• 제목/요약/키워드: Corneal recovery

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각막굴절교정렌즈 어린이 착용자에서 착용 중지 후 굴절력과 각막형상 복귀에 관한 연구 (The Effect of Refractive and Corneal Recovery after Discontinuation of Orthokeratology Contact Lenses in Children)

  • 문미영;이군자;이지영
    • 한국안광학회지
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    • 제14권3호
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    • pp.7-15
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    • 2009
  • 목적: 각막굴절교정렌즈를 장기간 착용한 어린이에서 렌즈 착용 중지 후 나타나는 각막복귀현상을 분석하였다. 방법: 각막굴절교정렌즈를 평균 8개월 이상 착용하고 굴절교정효과를 보인 착용자 중 렌즈 착용을 중지한 25명을 대상으로 각막굴절교정렌즈 착용 전과 착용 중지 후 1개월 동안 나안시력, 굴절이상도, 각막곡률(Sim K), 각막중심 두께 및 각막이심율을 측정하여 분석하였다. 결과: 나안시력과 각막형상은 각막굴절교정렌즈 착용 후 유의한 변화를 보였고, 렌즈 착용 중지 후 1개원 동안 대부분 복귀되었다. 나안시력과 굴절이상도는 착용 중지 2주 후에 완전히 복귀되었고, 각막중심두께 변화와 상관성이 있었다. 그러나 각막형상은 서서히 복귀되어 각막중심두께와 각막이 심율은 착용 중지 1개월 후에 복귀되었고 각막곡률은 1개월까지 착용 전 상태로 복귀되지 않았다. 결론: 각막굴절 교정렌즈 장기 착용자의 경우 렌즈 착용 중지 후 굴절력은 빠르게 복귀되나 각막곡률과 중심두께는 서서히 복귀되므로 콘택트렌즈를 재피팅할 경우 주의가 필요할 것으로 사료된다.

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망아지에서 발생한 녹는궤양(Melting Ulcer)의 치료 (Treatment of Melting Ulcer in a Foal)

  • 배영림;이은비;송민근;이주명;강태영;서종필
    • 한국임상수의학회지
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    • 제36권1호
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    • pp.88-92
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    • 2019
  • A 6-month-old male thoroughbred foal with melting ulcer after left eye trauma was referred to Equine Hospital of Jeju National University. The left eye did not respond to the menace reflex test. Bacteria were not observed on corneal smear and culture test, and fluorescein staining revealed corneal injury. Subpalpebral Lavage (SPL) catheter was installed through the upper left eyelid. And the antibiotics, mydriatic and antifungal agents were administered using SPL. In addition, temporary tarsorrhaphy was performed and a hard cup hood was applied. After 2 weeks, the temporary tarsorrhaphy was removed and severe corneal neovascularization was found. On the 39th day of treatment, the left eye was responding to the menace reflex test and granular tissue formation was confirmed in the ulcer area. During the 2 months follow-up, we found that the granulation tissues decreased significantly. This case report describes a successful recovery of severe melting ulcers in a foal by intensive treatment.

Hematological and microbial analysis on a Holstein heifer with infectious bovine keratoconjunctivitis

  • Ha, Seungmin;Hur, Taiyoung;Kang, Seogjin;Jung, Younghun;Son, Junkyu;Kim, Donghyeon;Lee, Jihwan;Sung, Hyunhoon;Cho, Eunseok;Kim, Sangbeom
    • 한국동물위생학회지
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    • 제43권4호
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    • pp.245-250
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    • 2020
  • Infectious bovine keratoconjunctivitis (IBK) is the most common ocular disease in cattle, manifesting as corneal opacity, corneal ulcerations and potentially vision loss. The present report describes a 10-month-old Holstein Friesian heifer with IBK treated by systemic tulathromycin, and subconjunctival injection of penicillin and dexamethasone. We investigated changes in the hematological indices and microorganisms related to IBK after treatment. Neutrophils and monocytes decreased during recovery, so it was assumed that these two types of white cells are associated with IBK. Moraxella bovoculi was cleared in the eye, nasal cavity, and oral cavity after treatment. The distribution of M. bovoculi before treatment indicated that a combined systemic and subconjunctival treatment was necessary. The lesioned eye was found to be overwhelmed by Mycoplasma bovoculi, while pathogen abundance was reduced in the nasal cavity and oral cavities. These results suggest that antibiotic treatment can alter the composition and relative abundance of microorganisms.

점안액 보존제 성분 Benzalkonium Chloride에 의해 유도된 각막상피세포의 세포고사 유도 (Effects of Benzalkonium Chloride on the growth and survival of Human corneal epithelial cells)

  • 김재민;이석주;서은선
    • 한국안광학회지
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    • 제7권2호
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    • pp.189-195
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    • 2002
  • 점안액 보존제 성분으로 이용되는 Benzalkonium Chloride(BAC)가 배양 각막 상피세포에 미치는 영향을 조사하기 위해 본 연구를 시행하였다. BAC를 세포에 0.0001%~0.01%로 15분 동안 처리하여 24시간 후 회복 효과를 조사하였다. MTT assay를 이용하여 세포 생존율을 산정하고 Hoechst 33342로 염색질 응축을 조사하였다. Fas 발현 여부를 조사하기 위해 western blot과 immunocytochemistry를 이용하였으며 DNA fragmentation은 agarose gel을 이용한 전기영동을 시행하였다. BAC를 0.005% 이상 처리하면 세포괴사가 일어나는 반면에 저농도의 BAC는 세포고사를 유도하는 것으로 나타났으며 BAC로 Fas 발현이 유도될 수 있다는 것을 보여주고 있다. 본 연구를 통해 점안액의 대표적인 보존제인 BAC의 부작용에 대한 각막세포 차원의 연구가 필요하며 세포독성이 없는 새로운 보존제의 개발이 필요한 것으로 나타났다.

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족부백선 치료액 오인 점안 후 발생한 안구화학손상 2례 (Ocular chemical burns following accidental instillation of tinea pedis treatment solution: A report of two cases)

  • 김정호;정한솔
    • 대한임상독성학회지
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    • 제20권1호
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    • pp.35-38
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    • 2022
  • Many commonly used household chemicals and medical eye drops look alike, resulting in a worldwide increase in incidences of accidents caused by confusion between similar-looking agents. In this case report, we present two patients who visited the emergency department following inadvertent instillation of tinea pedis treatment solution instead of eye drops. Both patients developed corneal chemical burns following the accidental application. Notably, the visual acuity and symptoms eventually recovered for both patients after hospitalization. However, complete recovery occurred only after several weeks. Both patients were relatively old and had been prescribed eye drops after previous ophthalmic surgery. Since the eye is a sensory organ that receives visual information, ocular injuries significantly affect the quality of life and social functioning of the patient. Incidences of accidental misidentification of eye drops are steadily increasing in South Korea; unfortunately, regulatory policies are unavailable to avoid such hazards. Therefore, physicians should be mindful of the potential risks associated with misidentification of everyday household products and must spend time educating patients when prescribing eye drops. Policy regulations are warranted for products with containers that resemble eye drop bottles. Such items need to be clearly labeled with additional warnings to prevent misidentification and accidental ocular instillation.