• 제목/요약/키워드: cornea thickness

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한국인 20세부터 24세까지 각막 두께와 안압의 분석 (Analysis of cornea thickness and intra ocular pressure of 20 to 24 years old population in Korea)

  • 김덕훈
    • 한국임상보건과학회지
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    • 제11권1호
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    • pp.1632-1638
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    • 2023
  • Purpose: The aim of this study was to determine the distribution of the cornea thickness and intra ocular pressure Korean adult of 20 to 24 year old using the Pentacam and tonometer. Methods: The subjects of this study were 43 Korean adults with healthy eyes. Corneal thickness was measured with Pentacam device. The intra ocular pressure was measured with tonometer. Data was analyzed by means of the Pearson's correlation cofficient. P-values<0.001 were considered statistically significant. Results: Mean age of subjects was 20.41±0.86 years. The mean +/- intra ocular pressure of the right eye and left eye were 16.236±2.523mmHg and 16.971±1.992mmHg, respectively. The mean central corneal thickness of the right eye and left eye was 545.324±38.682㎛ and 547.442±33.778㎛, respectively. No significant difference in central corneal thickness was found between the right and left eyes. But, there was a statistically significant difference between central cornea thickness and peripheral cornea thickness around 4 mm of central cornea(p<0.001, Pearson's correlation). However there was no statistically significant difference between central cornea thickness and intra ocular pressure. Conclusion: The results of this study could be used as a clinical reference data for diagnosis and treatment of cornea in Korean adult.

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

  • 김덕훈;배한용
    • 한국임상보건과학회지
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    • 제1권2호
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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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Color soft contact lens and corneal thickness

  • Kim, Douk-Hoon
    • 한국임상보건과학회지
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    • 제7권1호
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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.

한국인 20세부터 24세까지의 중심 각막 두께, 앞방 부피, 앞방 깊이에 대한 상관관계 분석 (Correlation analysis of central corneal thickness, anterior chamber volume, and anterior chamber depth of 20 to 24 Years old population in Korea)

  • 박상열;김덕훈
    • 한국임상보건과학회지
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    • 제12권1호
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    • pp.1654-1659
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    • 2024
  • Purpose: The aim of this study was to determine Correlation analysis of central corneal thickness, anterior chamber volume, and anterior chamber depth in Koreans aged 20 to 24 years using the Pentacam tool. Methods: The subjects of this study were 53 Korean adults with healthy eyes. The central corneal thickness(CCT), anterior chamber volume(ACV), and anterior chamber depth(ACD) was measured with Pentacam device. Data was analyzed by means of the Pearson's correlation cofficient. P-values<0.001 were considered statistically significant. Results: Mean age of subjects was 22.0±2.01 years. The mean +/- central corneal thickness of the right eye and left eye were 546.66±32.221mmg and 545.70±32.759mm, respectively. Also The mean central cornea thickness was 546.19 um in the whole sample. The mean anterior chamber volume the right eye and left eye was 181.66±33.738 mm3 and 180.12±30.84 mm3, respectively. The mean anterior chamber depth was 3.158±0.257 mm and 3.122±0.233 mm in right eye and left eye, respectively. There was a statistically significant difference between anterior camber volume and anterior chamber depth(p<0.001, Pearson's correlation). However there was no statistically significant difference between central cornea thickness and anterior chamber volume. Also there was no statistically significant difference between central cornea thickness and anterior chamber depth. Conclusion: The results of this study could be used as a clinical reference data for diagnosis and treatment of cornea in Korean adolescents.

엑셀 프로그램을 이용한 콘택트렌즈의 Dk 결정 (An Excel Program for Dk Calculation of Contact Lens)

  • 김대수
    • 한국안광학회지
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    • 제16권1호
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    • pp.107-116
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    • 2011
  • 목적: 콘택트렌즈 피팅 시 렌즈 관련 사양의 변화에 따라 다른 값을 가지는 각막에서 산소부족이 없는 최소 Dk값 및 산소농도를 계산/확인할 수 있는 프로그램을 수립하고자 하였다. 방법: 엑셀 프로그램을 이용하여 콘택트렌즈착용 시 렌즈 아래 형성되는 눈물층의 두께와 Dk값을 계산할 수 있는 방정식을 세우고 수치 계산 모델을 확립하였다. 결과: 렌즈사양을 변화시키면 렌즈 아래 눈물층의 두께가 변하며 이에 따라 산소투과도가 다르게되므로 각막이 요구하는 최소 산소농도 역시 달라짐을 계산으로 확인하였으며, 눈물층의 두께를 위한 계산 프로그램은 눈물층의 형태에 따라 다르게 선택되어야 함을 밝혔다. 즉, flat 피팅 시에는 렌즈가장자리와 각막이 만나서 만들어지는 오목면의 형태에 따라 렌즈 아래 눈물층의 두께가 결정되며, flat하게 피팅 될수록 각막주변부 표면의 산소농도는 감소되어 계산값으로는 (-)가 되며 실제로는 산소농도는 0이 된다. Tight 피팅 시 각막표면의 산소를 계산하면 tight 피팅으로 눈물층의 두께가 렌즈의 두께보다 극단적으로 두꺼워지게 되어 계산값은 역시 (-)가 되며 각막 표면의 산소 농도는 0이 되어 산소결핍을 야기하게 됨을 알 수 있다. 결론: 콘택트렌즈의 변수를 조절하여 피팅 상태를 변경할 때에는 눈물층의 두께와 이에 따른 각막표면의 산소농도를 정확하게 계산하여 산소결핍이 나타나는 일이 없도록 하여야 한다.

콘택트렌즈의 피팅조건에 따른 산소확산 (Oxygen Diffusion According to the Fitting Conditions of Contact Lens)

  • 김대수
    • 한국안광학회지
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    • 제13권3호
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    • pp.35-43
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    • 2008
  • 목적: 콘택트렌즈의 피팅에 따른 눈물 층의 두께, 렌즈의 Dk 값 및 두께 변화가 각막에 유입되는 산소확산에 미치는 영향을 고찰하였다. 방법: 확산에 관한 Fick 법칙 및 연속법칙을 사용하여 액체(눈물)-CL-눈물 층을 통하여 각막으로 유입되는 산소 flux 및 각막 표면의 산소 분압을 계산할 수 있는 일련의 방정식을 세우고 이들 식에 의거하여 피팅에 따른 눈물 층의 두께, 렌즈의 Dk 및 두께 변화가 각막에 유입되는 산소 flux에 어떠한 영향을 미치는가를 예측하였다. 결과: 본 모델을 사용하여 적절한 피팅 조건에 부합하고 또한 각막 표면의 산소 분압이 보장되는 렌즈의 Dk 및 두께를 결정할 수 있었다. 결론: 대단히 높은 Dk 값을 지닌 렌즈라도 너무 flat 또는 tight하게 피팅된 경우 렌즈의 주변부와 각막 사이 눈물 층의 간격이 커짐으로 인하여 각막에 도달하는 산소 flux 및 각막표면의 산소 분압이 급격히 감소될 수 있다.

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

  • Kim, Douk-Hoon;Sapkota, Kishor
    • 한국임상보건과학회지
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    • 제6권1호
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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.

콘택트렌즈의 산소투과에 대한 피팅의 영향 (Model on the Oxygen Transmission of Contact Lenses according to the Fitting)

  • 김대수;박미정
    • 한국안광학회지
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    • 제8권2호
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    • pp.1-11
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    • 2003
  • 확산에 관한 Fick 법칙 및 연속법칙을 사용하여 액체(눈물)-콘택트 렌즈-눈물 층을 통하여 각막으로 유입되는 산소 flux 및 각막 표면의 산소 분압을 계산할 수 있는 일련(一連)의 방정식을 세우고 이들 식에 의거하여 피팅에 따른 눈물 층의 두께, 콘택트 렌즈의 Dk 및 두께 변화가 각막에 유입되는 산소 flux에 어떠한 영향을 미치는가를 예측하였다. 본 모델을 사용하여 적절한 피팅 조건에 부합하고 또한 각막 표면의 산소 분압이 보장되는 콘택트 렌즈의 Dk 및 두께를 결정할 수 있다. 대단히 높은 Dk값을 지닌 콘택트 렌즈라도 너무 flat 또는 tight하게 피팅된 경우 콘택트 렌즈의 주변부와 각막 사이 눈물 층의 간격이 커짐으로 인하여 각막 주변부에 도달하는 산소 flux 및 각막 주변부 표면의 산소 분압이 급격히 감소하게 될 수 있다.

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소프트콘택트렌즈의 유형에 따른 각막형태의 변화 (Change of Corneal Shape with Soft Contact Lens Type)

  • 우철민;이현미
    • 한국안광학회지
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    • 제19권1호
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    • pp.111-120
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    • 2014
  • 목적: 콘택트렌즈의 함수율, 재질, 굴절력의 차이에 따른 착용전후의 각막의 형태 변화를 살펴보고자 하였다. 방법: 5가지 유형의 콘택트렌즈를 사용하여 렌즈 착용 전후의 두께차이를 비교하였다. 각막의 중심부와 각막 중심에 떨어진 거리와 방향에 따른 렌즈 착용 전, 후의 각막의 두께, 각막 전, 후면 곡률, 고위수차의 변화를 조사하였다. 측정에 사용된 장비로는 ORB ScanII(Bausch & Lomb Inc, ver 3.14)로 각막 지형도 및 각막 두께를 측정하였으며, 고위수차(high order aberration) 분석을 위하여 Zywave(Bausch & Lomb Inc, ver 5.20)를 사용 하였다. 결과: 산소투과가 낮은 하이드로겔 재질의 소프트 콘택트렌즈(T2 lens)에서 각막의 두께가 증가하는 경향이 두드러지게 나타났다. 각막 중심에서 가장 많은 변화를 보였으며, 중심에 가까울수록 변화정도가 증가하였다. 각막의 방향에 있어서는 코 쪽이 가장 많이 변하였다. 결론: 본 연구에서 사용한 함수율, 재질, 디자인이 다른 5종의 콘택트렌즈 중 Dk가 28이상의 산소투과도를 가진 렌즈에서는 각막의 형태 변화가 적었으며, 산소투과도가 매우 낮은 렌즈에서 가장 많은 각막형태의 변화가 나타났다.

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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    • 제15권1호
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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.