• Title/Summary/Keyword: Cataracts

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A Study on Antioxidant System in Cataract Patients (한국인 백내장환자의 항산화 체계에 관한 연구)

  • 고영숙;홍영재;정혜연;김수연;이양자
    • Journal of Nutrition and Health
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    • v.35 no.2
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    • pp.229-236
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    • 2002
  • Cataracts are the leading cause of blindness worldwide and are characterized by increased opacity of the lens that significantly diminishes visual acuity. It has been suggested that increased risk of lens opacities are associated with age, exposure to sunlight, diabetes, smoking, and poor nutrition. Antioxidant nutrients have born demonstrated to protect the lens membrane and protein against damage due to oxidative stress. The purpose of this study was to investigate the antioxidant system in the blood of cataract patients. The status of the blood antioxidant system was evaluated based on the levels of antioxidant vitamins and minerals as well as glutathione peroxidase (GSH-Px) and malondialdehyde (M7A) activity in 34 patients with cataracts (17 male and 17 female) and 45 control subjects (20 male and 25 female). After adjusting for age, the results showed significantly lower levels of antioxidant vitamins such as lycopene (M : p < 0.05, F: p < 0.01), zeaxanthin (F: p < 0.01), ${\gamma}$-tocopherol (F: p < 0.01) and ascorbic arid (M: p < 0.05) in the cataract patients than in the control subjects. In contrast, the concentration of cryptoxanthin (F : p < 0.07) showed a significantly higher value in the cataract patients. The serum level of the antioxidant mineral Zn (M : p < 0.01) was found to be significantly lower in the cataract patients while the ratio of cu/zn appeared significantly higher (M : p < 0.05). Significantly higher (M : p < 0.01, F: p < 0.05) concentrations of MDA in serum was found in the cataract patients as compared to the control subjects. GSH-Px activity was significantly lower (F: p < 0.05) in 71e cataract patients. In conclusion, the antioxidant system may play an important roll in cataract creation. Further studies are needed to clarify the mechanisms underlying these findings and to establish preventive measures with an emphasis on antioxidant nutrition for cataract patients.

A case of Werner Syndrome Complicated by Bone Metastasis of Rhabdomyosarcoma (횡문근육종의 골전이가 동반된 워너증후군 1례)

  • Song, Joon-Hwan;Sun, Dong-Shin;Kim, Ho;Lee, Yoon-Hee;Hong, Yong-Hee;Lee, Dong-Hwan
    • Journal of Genetic Medicine
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    • v.6 no.1
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    • pp.91-94
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    • 2009
  • Werner syndrome (WRN), or adult progeria, is a very rare, autosomal recessive disorder characterized by the appearance of accelerated aging, including cataracts, gray hair, skin atrophy, and atherosclerosis. This syndrome is caused by mutations in the WRN gene and had a high risk of a spectrum of rare neoplasms including: i) non-epithelial malignant or pre-malignant tumors/conditions, osteosarcomas and soft tissue sarcomas, malignant melanomas, myeloid leukemia and myelodysplastic syndrome; ii) an epithelial neoplasm, thyroid carcinoma, and iii) meningiomas. Recently, authors experienced a case of Werner syndrome complicated by bone metastasis of rhabdomyosarcoma in a 20-year old Korean man. The patient revealed a painful mass on his right knee and progeroid features, short stature, scalp alopecia, abnormal dentition, craniofacial disproportion, hypothyroidsm, cataracts and osteoporosis. The onset of symptoms of Werner syndrome generally precedes any later symptoms of associated conditions, such as malignant tumor. Therefore, early recognition of Werner syndrome is important to assist identification of malignant tumors at an early stage in this patient group.

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A Case of Mitochondrial Respiratory Chain Defect with Progressive Bilateral Cararacts (진행성 양측 백내장이 동반된 미토콘드리아 질환 1례)

  • Lee, Soonie;Lee, Young-Mock
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.18 no.3
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    • pp.95-98
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    • 2018
  • A striking feature of mitochondrial disorders is the vast heterogeneity in their clinical symptoms that ranges from a single organ to severe multisystem involvement. Though a variety of ocular symptoms such as ptosis, pigmentary retinal degeneration, external ophthalmoplegia, and optic nerve atrophy can occur in association with mitochondrial cytopathies, progressive bilateral cataracts are rare among their ocular findings. A 5-year-old girl with no previous medical history came to our hospital presenting symptoms of seizure. She started showing progressive developmental regression, increased seizure frequency, hypotonia, general weakness, dysphagia and decreased vision. Lactic acidosis was noted in metabolic screening test and we confirmed mitochondrial respiratory chain complex I defect in spectrophotometric enzyme assay using the muscle tissue. Progressive bilateral cataracts then developed and were fully evident at the age of 7. She underwent cataract extraction with posterior chamber lens implantation. We are reporting a case of mitochondrial respiratory chain defect with multiorgan involvements including bilateral progressive cataract, an uncommon ocular manifestation. Ophthalmologic evaluation is highly recommended not to overlook the possible ocular manifestations in mitochondrial disorders.

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Cerebrotendinous xanthomatosis in a 10-year-old male presenting with Achilles tendon xanthoma and mild intellectual disability: A case report

  • Yoon, Ji Hye;Kim, Ka Young;Lee, Sang-Yun;Kim, Soo Yeon;Lee, Young Ah;Ki, Chang-Seok;Song, Junghan;Shin, Choong Ho;Lee, Yun Jeong
    • Journal of Genetic Medicine
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    • v.19 no.1
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    • pp.22-26
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    • 2022
  • Cerebrotendinous xanthomatosis (CTX) is a rare genetic disease caused by a deficiency of enzymes for the synthesis of bile acid, resulting in the accumulation of cholestanol with reduced chenodeoxycholic acid (CDCA) production and causing various symptoms such as chronic diarrhea in infancy, juvenile cataracts in childhood, tendon xanthomas in adolescence and young adulthood, and progressive neurologic dysfunction in adulthood. Because oral CDCA replacement therapy can effectively prevent disease progression, early diagnosis and treatment are critical in CTX. This study reports the case of CTX in a 10-year-old male who presented with Achilles tendon xanthoma and mild intellectual disability. Biochemical testing showed normal cholesterol and sitosterol levels but elevated cholestanol levels. Genetic testing showed compound heterozygous variants of CYP27A1, c.379C>T (p.Arg127Trp), and c.1214G>A (p.Arg405Gln), which confirmed the diagnosis of CTX. The patient had neither cataracts nor other focal neurologic deficits and showed no abnormalities on brain imaging. The patient received oral CDCA replacement therapy without any adverse effects; thereafter, the cholestanol level decreased and no disease progression was noted. The diagnostic possibility of CTX should be considered in patients with tendon xanthoma and normolipidemic conditions to prevent neurological deterioration.

Occurrence of eye abnormality in cultured red seabream (Pagrus major) and induced hybrid, red seabream Pagrus major(♀) ${\times}$ black seabream Acanthopagrus schlegeli(♂)

  • Iraida, Germogenovna Syasina;Park, In _Seok
    • Journal of fish pathology
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    • v.16 no.2
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    • pp.75-80
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    • 2003
  • Red scabream, Pagrus major , is a valuable aquaculture species in Korea , but spontaneous eye abnormality occurred in cultured individuals . The incidence of eye abnormality was 4% in the group of cultured red scebream. The abnormality was characterized by unilateral and bilateral exophthalmos, opacity and lens pathology. Lense prolapse was found in two cases. Lenses in diseased fishes was considerably small in diameter and eyes were deformed as a whole. In the group of induced hybrid red scabream Pagrus major (♀) x black seabrearn Acanthopagrus schlegeli (♂), the incidence of eye abnormality wa~ the same 4%, but only opacity was registered. Opacity was also found in two of sixteen examined Wild-caught red seabrcam. Histopathological changes of lenses in cultured red seabreem included vecuolated cytoplasm of lens fibers, necrosis of fibers in central part of lens, folding and increase in thickness of lens capsule, and epithelial proliferation beneath the anterior lens capsule. In affected eyes no parasites or gas bubbles were found.

Investigation of Ophthalmic Diseases in Dairy Cattle (젖소의 안과질환 조사)

  • 서강문;장광호
    • Journal of Veterinary Clinics
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    • v.14 no.2
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    • pp.141-146
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    • 1997
  • This study was performed to investigate the ophthalmic diseases in 269 Holstein dairy cattle of 10 farms in Kyunggido, Korea. The acerage prevalence rate of ophthalmec diseases was 25.7%, ranging of from 4.8% to 47.6%. The highest incidence age was between 3 and 4 years old, 41.9% and then in order of between 5 and 6 years, between 2 and 3 years, over 6 years, between 4 and 5 years, between 1 and 2 years, and up to 1 year were shown the incidence of 33.3%, 29.4%, 27.7%, 23.8%, 19.8% and 12.5%, respectively. The prevalence rate of cataracts was higher than any other ophthalmic diseases, 10.4% and then in order of chorioretinitis, iris posterior synechiae, corneal scar, conjunctivitis, blindness, third eyelid carcinoma and globe anomaly were diagnosed as the incidence of 4.1%, 3.0%, 1.7%, 1.3%, 0.4%, 0.2% and 0.2%, respectively.

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Ginseng for an eye: effects of ginseng on ocular diseases

  • Kim, Jisu;Han, Su-Young;Min, Hyeyoung
    • Journal of Ginseng Research
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    • v.44 no.1
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    • pp.1-7
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    • 2020
  • The sense of vision is the primary means by which we gather information from our surroundings, and vision loss, therefore, severely compromises the life of the affected individuals, their families, and society. Loss of vision becomes more frequent with age, and diabetic retinopathy, age-related macular degeneration, cataracts, and glaucoma are the major causes of vision impairment. To find active pharmacological compounds that might prevent or ameliorate the vision-threatening eye diseases, numerous studies have been performed, and some botanical compounds, including those extracted from ginseng, have been shown to possess beneficial effects in the treatment or prevention of common ocular diseases. In this review, we summarize the recent reports investigating the therapeutic effects of ginseng and ginsenosides on diverse ocular diseases and discuss their therapeutic potential.

Inherited Metabolic Disorders Involving the Eye (유전성대사질환에서 눈이상)

  • Jae Ho, Jung
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.22 no.2
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    • pp.37-45
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    • 2022
  • Inherited metabolic disorders (IMD) are a large group of rare disorders affecting normal biochemical pathways. The ophthalmic involvement can be very varied affecting any part of the eye, including abnormalities of cornea, lens dislocation and cataracts, retina and the optic nerve, and extraocular muscles. Eye disorders can be initial symptoms of some IMD and can be clue for diagnosis of IMD. However, eye disorders can evolve later in the natural history of an already diagnosed metabolic disorder. Awareness of IMDs is important to facilitate early diagnosis and in some cases instigate early treatment if a patient presents with eye involvement suggestive of a metabolic disorder. Ophthalmological interventions are also an important component of the multisystem holistic approach to treating patients with metabolic disorders.

A Prediction Model for the Development of Cataract Using Random Forests (Random Forests 기법을 이용한 백내장 예측모형 - 일개 대학병원 건강검진 수검자료에서 -)

  • Han, Eun-Jeong;Song, Ki-Jun;Kim, Dong-Geon
    • The Korean Journal of Applied Statistics
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    • v.22 no.4
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    • pp.771-780
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    • 2009
  • Cataract is the main cause of blindness and visual impairment, especially, age-related cataract accounts for about half of the 32 million cases of blindness worldwide. As the life expectancy and the expansion of the elderly population are increasing, the cases of cataract increase as well, which causes a serious economic and social problem throughout the country. However, the incidence of cataract can be reduced dramatically through early diagnosis and prevention. In this study, we developed a prediction model of cataracts for early diagnosis using hospital data of 3,237 subjects who received the screening test first and then later visited medical center for cataract check-ups cataract between 1994 and 2005. To develop the prediction model, we used random forests and compared the predictive performance of this model with other common discriminant models such as logistic regression, discriminant model, decision tree, naive Bayes, and two popular ensemble model, bagging and arcing. The accuracy of random forests was 67.16%, sensitivity was 72.28%, and main factors included in this model were age, diabetes, WBC, platelet, triglyceride, BMI and so on. The results showed that it could predict about 70% of cataract existence by screening test without any information from direct eye examination by ophthalmologist. We expect that our model may contribute to diagnose cataract and help preventing cataract in early stages.