• 제목/요약/키워드: Corneal thickness

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Age and Sex Related Changes in Corneal Thickness and Anterior Corneal Curvature in Korean Young Population with Orbscan II Topography System

  • Lee, Dong-Hee;Kim, Douk-Hoon;Park, Seung-Hwan
    • Journal of the Optical Society of Korea
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    • v.15 no.1
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    • pp.68-73
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    • 2011
  • This study investigated, using the Orbscan II topography system, the influence of age and sex related changes on the corneal thickness and anterior corneal curvature, more specifically the fine structure of the cornea, in a Korean young population. The Orbscan II topography system is a computer-assisted slit-beam scanning technology that can map the anterior section of the cornea. The mean central corneal thickness of all subjects was $547.532{\pm}44.529\;{\mu}m$. There was no statistical difference (p>0.5) in the mean central corneal thickness between males and females. Sex and age related changes in the mean central corneal thickness had no specific statistical difference (P>0.5). There was a negative correlation between the anterior corneal curvature and the central corneal thickness in all subjects, except for the twenty year olds. However, the thickness relationship between the mean central corneal and the eight paracentral corneal thicknesses had strong statistical differences in all subjects. Also age and sex related changes in the central corneal thickness and the anterior corneal curvature in all subjects had no statistically significant difference, except from 20-26 years old (p>0.05). This information could be a suitable reference basis for future studies in the young population of Asia and for the development of examination tools for corneal refractive surgery.

Color soft contact lens and corneal thickness

  • Kim, Douk-Hoon
    • Journal of Korean Clinical Health Science
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    • v.7 no.1
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    • pp.1205-1214
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    • 2019
  • Purpose: To investigate the effect of color soft contact lenses on the corneal thickness in young Korean population. Methods: The subjects consisted of 112 eyes (7 males, 49 females) with the mean age of $20.987{\pm}1.093years$ (range 20-25 years) in young Korean population during 2018. Test was compared the corneal thickness before and after wearing color soft contact lenses. The thinnest cornea thickness(TCT), central cornea thickness(CCT), pupil centre thickness(PCT), superior corneal thickness(SCT),inferior corneal thickness(ICT), medial corneal thickness(MCT), lateral corneal thickness(LCT) of the cornea was measured using the Pentacam pachymetry. The statistically analysis was perform the Shaparo-Wilk test. Results: The right eye was a statistically significant among the CCT,LCT, MCT and TCT values(p<0.001) in the compared the corneal thickness before and after wearing soft colour contact lenses. Also the left eye was a statistically significant among the LCT and MCT values(p<0.001) in the compared the corneal thickness before and after wearing soft colour contact lenses. However, there was no statistical difference (p>0.5) in the mean PCT between before and after wearing color soft contact lenses. Conclusion: These results suggested that the color soft contact lens wear can the effect the regional thickness of cornea. Therefore, the analysis of corneal topography with Pentacam can provide correct and useful diagnostic information of the morphology of the RGP contact lens fitting and diagnosis of corneal refraction surgery.

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.

"Letter-Box" Conjunctival Flap in a Dog with Severe Corneal Edema after Phacoemulsification

  • Sunhyo Kim;Dohyoung Kwon;Kangmoon Seo;Seonmi Kang
    • Journal of Veterinary Clinics
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    • v.40 no.2
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    • pp.152-157
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    • 2023
  • A two-year-old, spayed female, Bichon Frise, was referred for severe corneal edema and corneal ulcer in the left eye (OS). The cornea had gradually swelled over one week after phacoemulsification performed a month prior, and that was refractory to 5% sodium chloride eye drop instillation or temporary partial tarsorrhaphy. A complete ophthalmic examination was performed. Severe corneal edema with intrastromal bullae and moderate anterior chamber flare was found on slit-lamp biomicroscopy in the OS, which obstructed the fundus examination. Corneal thickness was measured using high-resolution ultrasound biomicroscopy. The thickness of the OS cornea was 2.74 mm. The "letter-box" conjunctival flap was planned. Dorsal and ventral superficial keratectomy followed by a hood conjunctival flap was performed. Topical and systemic antibiotics and 5% sodium chloride eye drops were prescribed. Decreased corneal thickness was observed at one week, two weeks, and two months postoperatively (1.53 mm, 1.32 mm, and 0.92 mm, respectively). There were no postoperative complications, such as ocular discomfort or recurrent corneal ulcers. The "letter-box" conjunctival flap, a type of superficial keratectomy and conjunctival advancement hood flap, effectively relieved the severe irreversible corneal edema. This could be a simple but effective surgical intervention for patients with endothelial cell damage especially after phacoemulsification.

Effect of combined sodium hyaluronate and carboxymethyl cellulose on ocular surface in rat dry eye model

  • Moon, Jong-Gab;Ku, Sae-Kwang;Kwon, Young-Sam
    • Korean Journal of Veterinary Research
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    • v.56 no.3
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    • pp.155-160
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    • 2016
  • This study was conducted to evaluate three different mixed formulations of sodium hyaluronate (SH) and carboxymethyl cellulose (CMC) using a low-humidity air flow-induced rat dry eye model and determine the most suitable mixture. The total thickness of the cornea, corneal epithelial thickness, corneal stroma thickness, damaged corneal epithelium percentage region, thickness of the bulbar conjunctiva epithelium, number of goblet cells, goblet cell occupation percentage region, and damaged bulbar conjunctiva epithelium percentage region were measured by histomorphological evaluation. After 5 h exposure to drying airflow, the thickness of the cornea and conjunctiva was decreased with desquamation of the corneal and conjunctiva epithelium. However, these dry eye symptoms were markedly inhibited by treatment with the reference and test formulations. More favorable effects on decreased thickness were detected in response to the CMC than the SH. However, SH had a greater protective effect against corneal and conjunctiva epithelial damage. The application of a mixture of 0.1% SH and 0.2% CMC showed more favorable effects on the corneal and conjunctival damage and the stabilization of the ocular surface than SH or CMC alone.

The Effect of Quercetin in Corneal Opacity Induced by Mitomycin-C

  • Lee, Yoon Jeong
    • Applied Microscopy
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    • v.44 no.3
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    • pp.88-95
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    • 2014
  • This study examined the effects of quercetin on corneal opacity caused by corneal edema by suppressing the damage on corneal endothelial cell, which was induced by mitomycin-C (MMC). In the MMC-treated group, the number of keratocytes was noticeably fewer compared to that of other groups. Although this group showed normal amount of fiber in the corneal stroma, the thickness was shown to be very thick and the alignment of the corneal endothelial cells that worked as the barrier against aqueous humor was irregular. According to such results, it was known that corneal opacity induced by MMC is not caused by proliferation of keratocytes, but by corneal edema triggered by the infiltration of aqueous humor. In the MMC+quercetin and quercetin+MMC-treated groups, the number of keratocytes was higher and polymorphonuclear leukocytes infilteration was lower significantly compared to that of the MMC-treated group. Although the amounts of fiber and endothelioid cell arrangement were normal, there was more space observed in the corneal stroma. Nonetheless, these groups showed significantly lower stromal thickness compared to that of the MMC group. In conclusion, quercetin has the effect on the reduction of corneal opacity caused by corneal edema that work MMC-induced damage to the corneal endothelial cells.

Analysis on the corneal thickness and anterior chamber depth of the Keratoconus using Pentacam

  • Kim, Douk-Hoon;Sapkota, Kishor
    • Journal of Korean Clinical Health Science
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    • v.6 no.1
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    • pp.1089-1096
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    • 2018
  • Purpose: To investigate the corneal thickness and anterior chamber depth (ACD) of eyes with Keratoconus in the Korean population with the Pentacam. Methods: The subjects consisted of 84 eyes from Keratoconic adults aged 7-59 years during 2010. The thinnest area, apex zone, and pupil centre of the corneal thickness were measured using the Pentacam pachymetry. ACD value was also measured with Pentacam. Results: There was a statistically significant relationship between thickness of the cornea at the apex area and the pupil centre (p=0.0001). However, there was no statistical difference (p>0.5) in the mean thickness of thinnest area, apex zone, pupil centre of cornea between right eye and left eye. Also, correlation between ACD and corneal thickness in all subjects had no statistical differences (p>0.05) in all subjects. Conclusion: These results suggested that the regional thickness of cornea and ACD with Pentacam can provide correct and useful diagnostic information of the morphology of Keratoconus for the RGP contact lens and diagnosis of abnormal corneal refraction surgery.

Analysis of the Central Corneal Thickness and Anterior Chamber Depth of Eyes in Korean Young Population using the Pentacam (Pentacam을 이용한 한국 청소년 집단에서 각막의 중심두께와 전방깊이 분석)

  • Kim, Douk-Hoon;Bae, Han-Yong
    • Journal of Korean Clinical Health Science
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    • v.1 no.2
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    • pp.31-37
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    • 2013
  • Purpose. This study was to investigate the analysis of the central corneal thickness and anterior chamber depth of eyes in Korean Young Population using the Pentacam topography. Methods. The subjects consisted of 126 eyes from normal cornea of Korean aged 7-12($8.857{\pm}1.501$) years during 2009. The thinnest location, pachy apex, and pupil central region of the cornea thickness was measured using the Pentacam pachymetry. The anterior chamber depth of normal corneas was measured with Pentacam. Results. The thinnest location of corneal thickness was $547.413{\pm}37.893$um. The pachy apex of cornea thickness was $552.103{\pm}36.016$um. Also, the pupil center of corneal thickness was measured $552.143{\pm}36.418$um. On the other hand, the mean thickness in the central cornea was a statically significant relationship(t-test, p=0.0002) between pachy apex and thinnest zone. Also the mean thickness of the central cornea was a statically significant correlation(pearson p=0.0001) among the pupil center, pachy apex and thinnest zone. The anterior chamber depth was $3.137{\pm}0.308$mm. The mean depth in the anterior chamber of cornea was a statically relationship(t-test, p>0.05) between OD and OS. Conclusions. The results of this clinical study suggested that the analysis of the central corneal thickness and anterior chamber depth using Pentacam in Korean young population can provide the useful morphological information in diagnosis of cornea for the contact lens fitting and corneal refraction surgery.

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The Changing Aspect of the Corneal Thickness by the Refractive Error (굴절이상도에 따른 각막두께의 변화 양상)

  • Park, Joon-Chul;Hwang, Jeong-Hee
    • Journal of Korean Ophthalmic Optics Society
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    • v.9 no.2
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    • pp.281-290
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    • 2004
  • The purpose of this study is to investigate the correlation between the central corneal thickness and peripheral one, and the changing aspect of corneal thickness by the refractive error through the measure of central corneal thickness and peripheral one in myopic eyes. For this study, the central thickness and the peripheral one of the 198 eyes of 99 normal subjects was measured by Orbscan Topography System(Orbtex, Inc. USA). The latter was measured in each 2mm point distance of superior, inferior, nasal and temporal from the center of left & right eye. And the revealed results was analyzed according to sex, age, left & right eyes, and refractive error of the subjects. The mean central corneal thickness of the whole subjects was shown as $530.12{\pm}43.18{\mu}m$, and the mean peripheral ones were as follows : superior(SCT) $591.91{\pm}36.88{\mu}m$, inferior(ICT) $561.04{\pm}41.82{\mu}m$, nasal(NCT) $584.23{\pm}41.97{\mu}m$ and temporal(TCT) $567.35{\pm}43.25{\mu}m$. From this, we can see that the mean central corneal thickness and the peripheral ones show significantly difference, but there is no statistically Significant difference in the corneal thickness according to refractive error, age, sex, and left & right.

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

  • Mun, Mi-Young;Lee, Koon-Ja;Lee, Ji-Young
    • Journal of Korean Ophthalmic Optics Society
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    • v.14 no.3
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    • pp.7-15
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    • 2009
  • Purpose: To investigate the corneal recovery after discontinuing orthokeratology (OK) lenses wear in children for long-term period. Methods: Among the OK lens wearers who wear over 8 months and showed successful refractive correction, 25 subjects were selected who want to discontinue the OK lenses. Uncorrected visual acuity, refractive correction, corneal curvature (Sim K), central corneal thickness and corneal eccentricity were measured during the OK lens wearing period and after discontinuation for 1 month. Results: Uncorrected visual acuity and corneal shape had remodeled significantly during the OK lens wear and recovered significantly during the first week of discontinuation. Uncorrected visual acuity and refractive correction had achieved full recovery 2 weeks after discontinuation of lens wear and were highly correlated with the changes in corneal thickness. But corneal shape recovered slowly, eccentricity had recovered fully after 1 month and corneal curvature and central thickness had not been achieved full recovery until 1 month after discontinuation. Conclusions: Recovery of after longterm use of OK lens is rapid for refractive change, but slow for corneal curvature and central thickness that to refit the contact lenses, practitioners need patience.

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