• Title/Summary/Keyword: Ocular lens

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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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Phacoclastic Endophthalmitis Induced by Encephalitozoon cuniculi in a Lionhead Rabbit in Korea

  • Kang, Seonmi;Jeong, Seowoo;Seo, Kangmoon
    • Journal of Veterinary Clinics
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    • v.37 no.6
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    • pp.345-349
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    • 2020
  • An 8-month-old female rabbit was presented with a white intraocular mass in the right eye. Slit-lamp biomicroscopy showed a white mass behind the iris, accompanied by rubeosis iridis and aqueous flare. Ocular B-scan ultrasonography revealed hyperechoic material within the anterior chamber connected with cataractous lens in the right eye. Signs deteriorated despite treatment, and enucleation was performed. Histopathologically, phacoclastic endophthalmitis due to Encephalitozoon cuniculi infection was confirmed. This was the first report of a client-owned rabbit affected with E. cuniculi-associated phacoclastic uveitis. Serological detection of anti-E. cuniculi antibodies should be considered to prevent potential zoonotic risk.

Use of the Texas Eye Research and Technology Center Dry Eye Questionaire (TERTC-DEQ) as a Screening Survey for Contact Lens Wearers and Nonwearers (콘택트렌즈 착용자와 비착용자의 건성안 설문조사 TERTC-DEQ의 활용)

  • Kim, Jai-Min;Kim, Yong-Hwan;Jung, Ju-Hyun
    • Journal of Korean Ophthalmic Optics Society
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    • v.12 no.4
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    • pp.127-131
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    • 2007
  • This study was designed to demonstrate the ability of Texas Eye Research and Technology Center Dry Eye Questionaire (TERTC-DEQ) to examine the distribution of self-reported dry eye symptoms and their diurnal intensity in university students and compare it with McMonnies & Ho DEQ. Two dry eye questionnaires were administered to 46 contact lens wearers and 47 nonwearers. Contact lens wearers scored higher on the TERTC-DEQ (52.2%) than McMonnies & Ho DEQ (6.5%). Non-contact lens wearers also scored higher on the TERTC-DEQ (19.1%) than McMonnies & Ho DEQ (2.1%). Ocular symptoms worsened with progression of time of day in both groups of subjects. This study suggests that TERTC-DEQ provides a first-choice diagnosis tool to obtain a comprehensive assessment of patient's symptoms, especially in comparison with McMonnies & Ho DEQ. The TERTC-DEQ is an efficient screening survey and may be use in dry eye diagnosis of contact lens-related dry eye.

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The Relationship between Visual Outcome and Ocular Trauma Score after Open Globe Injuries in Children (소아청소년 개방안구손상 환자에서의 시력예후와 안외상 점수와의 연관성)

  • Park, Su Jin;Son, Byeong Jae
    • Journal of The Korean Ophthalmological Society
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    • v.59 no.11
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    • pp.1062-1070
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    • 2018
  • Purpose: We evaluated the prognostic factors of open globe injuries in children and adolescents, and compared the ocular trauma score (OTS) and pediatric penetrating ocular trauma score (POTS). Methods: We performed a retrospective review of 77 children under 18 years of age who visited our clinic with open globe injuries between May 1993 and April 2014. We investigated the factors that may affect final visual acuity. We also compared the OTS and POTS using receiver operating characteristic curves as a method to predict final visual acuity. Results: By univariate analysis, an initial visual acuity less than 20/200, globe rupture, wound size greater than 7.0 mm, retinal detachment, lens dislocation, and total number of operations contributed to worse visual outcomes (<20/200). Conversely, central corneal involvement, traumatic cataract, wound size less than 7.0 mm, and initial visual acuity greater than 20/200 were better prognostic indicators (${\geq}20/32$). Both OTS and POTS had diagnostic value as a predictor of final visual acuity, although there were no statistically significant differences between the two scoring systems. Conclusions: Initial visual acuity and wound size are important prognostic factors for the final visual acuity in children and adolescent, following open globe injuries. Both OTS and POTS are reliable prognostic models for open globe injuries in children and adolescents.

The Effects of Visual acuity increase in mono vision by the P-VEP study using Netspeg lens (Netspag Lens를 이용한 Mono vision에서 시력개선 효과에 대한 P-VEP 연구)

  • Kim, Douk-Hoon;Bae, Han-Young;Kim, Sun-Tae
    • Journal of Korean Ophthalmic Optics Society
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    • v.10 no.3
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    • pp.241-246
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    • 2005
  • The aim of the study was performed the wave analysis of P-VEP on the development of visual function using Netspeg lens in monocular of refraction error subjects. The P-VEP of three channels were recorded by the Bausch Lomb system. Ten adults (five males, five females, mean=22 years, range=19 to 23) subjects were recorded. The subjects were researched the history including the systemic health, medication, genetics, allergy, ocular disease, and so on. Visual acuity and refraction test were performed for each subject with mono vision by using the Netspeg lens. Also subjects viewed the P-VEP stimulus with mono vision through the corrected visual acuity with Netspeg lens during VEP test. The results of study suggest that the mono vision using Netspeg lens is better than with non-Netspeg lens on the visual acuity and image symptom. On the other hand, the analysis of P-VEP suggest that the amplitude of wave is larger when the eye using Netspeg lens receives the P-VEP stimulus compared with the non Netspeg lens. Also, on the wave style of P-VEP, the eye of Netspeg lens was more stable compared with the naked eye. However, on latency period of P-VEP, the eye of non Netspeg lens was more longer than the eye of Netspeg lens. But, on the other hand, the right and left eye have similar results. In conclusion, this study indicated that the visual acuity and visual function of eye of Netspeg lens used have a better than the eye of non-Netspeg lens in Mono Vision.

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The Change in the Amounts of Proteins and Lipids Deposited on Soft Contact Lens Caused by Drinking (음주로 인한 소프트콘택트렌즈의 단백질 및 지질 침착양 변화)

  • Kim, So Ra;Lim, Shin Gyu;Bae, Seok Chun;Choi, Jung Hyun;Park, Sang Hee;Park, Mijung
    • Journal of Korean Ophthalmic Optics Society
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    • v.17 no.2
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    • pp.233-239
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    • 2012
  • Purpose: In the study, the change of protein and lipid deposits on soft contact lens by drinking was investigated. Methods: Fifty male subjects wearing soft contact lens were surveyed whether they felt any discomfort induced by drinking or not. Further, 32 male subjects who has no ocular disease drank 190 mL alcohol. The protein and lipid deposits on soft contact lens (etafilcon A material) of subjects were measured after 4 hours later and compared with those of non-drinking subject. Results: When subjects drink alcohol with soft contact lens on, 58% of subjects answered they experienced the change of lens awareness such as stiffness, blurry sight, dryness and so on. The protein deposit on soft contact lens increased an average of $59.3{\mu}g/lens$ by drinking and the case of more than double in protein deposit was reached in 9 eyes. However, the protein deposited on soft contact lens was lysozyme which was unchanged by drinking. The amounts of cholesterol and methyl oleate after drinking were 85.5% (p=0.25) and 52.6% (p=0.002) of non-drinking's indicating some change of lipid deposit on soft contact lens by drinking. Conclusions: The results showed the composition of protein and lipid deposited on soft contact lens was changed due to drinking. Thus, it is suggested that wearing soft contact lens when drinking might be one of the reasons to feel discomfort.

Rupture of Posterior Lens Capsule in an American Cocker Spaniel (American Cocker Spaniel에서 발생한 수정체 후낭 파열 1례)

  • Yi Na-young;Park Shin-ae;Jeong Man-bok;Jung Joo-hyun;Song Kyoung-jin;Yoon Jung-hee;Nam Tchi-Chou;Seo Kang-moon
    • Journal of Veterinary Clinics
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    • v.22 no.2
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    • pp.163-165
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    • 2005
  • An 18-month-old, female American Cocker Spaniel was presented with a cataract of left eye. The left eye was blind, and anterior uveitis was noted on ocular examination. Ultrasonography of the eye revealed a hyperechoic mass with distinct borders in the vitreous indicative of lens fiber or mass lesion extending from ciliary body. The eye was enucleated after ultrasonographic examination. On gross examination, rupture of posterior capsule was noted adjacent to the ciliary body.

A Cost-effective Light Emitting Diode-acoustic System for Preclinical Ocular Applications

  • Choi, Hojong;Ryu, Jaemyung;Yeom, Jung-Yeol
    • Current Optics and Photonics
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    • v.2 no.1
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    • pp.59-68
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    • 2018
  • Opto-acoustic systems provide structural and functional information regarding biological tissues. Conventional opto-acoustic systems typically employ continuous or pulsed lasers as transmission sources. Compared to lasers, light emitting diodes (LEDs) are cost-effective and relatively portable excitation sources but are non, coherent. Therefore, in this study, a relatively low cost lens - a type of Ramsden eyepiece - was specially designed to theoretically calculate the illumination and achieve a constant brightness across the pupil of an eye. In order to verify the capability of the developed light-emitting diode-acoustic (LEDA) systems, we carried out experiments on bovine and bigeye tuna eyeball samples, which are of similar size to the human eye, using low frequency (10 MHz) and high frequency (25 MHz) ultrasound transducers. High frequency ultrasound transducers are able to provide higher spatial resolution compared to low frequency ultrasound transducers at the expense of penetration depth. Using the 10 MHz and 25 MHz ultrasound transducers, acceptable echo signals (3.82, 3.94, and 5.84 mV at 10 MHz and 282, 1557, 2356 mV at 25 MHz) from depth greater than 3 cm and 6 cm from the anterior surface of the eye were obtained. We thereby confirmed that the LEDA system using a pulsed LED with the designed Ramsden eyepiece lens, used in conjunction with low and high frequency ultrasound transducers, has the potential to be a cost-effective alternative method, while providing adequate acoustic signals from bovine and bigeye tuna ocular areas.

Analysis of Adaptation for The first-time Progressive Lenses Glasses Wearers (누진렌즈 안경 처음 착용자의 적응도 분석)

  • Shim, Jun-Beom;Shim, Hyun-Seog
    • Journal of Korean Ophthalmic Optics Society
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    • v.16 no.2
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    • pp.117-122
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    • 2011
  • Purpose: This study analyzed the factors related to adaptation of people who wears progressive lenses glasses for the first time. Methods: 463 presbyopia (Aged 41~78) without any ocular diseases with the progressive lens glasses were prescribed from 2010 to 2011 at B clinic in the Gwangju city. Progressive lenses adaptation were analyzed according to gender, age, distance refractive state, presbyopic addition, progressive lens design, the old glasses, astigmatism type, and anisometropia etc. High, mid and low-adapted groups were categorized as the status of wearing progressive lenses glasses, re-wearing, occasionally wearing and failed to weraing, respectively. Results: Men showed significantly higher adaptation (p=0.02) than women. Presbyopic addition (p=0.05) and progressive lens design (p=0.02) were statistically significant. However, it was found that there was so statistical significance for the factors of age, distance refractive state, the old glasses, astigmatism type, and anisometropia. Conclusions: According to the results of this study, when progressive lenses were prescribed, we should consider for adaptation gender, presbyopic addition, and progressive lens design etc.

Development of Detailed Korean Adult Eye Model for Lens Dose Calculation

  • Han, Haegin;Zhang, Xujia;Yeom, Yeon Soo;Choi, Chansoo;Nguyen, Thang Tat;Shin, Bangho;Ha, Sangseok;Moon, Sungho;Kim, Chan Hyeong
    • Journal of Radiation Protection and Research
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    • v.45 no.1
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    • pp.45-52
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    • 2020
  • Background: Recently, the International Commission on Radiological Protection (ICRP) lowered the dose limit for the eye lens from 150 mSv to 20 mSv, highlighting the importance of accurate lens dose estimation. The ICRP reference computational phantoms used for lens dose calculation are mostly based on the data of Caucasian population, and thus might be inappropriate for Korean population. Materials and Methods: In the present study, a detailed Korean eye model was constructed by determining nine ocular dimensions using the data of Korean subjects. The developed eye model was then incorporated into the adult male and female mesh-type reference Korean phantoms (MRKPs), which were then used to calculate lens doses for photons and electrons in idealized irradiation geometries. The calculated lens doses were finally compared with those calculated with the ICRP mesh-type reference computational phantoms (MRCPs) to observe the effect of ethnic difference on lens dose. Results and Discussion: The lens doses calculated with the MRKPs and the MRCPs were not much different for photons for the entire energy range considered in the present study. For electrons, the differences were generally small, but exceptionally large differences were found at a specific energy range (0.5-1 MeV), the maximum differences being about 10 times at 0.6 MeV in the anteroposterior geometry; the differences are mainly due to the difference in the depth of the lens between the MRCPs and the MRKPs. Conclusion: The MRCPs are generally considered acceptable for lens dose calculations for Korean population, except for the electrons at the energy range of 0.5-1 MeV for which it is suggested to use the MRKPs incorporating the Korean eye model developed in the present study.