• Title/Summary/Keyword: Tear

Search Result 1,292, Processing Time 0.028 seconds

Comparison of Tear Distributions by the Corneal Eccentricity when Fitted with Spherical and Aspherical RGP Lenses (구면 및 비구면 RGP렌즈 피팅 시 각막 이심률별 눈물분포 비교)

  • Kim, Jihye;Kim, So Ra;Park, Mijung
    • Journal of Korean Ophthalmic Optics Society
    • /
    • v.21 no.2
    • /
    • pp.99-108
    • /
    • 2016
  • Purpose: The present study was aimed to compare the tear volume and distribution by corneal eccentricity when fitted with spherical and aspherical RGP lenses. Methods: Spherical and aspherical RGP lenses were fitted in best alignment on a total of 77 subjects (136 eyes) in their twenties and thirties without any ocular disease or ocular surgery experience. The tear volume was analyzed by estimating the concentration of tear stained with fluorescein in the center of RGP lens as well as at the mid-peripheral and peripheral areas, and the difference of tear distributions was analyzed according to corneal eccentricity. Results: Tear distribution from the center to the peripheral area was not significantly different when spherical RGP lenses were fitted on the corneal eccentricities of e < 0.38 and $0.68{\leq}e$, indicating the relatively even tear distribution compared with other corneal eccentricity. In the case of aspherical RGP lenses, the difference of tear distribution between the central and peripheral areas was smaller than spherical RGP lenses. The significant difference of tear distribution according to RGP lens design was observed in the corneal eccentricity of 0.48 < e < 0.68. In other words, more even tear distribution was shown when aspherical RGP lenses were fitted on the cornea with eccentricity of $0.48{\leq}e<0.68$ and spherical RGP lenses were fitted on the cornea with eccentricity $0.68{\leq}e$. Furthermore, tear volume in the mid-peripheral area increased with higher corneal eccentricity. Conclusions: The results suggest that the appropriate selection of RGP lens design according to corneal eccentricity is necessary since tear volume and distribution by the regions of spherical and aspherical lenses are affected by corneal eccentricity.

The Effects of Corneal Type and Corneal Astigmatism on Tear Volume between Rigid Gas Permeable Lens and the Cornea (각막형상 및 각막난시도가 RGP렌즈와 각막사이의 눈물양에 미치는 영향)

  • Kim, Jihye;Kim, So Ra;Park, Mijung
    • Journal of Korean Ophthalmic Optics Society
    • /
    • v.20 no.2
    • /
    • pp.141-150
    • /
    • 2015
  • Purpose: In the present study, a difference in tear volume between the cornea and the rigid gas permeable (RGP) lens relative to corneal shape and corneal astigmatism was investigated by the alignment fitting status of spherical and aspherical RGP lenses. Methods: Spherical and aspherical RGP lenses were fitted with alignment in 77 subjects (135 eyes) who were in their 20~30s. Tear volume stained with fluorescein was qualitatively analyzed by dividing cornea into center, mid-peripheral and peripheral parts. Results: For the spherical RGP lens fitting, tear volume differences were found in each part in all corneal types. For the aspherical RGP lens fitting, tear volume differences were in each corneal part in symmetric bow tie- and asymmetric bow tie-type corneas. However, the tear was equally distributed from the center to the peripheral part in round- and oval-type corneas. In the group with corneal astigmatism lower than 1.25 D, tear volume between center and peripheral parts, and mid-peripheral and peripheral parts, was different when a spherical RGP lens was fitted. However, tear volume in each part was not different in the group with corneal astigmatism over 1.50 D. Moreover, the tear volumes of the central and mid-peripheral parts were proportionally increased with increasing corneal astigmatism in both spherical and aspherical RGP lenses. Furthermore, aspherical RGP lenses showed greater increments than spherical RGP lenses. Conclusions: The results revealed that the difference in tear volume between aspherical RGP lens and cornea was less than spherical RGP lens, and the difference in tear volume varied according to corneal shape and astigmatism. In addition, the method of measuring relative tear volume between RGP lens and cornea that was established in the present study can be used to evaluate tear volume between contact lens and cornea.

Comparison of the Patella Baja in Patients With and Without Anterior Cruciate Ligament Injury (전방 십자 인대 손상군과 정상군에서 슬개골 저위증의 비교)

  • Lee, Woo-Suk;Kim, Sung-Hun;Cho, Sung-Jin;Lim, Ji-Hyuk;Chung, Whan-Young;Hwang, Cheol-Mog
    • Journal of the Korean Arthroscopy Society
    • /
    • v.10 no.1
    • /
    • pp.39-44
    • /
    • 2006
  • Purpose: The object of this study is to compare the Insall-Salvati ratio and Carton index between the patients who have an anterior cruciate ligament (ACL) tear and the patients who have no ACL tear. Materials and Methods: The study group included 114 patients who had an ACL tear and received arthroscopic reconstruction. The group I was acute ACL tear group, within 3 weeks after injury. The group II was chronic ACL tear group who had MRI was done after 3 weeks from injury. The group III was normal control group. We measured the Insall-Salvati ratio and Carton index on Magnetic Resonance Images (MRI) for all patients. Results: The Insall-Salvati ratio of control group was $1.02{\pm}0.12$ and Carton index of control group was $1.14{\pm}0.16$. The ACL-tear study group was $0.91{\pm}0.12\;and\;0.89{\pm}0.20$ respectively. The Insall-Salvati ratio and Caton index in ACL tear group was significantly less than those of control group. There were no significant differences in comparing with acute and chronic ACL tear group. Conclusion: Our study show that patella baja has an association with ACL tears, therefore in patients with an ACL tear who had patella baja, ideal graft for reconstruction was seriously considered.

  • PDF

Arthroscopic Repair for the Acute Anterior Cruciate Ligament Tears (급성 전방 십자 인대 파열의 관절경적 봉합술)

  • Choi, Chong-Hyuk;Yoon, Han-Kook;Kim, Hyung-Sik
    • Journal of the Korean Arthroscopy Society
    • /
    • v.9 no.2
    • /
    • pp.137-142
    • /
    • 2005
  • Purpose: The purpose of this study is to evaluate the results of arthroscopic anterior cruciate ligament(ACL) repair with minimal incision and to review prognostic factors according to ACL tear patterns and the presence of associated injury Materials and Methods: Thirty eight patients (thirty nine knees) with acute ACL tear were given arthroscopic ACL repair between January 2001 and December 2002 and were followed up at least over six months. Intraoperative findings such as ACL tear pattern and the presence of synovial or concomitant medial collateral ligament injuries were recorded. Each knee was then postoperatively re-evaluated with aid of KT-1000 arthrometer and Lachman test and Lysholm score. Results: Postoperative limitation of motion was significant when combined typed ACL tear was present with concurrent medial collateral ligament(MCL) injury. In contrast, in the case where there were sole proximal ACL tear or no evidence of synovial injury, the limitation of motion was not significant. Anterior laxity was significantly associated with the presence of combined typed ACL tear or concurrent synovial injury, but was not significant when there were sole proximal ACL tear. Conclusion: In the case where there is sole proximal ACL tear without concurrent synovial injury, arthroscopic ACL repair can be considered as a treatment modality for the treatment of acute ACL injury.

  • PDF

Massive Rotator Cuff Tear Repair (광범위 회전근 개 파열의 봉합술)

  • Shin, Sang-Jin
    • Clinics in Shoulder and Elbow
    • /
    • v.13 no.1
    • /
    • pp.167-174
    • /
    • 2010
  • Purpose: Anatomical repair of massive rotator cuff tear has been technically challenging because of medial retraction, muscle atrophy and fatty degeneration. Among several treatment options for massive rotator cuff tear, we reviewed rotator cuff repairs and investigated modalities for improvement of clinical outcomes, decreasing the re-tear rate, and increasing healing. Materials and Methods: Patient-related factors and rotator cuff-related factors were the two major groups of factors we considered when choosing a treatment plan. Results: Mobilization of a massive rotator cuff tear was increased by soft tissue release and by the interval slide technique. After meticulous soft tissue release, anatomical repair could be achieved. If the injury was not amenable to anatomical repair, alternative treatment options such as partial repair, the margin convergence technique and augmentation with a tenotomized biceps tendon were considered. Many reports of massive rotator cuff repair demonstrated satisfactory clinical outcomes, decreased pain, recovery of shoulder functions, and increases in muscle strength. However, the re-tear rate had been reported to be relatively high in long-term follow-up. Conclusion: Despite a high re-tear rate after massive rotator cuff repair, a better understanding of the pathogenesis, progression and clinical symptoms of massive rotator cuff tear and improved surgical materials and techniques will lead to satisfactory clinical outcomes.

The Difference of Tear Break-Up Time by the Fitting States of Soft Contact Lens in Normal and Dry Eyes (정상안과 건성안에서 소프트렌즈 피팅 상태에 따른 비침입성 눈물막 파괴 시간의 차이)

  • Jung, Da I;Lee, Heum Sook;Kim, So Ra;Park, Mijung
    • Journal of Korean Ophthalmic Optics Society
    • /
    • v.15 no.4
    • /
    • pp.339-346
    • /
    • 2010
  • Purpose: The study was performed to compare the difference of non-invasive tear break-up time (NIBUT) with alignment or steep fitting of soft contact lens in normal and dry eyes. Methods: Total 40 eyes (aged 20~30 years) were classified to the normal (n=20) or dry eye group (n=20) by the diagnosis methods for dry eyes and worn soft contact lens (polymacon material) with alignment or steep fitting. NIBUTs of lens wearers were separately measured at the points of before wearing, immediately after wearing and after stabilization of tear film. Results: With alignment fitting, averaged NIBUT in the dry eye group after stabilization of tear film was not significantly different from that of the normal eye group. However, averaged NIBUTs in the normal and dry eyes had significant difference when measured immediately after lens wearing. However, the number of eyes having NIBUT less than 4.0 second was 30% higher compared to the number of normal eyes with steep fitting when measured immediately after wearing. Some shorten NIBUT in dry eyes with steep fitting was also shown after stabilization of tear film. Conclusions: These results suggest that wearing soft contact lens in dry eyes differently affect tear film compared to normal eyes. Thus, dry eyes need more advertent fitting for contact lens wearing because of unstable tear film.

Appearance of Meniscus Tear Associated with ACL Rupture - Analysis of Location and Type of Meniscus Tear - (전방 십자인대 파열과 동반된 반월상 연골 파열 양상 - 파열부위 및 형태의 분석 -)

  • Lee, Yeong-Hyun;Nam, Il-Hyun;Moon, Gi-Hyuk;Yun, Ho-Hyun;Kim, Jae-Cheol;Ahn, Gil-Yeong
    • Journal of Korean Orthopaedic Sports Medicine
    • /
    • v.6 no.1
    • /
    • pp.45-49
    • /
    • 2007
  • Purpose: We analyzed the location and type of meniscus tear associated with ACL rupture in order to estimate and prepare whether the meniscus tear is in a repairable location. Materials and Methods: We reviewed 78 cases who had ACL reconstructive surgery due to ACL rupture. We set the period of acute injury on the basis of under 12 months after trauma. The location and type of meniscus tear was analyzed in accordance with MRI findings and arthroscopic findings. Results: The 50 cases of meniscus tear were detected out of the 78 ACL rupture;32 cases were lateral meniscus tears, 24 were medial meniscus tears and 6 cases were both menisci tears. From a total of 56 meniscus tears, 30 cases were longitudinal tears, 22 cases were red-red zone tears and 35 cases(62%) were posterior horn tears. Conclusion: The most common type of meniscus tear associated with ACL rupture war longitudinal tear at the red-red zone or meniscosynovial junction. Majority of the tears located at that place can be healed with conservative treatment, arthroscopic meniscus suture.

  • PDF

Mechanical Properties of Cotton Fabric Treated with Succinic Acid - Tear Strength - (Succinic Acid 처리면포의 역학 특성 - 인열강도 -)

  • Kang, In-Sook;Bae, Hyun-Sook
    • Textile Coloration and Finishing
    • /
    • v.21 no.3
    • /
    • pp.1-9
    • /
    • 2009
  • Polycarboxylics acids are used as crosslinking agents for cotton cellulose to produce durable finished press cotton fabric. It has been observed that the strength of the cotton fabric treated with polycarboxylic acids showed significant reduction as a result of the crosslinking process. The effect of acid-catalyzed depolymerization on the tear strength of cotton fabric is investigated by evaluating the cotton fabric treated by succinic acid, which does not crosslink cotton cellulose and form little ester on the cotton fabric. We find that the tear strength of cotton fabric treated with succinic acid decreases at elevated temperature due to acid-catalyzed depolymerization of cellulose. The magnitude of fabric strength reduction increases as the acid concentration increases. At a constant acid concentration, it increases as the curing temperature and time increases. It decreases as the pH of the acid solution increases. We also find that the dissociation constant of an acid also has a significant effect on the fabric strength reduction. The magnitude of fabric tear strength reduction increases as the acid dissociation constant decreases.

The Effect of Job's Tear Diet on Change of Body Lipid and Tissue in Rat (율무쌀이 흰쥐의 체지방과 조직 변화에 미치는 영향)

  • Shin, Duk-Kue;Park, Chan-Hyon;Lee, Youn-Joo;Lee, Yong-Ock
    • Journal of the Korean Applied Science and Technology
    • /
    • v.7 no.2
    • /
    • pp.83-90
    • /
    • 1990
  • This study was attempted to observe the effect of Job's tear diet on change of body weight and tissue in rat. The changes of body weight were higher in Job's tear non-diet group(A) and seemed to lower in Job's tear diet group(c) as expected. The weight of each organ appeared to heavy more C group than A,Bgroup in Brain, Spleen. Lungs and Kidney. Liver was heavier in Job's tear to diet one day among six day group(B) and ovary was lighter in C group, The levels of each organ TBA-value were higher in Brain, Liver of A group and showed to higher Spleen, Lungs, Ovary of C group TBA-value of Kidney was revealed to lower more C group than A,B group.