• Title/Summary/Keyword: Limbal

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Treatment of descemetocele with deep keratotomy combined with a nictitating membrane flap in a dog

  • Manbok Jeong
    • Korean Journal of Veterinary Research
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    • v.63 no.2
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    • pp.20.1-20.4
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    • 2023
  • A 10-year-old, spayed female, Maltese dog presented with a 2-day history of severe left eye squint. Slit-lamp biomicroscopy showed a deep corneal defect stained into a doughnut shape together with hypopyon in the anterior chamber. Based on these results, a diagnosis of descemetocele and uveitis in the left eye was made. Deep keratotomy combined with a nictitating membrane flap effectively resolved the descemetocele without complications. The surgical procedures performed on this patient were easy and effective, and could be used as an alternative to graft surgery for descemetocele treatment.

Primary Angle-Closure Glaucoma in a Maltipoo Dog

  • Jiwoo Park;Manbok Jeong
    • Journal of Veterinary Clinics
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    • v.40 no.3
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    • pp.221-224
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    • 2023
  • A two-year-old spayed female Maltipoo dog was presented with a two-month duration of glaucoma in the right eye. On the first presentation, menace response and dazzle reflex were absent in the right eye, but it was present in the left eye. Slit-lamp biomicroscopy showed buphthalmia, mild corneal edema, and conjunctival and episcleral hyperemia in the right eye. The intraocular pressures were 70 mmHg and 30 mmHg in the right and left eyes, respectively. On the gonioscopic and high-resolution ultrasound examinations, both the iridocorneal angle and ciliary cleft were completely closed in the right eye. However, gonioscopy revealed an opened iridocorneal angle even with some broader base of pectinate ligament fiber, but high-resolution ultrasound showed a narrowed ciliary cleft and increased contact of the iris base with the limbal cornea in the left eye. Based on these results, a diagnosis of primary angle-closure glaucoma was made in both eyes. This case report highlighted the importance of evaluating the ciliary cleft with high-resolution ultrasound as a critical diagnostic and prognostic role in canine glaucoma.

Comparative Study on Growth Stage Aging Changes of The Right and Left Eye Size in Korean (성장기 연령 변화에 따른 좌우안 크기 변화 비교 연구)

  • Park, Soo Bong
    • Journal of Korean Ophthalmic Optics Society
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    • v.3 no.1
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    • pp.209-216
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    • 1998
  • The purpose of this study was to compare the right and left eye size, distance between two eyes, interpupillary distance on growth stage aging changes in Korean. The author divided into 5 groups according to subject's age(group A : 7~12 years, group B : 13~15 years, group C : 16~18 years, group D : 19~24 years, group E : 25~30 years). The high values of inter outer canthal distance(T) and distance between two eyes(G) were 94.30 mm, 36.66 mm at group B respectively. The ratio of identical eye size was about 10.0% in A, B, C group but 22.7% in E group. P[T-(right eye size + left eye size) / 2] was wider than IPD. Data showed that the difference was 5.72 mm in group B and 1.13 mm in group E. The reason for this is that the pupils are displaced nasally from the center of the limbal ring. This has significant meaning in ophthalmic procedures.

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Superficial Keratectomy for Corneal Dermoid in a Shih Tzu (Shin Tzu의 각막에 발생한 유피종에 대한 표층 각막 절제술 1례)

  • Park Shin-Ae;Yi Na-Young;Jeoung Man-Bok;Kwon Do-Hyoung;Kim Won-Tae;Kim Hyun-Ah;Park Jung-Hwan;Jee Hyang;Kim Dae-Yong;Nam Tchi-Chon;Seo Kang-Moon
    • Journal of Veterinary Clinics
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    • v.22 no.3
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    • pp.268-270
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    • 2005
  • A corneal dermoid is a benign congenital mass usually affecting the lateral limbal region. A 3-month old male Shih Tzu dog with abnormal tissue on right cornea was referred to Veterinary Medical Teaching Hospital of Seoul National University. On ophthalmic examination, there was no evidence of visual impairment. Slit lamp biomicroscopy assessment revealed a mass, located in the inferior and temporal part of right cornea. The lesion was typically hemispheric and covered with pink skin. Superficial keratectomy was performed to remove the mass. On histopathological examination, the lesion was diagnosed as a corneal dermoid. Four months after operation, there had been no recurrence and hair regrowth.

Evaluation of Eye Irritation Potential of Solid Substance with New 3D Reconstructed Human Cornea Model, MCTT HCETM

  • Jang, Won-hee;Jung, Kyoung-mi;Yang, Hye-ri;Lee, Miri;Jung, Haeng-Sun;Lee, Su-Hyon;Park, Miyoung;Lim, Kyung-Min
    • Biomolecules & Therapeutics
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    • v.23 no.4
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    • pp.379-385
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    • 2015
  • The eye irritation potential of drug candidates or pharmaceutical ingredients should be evaluated if there is a possibility of ocular exposure. Traditionally, the ocular irritation has been evaluated by the rabbit Draize test. However, rabbit eyes are more sensitive to irritants than human eyes, therefore substantial level of false positives are unavoidable. To resolve this species difference, several three-dimensional human corneal epithelial (HCE) models have been developed as alternative eye irritation test methods. Recently, we introduced a new HCE model, MCTT HCE$^{TM}$ which is reconstructed with non-transformed human corneal cells from limbal tissues. Here, we examined if MCTT HCE$^{TM}$ can be employed to evaluate eye irritation potential of solid substances. Through optimization of washing method and exposure time, treatment time was established as 10 min and washing procedure was set up as 4 times of washing with 10 mL of PBS and shaking in 30 mL of PBS in a beaker. With the established eye irritation test protocol, 11 solid substances (5 non-irritants, 6 irritants) were evaluated which demonstrated an excellent predictive capacity (100% accuracy, 100% specificity and 100% sensitivity). We also compared the performance of our test method with rabbit Draize test results and in vitro cytotoxicity test with 2D human corneal epithelial cell lines.

Correlation Analysis of Ocular Dominance and Levator Palpebrae Superioris Muscle Function (주시안과 눈꺼풀 올림근 기능의 상관관계 분석)

  • Ha, Ki-Young;Suh, Hyeun-Woo;Kim, Boo-Yeong;Kim, Tae-Yeon;Park, Sung-Gyu
    • Archives of Plastic Surgery
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    • v.37 no.3
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    • pp.265-270
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    • 2010
  • Purpose: Most of the bilateral structures in our body are not perfectly balanced, such that one side is preferred than the other or it has physiological superiority. Eyes also have an imbalance; the eye with sensory and motional superiority compared to the other is called dominant eye. Authors of this study focused on analyzing the correlation between the dominant eye and levator palpebrae superioris muscle. Methods: The subject of this study was 42 patients with no ptosis and with no past history of blepharoplasty. Hand dominance was identified through questionnaire and dominant eye was identified by hole-in-the-card dominance test (Dolman's test) in all patients. The function of levator palpebrae superioris muscle was measured by MLD (marginal limbal distance). During the measuring procedure, frontalis muscle was not inhibited to avoid the eyelid skin hooding. Results: Out of 42 patients, 27 patients (64.3%) were right ocular dominant, 15 patients (35.7%) were left ocular dominant, 36 patients (85.7%) were right hand dominant and 4 patients (9.5%) were left hand dominant. Out of 27 right ocular dominant patients, right MLD was larger than the left in 26 patients (96.3%). It was larger in average of 0.47 mm (p<0.001) in 27 right ocular dominant patients. Also, left MLD was larger than the right in 11 patients (73.3%) out of 15 left ocular dominant patients. It was larger in average of 0.57 mm (p=0.003) in 27 left ocular dominant patients. MLD on the side of the dominant eye was larger in average of 0.50 mm (p<0.001) than the MLD of non-dominant eye side. Right MLD was larger than the left in average of 0.28mm (p=0.010) in right hand dominant patients, and left MLD was larger than the right in average of 1.15 mm (p=0.025) in left hand dominant patients. Conclusion: The function of levator palpebrae muscle differs in right and left, and the difference correlates with the dominant eye. Also, the function of levator palpebrae muscle is stronger in the dominant eye. We were able to present statistical evidence regarding the difference of the function in right and left levator palpebrae muscle. This may be a factor worth consideration in terms of balancing the eyes during the blepharoplasty.

The Relationship between Habitual Patient-Reported Symptoms and Signs in the Soft Contact Lens Wearers (소프트 콘택트렌즈 착용자에서 평상시 나타난 증상에 관한 연구)

  • Lee, Koon-Ja;Buyn, Jang-Won;Mun, Mi-Young;Leem, Hyun-Sung
    • Journal of Korean Ophthalmic Optics Society
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    • v.13 no.3
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    • pp.19-28
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    • 2008
  • Purpose: To understand symptoms and signs in soft contact lens wearers the authors evaluate the attribution of the tear test to the contact lens related symptoms and signs. Methods: Sixty-two healthy soft contact lens wearers (23.95${\pm}$4.38 years old, 18.60${\pm}$16.92 months of prior lens wear) were participated in this study. 3 kinds of tear test and McMonnies' questionnaire test were performed for the soft contact lens wearers and subjective symptoms and objective signs were graded using CCLRU scales during the study period. Results: In this surveys, we found ocular dryness, redness and tiredness are the most common frequent and severe symptoms in soft contact lens wearers. Frequency of the ocular dryness, redness and tiredness are associated with grittiness, burning sensation and foreign body sensation respectively, and severity of the photophobia, foreign body sensation are associated with unstable vision and grittiness and which are associated with score of McMonnies' Questionnaire. Conjunctival redness and limbal redness are major signs but those are not need to be clinical care and rarely occurred corneal and conjunctival staining which are associated with tear break-up-time statistically. Conclusions: Dryness, redness and tiredness are primary common symptoms in Korean soft contact lens wearers. The frequency of those symptoms are increased with the period of soft contact lens wear and those are associated with other symptoms but have no relationship with signs.

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Comparison of the Clinical Effect after Wearing Conventional and 2-Weeks Cosmetic Tinted Contact Lens (일반 미용 칼라 콘택트렌즈와 2주 교체용 미용 칼라 콘택트렌즈 착용에 따른 임상성능 비교)

  • Kim, Chang Jin;Kim, Jai-Min;Kim, Hyun Jung
    • Journal of Korean Ophthalmic Optics Society
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    • v.14 no.2
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    • pp.15-26
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    • 2009
  • Purpose: To compare and analyze the ocular changes after wearing conventional and 2-weeks cosmetic tinted contact lens, which were made of different material and fabrication method. Methods: Thirty five university students, age of twenties, participated in this study. With daily wearing schedule, they had worn temporary cosmetic tinted lens for 2 weeks and conventional tinted lens for two month in their right and left eye, respectively. Subjective symptoms and objective signs were graded by using CCLRU scales and corneal thickness were measured after 1 day and 2 months wearing, and under or over 5 hours wearing in a day, respectively. Results: Major subjective symptoms found in the student wearing cosmetic tinted contact lens for a 1 day and 2 months were dryness, redness, foreign body sensation and itchiness. It was also found that those symptoms were more severe in left eye (conventional cosmetic tinted contact lens) than right eye (2-weeks cosmetic tinted contact lens). However, symptoms of redness in both eyes showed statistically significant difference in the case of 1 day and 2 months wearing and under or over 5 hours wearing in a day (p=0.000). After 2 months wearing, left eye with conventional cosmetic tinted contact lens showed limbal redness (p=0.000) and bulbar conjunctival redness (p=0.012) with statistically significance, whereas there was no significant difference in both eyes before lens wear. Left eye showed statistically significant changes in all objective signs, but right eye showed palpebral conjunctival redness, corneal staining and conjunctival staining. Therefore, it was concluded that conventional cosmetic tinted contact lens may be more effective on ocular changes after wearing of lens. A statistically significant changes in both eyes after wearing lens were found that corneal thickness increased about $5{\mu}m$ (p=0.001) in right eye whereas $7{\mu}m$ (p=0.004) in left eye. Conclusions: A statistically significant number of participants in this study preferred to wearing of high Dk/t temporary cosmetic tinted contact lens made by sandwich method which resulted in less ocular changes and may give more healthy and safe ocular conditions.

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Changes in Objective and Subjective Responses in Soft Contact Lens Wearers Refitted to Daily-Wear Silicone Hydrogel Contact Lenses (매일착용 실리콘 하이드로겔렌즈로 바꿔 착용한 소프트 콘택트렌즈 착용자에서 나타난 증상 변화)

  • Lee, Koon-Ja;Mun, Mi-Young;Buyn, Jang-Won;Leem, Hyun-Sung
    • Journal of Korean Ophthalmic Optics Society
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    • v.12 no.4
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    • pp.43-54
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    • 2007
  • Silicone hydrogel contact lenses developed as a continuous-wear modality are now used as a daily-wear contact lenses. The purpose of this study was to investigate the clinical performance in a group of successful long-term wearers of conventional hydrogel contact lenses when refitted with daily wear $O_2OPTIX$ silicone hydrogel lenses. Sixty-two wearers ($30.7{\pm}19.9$ months of prior lens wear) among sixty-five soft lens wearers refitted with $O_2OPTIX$ silicone hydrogel lenses were participated in this study finally. Subjective symptoms were scored and objective signs were graded using CCLRU scales during the study period. 98% of subjects were successfully refitted with the one base curve of $O_2OPTIX$, and 33.9% of subjects were needed more or less lens powers compared with their habitual lenses. Subjects reported a concurrent reduction in dryness, redness and tiredness compared with their habitual lenses and both subjective and objective evaluations showed that dryness, tiredness, itchiness, bulbar and limbal hyperemia were decreased and significantly decreased particularly for those subjects with greater baseline symptoms (p<0.0001). But corneal staining was increased and was seen in many subjects during the study (p<0.0001). Refitting existing soft contact lens wearers with silicone hydrogel contact lens could result in a decreased in dryness, redness and tiredness, particularly more effective for those subjects with greater baseline of those symptoms. When patients using conventional hydrogel materials switch to a silicone hydrogel material, the potential for increased corneal staining should be considered and over-refraction should be needed to give a best vision.

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