal posterior surface and the anterior corneal surface, it was found out that there is a significant correlation. In this study, similar results were obtained anterior surface of the cornea, the radius of curvature of the rear surface, the refractive power, and astigmatism, as other papers that have been reported. But in this paper, the cornea thickness was thicker than other previously reported paper.

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The Effect of the UV irridation on the Cornea (UV조사가 각막에 미치는 영향)

  • Kim, Douk Hoon;Mun, Jung Hak
    • Journal of Korean Ophthalmic Optics Society
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    • v.1 no.2
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    • pp.19-35
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    • 1996
  • This study was performed on the mouse to estimate the effect of UV radiation on the cornea in UV clean bench by LM & SEM. The results are as follows In the control groups, The cornea tissue have relatively compact and each layer have well identify, and the thick of cornea have constant. In the increasing experimental time, the experimental result have very different. The early experimental groups results have not severely degeneration. But, some substrate layer have a swelling and some epithelial tissue have not normal shape. The middle experimental groups results have very swelling of the stroma, the vacoule of some region the condensation of the epithelium, and the irregular arrangement of the endothelium. The last experimental groups results have shirinking of cornea tissue, the swelling and vacoule of the end endothelium, the partially disruption of epithelium, the irregular thick of the corneal tissue.

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Comparison of Corneal Edema Induced by Material of Contact Lens (콘택트렌즈의 재질별 각막부종의 비교)

  • Kim, Ki-Sung;Kim, Sun-Kyung;Kim, Tae-Hun;Kim, Hyo-Jin
    • Journal of Korean Ophthalmic Optics Society
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    • v.20 no.2
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    • pp.151-156
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    • 2015
  • Purpose: This study has been compared the degree of corneal edema arising from the material of the lens after wearing the recommended wearing time for the contact lens. Methods: For the study, 43 adults of 77 eyes who did not use drugs and have not any disease participated. Three types of lenses including narafilcon A, HEMA, and silicone hydrogel material regular replaceable lenses were used. Central corneal thickness was measured before and after 8 hours from wearing lenses using Pentacam. The degree of corneal edema was determined by the difference before and after wearing. Results: The average corneal edema of narafilcon A, HEMA material lens, and silicone hydrogel material regular replaceable lens were $2.36{\pm}6.15{\mu}m(Mean{\pm}SD)$, $23.61{\pm}10.71{\mu}m$, $18.25{\pm}8.64{\mu}m$, respectively. The central corneal thickness after wearing narafilcon A was not statistically significant with the central corneal thickness before wearing the lens. Central corneal thickness before and after wearing HEMA material lens and silicone hydrogel material regular replaceable lens were statistically significant. Conclusions: The amount of corneal edema induced by silicone hydrogel material regular replaceable lens was no statistically significant difference to the amount of corneal edema induced by HEMA material lens, but there was significant difference to narafilcon A. Therefore, it is judged to be careful not to exceed the recommended wearing time depending on the composition of the contact lens material.

Accuracy of Astigmatic Correction Using Toric Intraocular Lens by Position and Size of Corneal Incision (각막절개 위치와 크기에 따른 난시교정인공수정체의 난시교정의 정확성)

  • Park, Wookyung;Kim, Man Soo;Kim, Eun Chul
    • Journal of The Korean Ophthalmological Society
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    • v.60 no.2
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    • pp.126-134
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    • 2019
  • Purpose: To assess the accuracy of toric intraocular lens (IOL) implantation by the location and size of the corneal incision. Methods: We retrospectively reviewed the medical records of 98 patients (98 eyes) who underwent phacoemulsification with toric IOL implantation from January 2014 to March 2017. The patients were divided into two groups: group 1 got an incision of the superior side of the cornea (n = 54) and group 2 received an incision on the temporal side of the eye (n = 44). For both groups, incisions were made at their steep corneal astigmatism axises. Each group was further divided into subgroups for whom different sized blades were employed (2.75 vs. 2.2 mm widths). We measured the refractive index and autokeratometric parameters. We postoperatively assessed residual astigmatism and any reduction thereof. Results: In both groups, uncorrected and best-corrected visual acuity, refraction cylinder astigmatism, and autokeratometric astigmatism improved statistically. Between two groups, corneal astigmatism decrease was not significant. Residual astigmatism also showed no significant differences between the two. Patients in both groups treated using 2.75 mm wide blades exhibited greater increases in corneal astigmatism. Conclusions: During cataract surgery, precise correction of astigmatism via toric IOL implantation is possible when surgically induced astigmatism is minimized by careful choice of the location and size of the corneal incision.

Thermokeratoplasty as a Treatment for Ulcerative Keratitis Caused by Corneal Endothelial Degeneration in Two Dogs (개의 각막내피세포 변성증에 의한 각막 궤양에 적용한 각막열성형술 2례)

  • Park, Young-Woo;Kim, See-Un;Ahn, Jae-Sang;Ahn, Jeong-Taek;Lee, Yesran;Lee, Eui-Ri;Yi, Na-Young;Seo, Kang-Moon;Jeong, Man-Bok
    • Journal of Veterinary Clinics
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    • v.28 no.5
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    • pp.533-537
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    • 2011
  • A 13-year-old, female, Shih-tzu and a 10-year-old, female, Yorkshire terrier were presented with ulcerative keratitis caused by corneal endothelial degeneration. Generalized corneal edema, conjunctival hyperemia, focal corneal pigmentation, corneal neovascularization, sub-epithelial bullae, and positive fluorescein staining were observed during ophthalmic examinations. Thermokeratoplasty was performed on the overall edematous corneas. Healing of the cornea was completed within 25 days and corneal ulceration has not recurred after healing of the cornea in both cases. Other ocular complications were not observed except for a slight increase in corneal pigmentation. According to this study, thermokeratoplasty could be an effective treatment for corneal ulceration secondary to corneal endothelial diseases in dogs.

Study of Masking Effect of Soft Contact Lenses on Cornea after Refractive Surgery (각막굴절교정 수술 안에 대한 소프트콘택트렌즈 착용 시 Masking 효과)

  • Moon, Ye-Rim;Park, Hyung-Min;Chu, Byoung-Sun
    • Journal of Korean Ophthalmic Optics Society
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    • v.21 no.2
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    • pp.91-98
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    • 2016
  • Purpose: This study investigated the masking effect of the hydrogel lens and silicone hydrogel lens on the cornea with refractive surgery and without surgery. Methods: 24 university students (means age: $23.48{\pm}2.89years$) without refractive surgery (12, control group) and with refractive surgery (LASIK: 8, LASEK: 4, experimental group) participated in the study. Mean refractive errors of right eyes were -2.73 D for control group and -0.24 D for experimental group. The differences in the refractive power and corneal topography map between pre- and post-wearing the -3.00 D lenses were compared, and 2 kinds of hydrogel contact lenses (0.89 Mpa, 0.49 Mpa) and 2 kinds of silicone hydrogel lenses (1.5 Mpa, 0.8 Mpa) were used for -3.00 D lenses. NVision-K5001 (Shin nippon, Japan) was used to measure the refractive power and Keratograph 5M (Oculus, Germany) to measure the corneal topography map change. Results: Variations in the refractive power increased to the plus direction in the experimental group after wearing soft contact lenses. The corneal topography map showed significant changes on the both groups after wearing soft contact lenses (p<0.05). However there were no significant differences in the refractive power and corneal topography map variations by lens materials. Conclusions: Wearing soft contact lenses showed corneal topography map changes. Especially wearing soft contact lenses on the flat cornea after corneal refractive surgery showed greater corneal power changes. Therefore, it should pay attention to refractive change in case of prescribing soft contact lenses to patients with corneal refractive surgery.

A Comparison of Lens Centrations on Cornea with RGP Lens Fitting by the Measured Values using Keratometer and Corneal Topography (각막곡률계와 각막 지형도 검사에서의 측정값을 이용한 RGP 렌즈 피팅시 각막에서의 중심안정위치 비교)

  • Kim, So Ra;Park, Sang-Il;Lee, Se Eun;Park, Mijung
    • Journal of Korean Ophthalmic Optics Society
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    • v.16 no.1
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    • pp.41-50
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    • 2011
  • Purpose: The present study was conducted to compare the centration of RGP lens on cornea when lens was fitted based on keratometric astigmatisms measured by keratometer and the lens centration when fitted by corneal topography. Methods: Thirty eight eyes of 19 male and female in their twenties were applied RGP lens with 9.9 mm of diameter by the keratometric astigmatisms classified by the measurement with a keratometer. Then, lens centrations were estimated using high speed camera and compared with the lens centration when fitted by total keratometric astigmatism using corneal topography. The relationship of the steepest location of cornea and lens centration was further compared. Results: With the rule astigmatism, lens centration was not changed even with the difference in central and total keratometric astigmatisms. When the relationship of the steepest part of cornea measured by corneal topography and lens centration was analyzed, the lens centration in vertical direction was exactly correlated with the steepest part of cornea in 52.3% of subjects. In the case of non-correlation, the steepest part of cornea was mostly upper part of cornea, however, lens centration was located on lower part of cornea. The lens centration in horizontal direction was exactly correlated with the steepest region of cornea in 65.6% of subjects. In non-correlated case, the difference in cornea curvatures between the steepest and the flattest parts was smaller than 0.05 mm in 76.9% of subjects. Conclusions: From these results, we conclude that corneal topographic patterns may more contribute the centration of RGP lens on cornea than the difference in central and total keratometric astigmatisms.

Effect of Grid Keratotomy on Indolent Corneal Ulcers in Dogs (개에서 만성 각막 상피 결손증 치료법으로서의 각막 격자 절개법)

  • Ahn, Jae-Sang;Kim, Se-Eun;Park, Young-Woo;Ahn, Jeong-Taek;Lee, Yesran;Lee, Eui-Ri;Seo, Kang-Moon;Jeong, Man-Bok
    • Journal of Veterinary Clinics
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    • v.28 no.6
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    • pp.562-565
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    • 2011
  • A total of 29 eyes (25 dogs: one eye, 2 dogs: both eyes) with indolent corneal ulcer were treated with grid keratotomy from January 2008 to March 2010. The corneal lesions were reevaluated at 7-14 day intervals. The treatments had been repeated until fluorescein dye was not retained on the cornea and the epithelium did not appear to be loosely attached to the stromal layer. The healing rate of the corneal ulcers was 86.2%. The mean healing time ($mean{\pm}SD$) was $15.92{\pm}9.19$ days, ranged from 7 to 39 days. The lesions of remaining 4 eyes had deteriorated or not improved for more than 6 weeks. In those cases, $3^{rd}$ eyelid flap following grid keratotomy was applied. After 2 weeks, all of the eyes healed by the treatment. The results in this study suggest that grid keratotomy could be an excellent choice as an initial treatment for superficial corneal ulcers in dogs. In the cases of recurrence or to promote healing of the lesions, however, $3^{rd}$ eyelid flap following grid keratotomy is recommended.