• 제목/요약/키워드: corneal

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Clinical Features and Prognosis of Corneal Ulcers in Dogs with Chronic Kidney Disease

  • Choi, Heeyeon;Kim, Se Eun;Kim, Taehyun;Jang, Jaeyoung;Hwang, Sun Young;Seo, Kangmoon
    • 한국임상수의학회지
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    • 제38권3호
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    • pp.115-119
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    • 2021
  • This study was designed to investigate the characteristics of corneal ulcers in dogs with chronic kidney disease (CKD). Medical records of dogs that had been diagnosed with corneal ulcers and chronic kidney disease at Haemaru Referral Animal Hospital between April 1, 2011 and March 31, 2016 were investigated. A control group was randomly selected during the same time period. This group included patients with corneal ulcers but no evidence of systemic disease. The mean healing time of superficial corneal ulcers in the CKD group was 21.0 ± 15.0 days. This was a significantly longer healing time than was observed in the control group (11.0 ± 6.6 days, p = 0.019). The incidence rates of uveitis and keratoconjunctivitis sicca in the CKD group were significantly higher than in the control group (p = 0.000 and p = 0.026, respectively). Additionally, non-healing ulcers had significantly elevated white blood cell counts, while those with healing ulcers had WBC counts within the normal range in CKD group (p = 0.000). This study revealed that corneal ulcers in CKD patients would be delayed epithelial healing process and accompanied by ocular disease which affected to corneal healing compared to non-CKD patients.

한국 여자대학생의 굴절성 근시와 각막난시 관계 (The Relationship between Refractive Myopia and Corneal Astigmatism in Korea Women University Students)

  • 김덕훈
    • 한국임상보건과학회지
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    • 제1권1호
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    • pp.1-7
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    • 2013
  • Purpose. To analysis the prevalence of the myopia and corneal astigmatism in Korea women university students. Methods. From August 2011 to December 2012, one hundreds subjects were performed in refraction test using the Auto-Keratometry. Results. The mean age of the 100 subjects (200 eyes) was $21.23{\pm}2.34$. The mean spherical refractive power was -$1.78{\pm}1.65$(OD) and -$1.83{\pm}1.67$(OS) Diopter. The mean astigmatism power was $1.22{\pm}0.96$ (OD) and $1.27{\pm}0.91$ (OS). The mean corneal astigmatism was $1.44{\pm}0.81$(OD) and $1.55{\pm}0.93$(OS). Corneal astigmatism was between 0.25 D and 1.25 D in 67.7% of eyes, 1.25 D or higher in 27.5% eyes, and less than 0.25 D in 4.8% of eyes. Astigmatism was with the rule in 65%, against the rule in 31.5%, and oblique in 3.5%. There was a statistical significance between right eye and left eye in the spherical equivalent power(p=0.002). Also there was a statistical significance between spherical power and refractive astigmatism in OD(p=0.006) and OS(0.003) and a statistical significance between corneal astigmatism and refractive astigmatism in OS(p=0.0003). However, there was not a statistical significance between spherical power and corneal astigmatism in OD(p=0.08) and OS(0.1) and a statistical significance between corneal astigmatism and refractive astigmatism in OS(p=0.48). Conclusions. In this study, these results suggested that the analysis of the refractive myopia and corneal astigmatism can provide the visual correct and useful diagnosis information for the eyewear dispensing, contact lens fitting and corneal refraction surgery.

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원추각막의 각막지형도 분석 (Analysis of Corneal Topography in Keratoconus)

  • 김덕훈
    • 한국임상보건과학회지
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    • 제4권3호
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    • pp.652-661
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    • 2016
  • The analysis of cornea morphology using corneal topographers is a clinical practice for the diagnosis of keratoconus in contact lens fitting. The recently technique has developed with the possibility of achieving a great number of measuring points of both anterior and posterior corneal surfaces in cornea. Also these data are used to extract a series of topographic valuation indices that permit to offer the most exact clinical diagnosis of keratoconus in contact lens fitting. This study describes the technologies in which current corneal topographers are based on the morphological characteristics that the keratoconus status observe on corneal surface. Therefore, this paper can provide that the analysis of corneal topographers applied for the diagnosis of keratoconus in contact lens fitting.

Studies on Corneal Penetration of P-Hydroxybenzoic Acid Esters

  • Lee, Chi-Ho;Lee, Kyoung-Jin;Yun, Il;Shin, Young-Hee
    • Archives of Pharmacal Research
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    • 제14권4호
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    • pp.311-318
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    • 1991
  • Corneal permeability of various n-alkyl p-hydroxybenzoates (parabens) was studied in vitro using excised rabbit corneas, and the effect of lipophilicity of parabens on the corneal permeability was also investigated. Permeability coefficients were obtained from the least-square linear regression after the steady state had been reached. Lipophilicity of parabens was calculated by distribution coefficients determined in octanol-S | $12{\phi}{\parallel}$) rensen's buffer solution (pH 5.0). The relationship between lipophilicity and corneal permeability of parabens was not linear, but the optimum lipophilicity for the maximum permeation was found. The influence of tween 80 on corneal permeability of methyl and butylparaben was not significant.

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Application of porcine small intestinal submucosa (Vetrix BioSIS®) for recurrent corneal sequestrum in an American shorthair cat

  • Kim, Youngsam;Kang, Seonmi;Nam, Sunhwa;Yun, Seongjin;Seo, Kangmoon
    • 대한수의학회지
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    • 제60권4호
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    • pp.229-232
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    • 2020
  • A 15-year-old, spayed, female American shorthair cat presented with recurrent corneal sequestrum in the right eye. The cat had undergone superficial keratectomy twice for corneal sequestrum treatment 5 and 11 months previously. Two layers of porcine small intestinal submucosa (SIS; Vetrix BioSIS®) were applied to the surgical corneal defect after keratectomy. Thereafter, clinical signs, such as lacrimation, blepharospasm, and corneal ulcer, disappeared 50 days postoperatively. Moreover, the application of SIS with keratectomy prevented recurrence until 651 days after surgery. SIS could be applied as an additional bioscaffold for surgical repair of corneal sequestrum recurring after superficial keratectomy alone in cats.

각막굴절교정수술 후 각막절삭량과 안압변화의 상관관계 (Correlation between Corneal Ablation Amount and Intraocular Pressure after Corneal Refractive Surgery)

  • 정미아;이은희
    • 대한시과학회지
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    • 제20권4호
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    • pp.543-551
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    • 2018
  • 목적 : 각막굴절교정수술 후 각막절삭량에 따른 안압변화와 수술 전 굴절이상도에 따른 수술 후 안압 변화에 대하여 알아보고자 하였다. 방법 : 라식 각막굴절교정수술을 받은 평균연령 $37.34{\pm}7.42$세, 성인 남녀 108명(남자 48명, 여자60명)을 대상으로 선정하였다. 자동굴절검사기, 비접촉형안압계, 엑시머레이저를 이용하여 굴절이상도, 안압, 각막절삭량을 측정하였으며, p<0.05일 때 통계적으로 유의하다고 판단하였다. 결과 : 각막굴절교정수술 전 안압은 남자가 $15.08{\pm}2.60mmHg$, 여자가 $14.16{\pm}2.67mmHg$로 남자가 여자보다 높게 나타났으며, 각막굴절교정수술 후 안압 감소량은 남자가 4.22mmHg, 여자가 3.61mmHg로 나타났다. 등가구면 굴절력은 각막굴절교정 수술 전 남자 $-3.89{\pm}2.17D$, 여자 $-4.45{\pm}2.92D$에서, 각막굴절교정 수술 후 남자 $-0.10{\pm}0.46D$, 여자$-0.04{\pm}0.46D$로 나타났다. 각막굴절교정수술 후 각막절삭량은 남자 $53.95{\mu}m$, 여자 $61.26{\mu}m$로 통계적으로 유의한 차이가 있었으며, 각막절삭량과 안압의 감소량에는 유의한 상관성(r=0.2299, p<0.001)을 보였다. 성별로는 남자의 각막절삭량이 많아질수록 안압의 감소량은 유의하게 증가하는 것으로 나타났다. 굴절이상도가 증가할수록 안압의 감소량도 커져 경도의 굴절이상도에서는 $3.04{\pm}2.18mmHg$, 중등도의 굴절이상에서는 $4.10{\pm}2.16mmHg$, 고도의 굴절이상도에서는 $4.65{\pm}3.29mmHg$가 감소하는 것으로 나타났다. 결론 : 각막굴절교정수술 후 비접촉식 안압계로 측정한 안압은 감소하는 것을 알 수 있었으며, 안압측정은 녹내장 판단에 영향을 줄 수 있으므로 안압 측정시 각막굴절교정수술 여부에 대한 사전설문이 필요할 것으로 생각된다.

Effects of Ultra High Molecular Weight Poly-${\gamma}$-glutamic Acid from Bacillus subtilis (chungkookjang) on Corneal Wound Healing

  • Bae, Sun-Ryang;Park, Chung;Choi, Jae-Chul;Poo, Ha-Ryoung;Kim, Chul-Joong;Sung, Moon-Hee
    • Journal of Microbiology and Biotechnology
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    • 제20권4호
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    • pp.803-808
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    • 2010
  • Poly-${\gamma}$-glutamic acid (${\gamma}$-PGA) is a natural edible polypeptide in which glutamate is polymerized via ${\gamma}$-amide linkages. First, we assessed the eye irritancy potential of ${\gamma}$-PGA in rabbits. Additionally, we studied the effects of ${\gamma}$-PGA on corneal wound healing, due to the anti-inflammatory properties and water retaining abilities of ${\gamma}$-PGA. In this study, the effects of ${\gamma}$-PGA on corneal wound healing after an alkali burn were evaluated. Thirty eyes wounded by alkali burning in 30 white rabbits were divided into three groups: group A was treated with 0.1% 5,000 kDa ${\gamma}$-PGA for 2 days; group B was treated with 0.1% hyaluronic acid; and group C was not treated, as a control. The area of corneal epithelial defect was examined at 12, 24, 30, 36, 42, and 48 h after corneal alkali wounding to determine initial wound healing. We found that ${\gamma}$-PGA promoted corneal wound healing, compared with controls, and showed similar effects to hyaluronic acid. These results indicate that ${\gamma}$-PGA stimulates corneal wound healing by an anti-inflammatory effect and enhancing cell migration and cell proliferation. ${\gamma}$-PGA is a promising biomaterial that may be a substitute for hyaluronic acid in corneal wound healing treatment.

굴절이상과 안축장/각막곡률반경 비와의 관계에 관한 연구 (Study of the Axial Length/Corneal Radius Ratio in Determining the Refractive State of the Eye)

  • 서용원;최영준
    • 한국안광학회지
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    • 제4권2호
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    • pp.23-31
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    • 1999
  • 본 연구에서는 안과적 질환이 없는 한국인 성인 남녀의 안광학적요소를 측정하여, 안축의 길이를 각막 양주경선의 평균곡률반경으로 나눈 값(Al/CR비)과 눈의 굴절이상과의 상관성을 분석하였다. 눈의 굴절이상과 안축의 길이, 각막곡률반경과는 각각 -0.77(0.001>p), 0.29(0.01>p)의 상관관계가 있었으나, AL/CR비와는 이것들보다 훨씬 높은 -0.89(0.001>p)의 상관성을 보였다. 그러므로 눈의 굴절이상의 대부분은 AL/CR비에 의해서 결정된다고 할 수 있다. 또한 Al/CR비에 기여하는 안광학 요소를 알아보기 위해 AL/CR비와 안광학요소와의 상관성을 분석한 결과, 안축의 길이와는 0.82(0.001>p), 유리체의 깊이와는 0.80(0.001>p), 전방의 깊이와는 0.57(0.001>p), 각막굴절력과는 0.40(0.001>p), 각막골률반경과는 0.39(0.001>p), 수정체의 굴절력과는 -0.35(0.01>p) 등의 순서로 나타났다. 그러므로 눈의 굴절이상은 안광학요소 중 안축의 길이와 각막곡률반경의 비에 의해서 가장 많은 영향을 받으며, 이 AL/CR비는 안축의 길이, 초자처의 깊이, 전방의 깊이 등이 밀접한 관련성이 있으나, 수정체의 두께는 유의할 만한 상관성이 없음을 알았다.

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개의 건성각결막염에 의한 각막천공을 안구내용물적출술과 실리콘볼 삽입 후 각막이식을 적용하여 치료한 증례 (Evisceration and Intrascleral Silicone Ball Prosthesis with Penetrating Keratoplasty on Perforated Corneal Ulcer Secondary to KCS in a Shih Tzu Dog)

  • 김종민;김종열;김황민;장세웅;정인성;최석화
    • 한국임상수의학회지
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    • 제32권4호
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    • pp.356-358
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    • 2015
  • 큰 크기의 각막천공에 안내용물 손상이 된 눈을 안구적출술을 시도하지 않고, 안구내용물적출술과 실리콘볼 삽입후 각막이식을 적용하여 치료하여 안구적출술보다 미용상 만족한 눈의 외관을 얻은 증례를 소개 하였다.

Interspecies comparative morphological evaluation of the corneal epithelial stem cell niche: a pilot observational study

  • Popova, Petya;Malalana, Fernando;Biddolph, Simon;Ramos, Tiago;Parekh, Mohit;Chantrey, Julian;Ahmad, Sajjad
    • Journal of Veterinary Science
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    • 제23권4호
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    • pp.62.1-62.10
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    • 2022
  • Background: The corneal and limbal morphology relevant to corneal epithelial maintenance in ten different species was examined using histological methods. Objectives: The presence of a Bowman's layer, limbal epithelial cell, and superficial stromal morphology was examined in the following species to evaluate the differences in corneal thickness and epithelium: Java sparrows, frogs, macaws, spoonbills, red pandas, penguins, horses, Dobermans, orangutans, and humans. Methods: Corneal sections (4 ㎛) were obtained from ten ocular globes from three different animal classes: Aves, Amphibia, and Mammalia. All sections were stained with hematoxylin and eosin and periodic acid-Schiff reaction. After microscopy, all stained slides were photographed and analyzed. Results: Significant morphological differences in the corneal and limbal epithelia and their underlying stroma between species were observed. The number of corneal epithelial cell layers and the overall corneal epithelial thickness varied significantly among the species. The presence of a Bowman's layer was only observed in primates (orangutans and humans). Presumed supranuclear melanin caps were noted in four species (orangutans, macaws, red pandas, and horses) in the limbal basal epithelial layer (putative site of corneal epithelial stem cells). The melanin granules covered the apex of the cell nucleus. Conclusions: Supranuclear melanin capping has been described as a process within the epidermis to reduce the concentration of ultraviolet-induced DNA photoproducts. Similarly, there may be a relationship between limbal stem cell melanin capping as a protective mechanism against ultra-violet radiation.