• Title/Summary/Keyword: corneal

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A Case of Pressure Sore in Congenital Insensitivity to Pain with Anhidrosis (CIPA(Congenital Insensitivity to Pain with Anhidrosis)를 가진 환아에서 욕창의 치험례)

  • Hwang, Jae Ha;Park, Sun Hyung;Yoo, Sung In;Noh, Bok Kyun;Kim, Eui Sik;Kim, Kwang Seog;Lee, Sam Yong
    • Archives of Plastic Surgery
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    • v.33 no.5
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    • pp.669-671
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    • 2006
  • Purpose: Congenital insensitivity to pain with anhidrosis(CIPA) is a rare form of autosomal recessive peripheral sensory neuropathy. Patients with CIPA show loss of pain sensation, which leads to corneal ulcers and opacities, self-mutilation of the tongue and fingertips, as well as fractures with subsequent joint deformities and chronic osteomyelitis. The purpose of this report is to highlight the fact that pressure sores also are a potential complication of CIPA. Methods: This case report describes a patient presenting with pressure sores resulting from CIPA. A 5-year-old boy was referred to our department for the treatment of a $5{\times}5cm$ sacral pressure sore as a result of a hip spica cast applied for the treatment of a left hip joint dislocation. He had a history suggesting CIPA such as multiple bony fractures, mental retardation, recurrent hyperpyrexia, anhidrosis, and clubbing fingers due to oral mutilation. A microscopic examination of the sural nerve showed mainly large myelinated fibers, a few small myelinated fibers and an almost complete loss of unmyelinated fibers. After wound preparation for two weeks, the exposed bone was covered with two local advancement flaps. Results: Two weeks later, complete wound healing was achieved. A 16-month follow-up showed no recurrence. However, the patient presented with a new pressure sore on the left knee due to orthosis for the treatment of the left hip joint dislocation. Conclusion: The early diagnosis of CIPA and special care of pressure sores are important for preventing and treating pressure sores resulting from CIPA.

The adsorption pattern of protein to the soft contact lens and its effect on the visible light transmission and the contact angle (소프트콘택트렌즈의 단백질 부착 양상 및 가시광선투과도와 접촉각에 미치는 영향)

  • Park, Mijung;Kwon, Mi Jeong;Lee, Sun Hee;Kim, Daesoo
    • Journal of Korean Ophthalmic Optics Society
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    • v.9 no.1
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    • pp.53-68
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    • 2004
  • Protein deposit buildup on soft contact lenses(SCLs) is responsible for discomfort, optical defects and is even damaging to the eye. To better understand protein deposit formation on SCL, we investigated the pattern of protein attachment on patient-worn SCLs and the effect of the protein on the contact angle of SCLs and the transmission of visible light. This study used data from a clinical trial where subjects wore either daily-wear SCL(etafilcon A, N=40) for various period up to 14 days, or extended-wear SCL(balafilcon A, N=40) for 8 h day or night. The adsorption of protein in daily-wear SCLs was significantly increased in patient-worn time-dependent manner although the lenses were cleaned everyday by using the multi-purpose SCL solution. After 2 weeks wearing, the protein on the SCL influenced the contact angle of the lenses. Furthermore, the transmission of visible light of the lenses decreased up to almost 7%. Extended-wear SCLs worn during the closed eye condition were found to deposit significantly more protein than SCLs worn during the open eye condition. The amounts of protein adsorbed both after daily SCL wear and after overnight SCL wear were not affected the contact angle and the transmission of visible light of the lenses. The protein deposit buildup on SCL related to the corneal temperature and pH of tear fluid.

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Association between Axial Length and Anthropometric Value in Korean Children (한국 어린이의 안축장과 신체 계측치와의 관련성)

  • Kim, Hyojin;Lyu, Jungmook
    • Journal of Korean Ophthalmic Optics Society
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    • v.19 no.3
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    • pp.397-402
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    • 2014
  • Purpose: To investigate the relationship between axial length (AL) and anthropometric parameters in Korean children. Methods: This study included 40 urban school children aged 11-12 years (mean age, $11.95{\pm}0.22$ years; 45.0% girls) residing in Seoul, South Korea. AL (using partial coherence laser interferometry), corneal radius, refractive error, height (m), and weight (kg) were measured. Body mass index (BMI $[kg/m^2]=weight/[height]^2$) and degree of obesity (DO[%]=[actual weight standard weight]/standard weight) were calculated. Furthermore, the number of hours spent reading, watching television, and using a computer every day was determined using a detailed questionnaire. Results: The students had a mean spherical equivalent refraction of $1.06{\pm}0.84$ D. Weight (r=0.427, p=0.006), BMI (r=0.508, p=0.001), and DO (r=0.371, p=0.018) showed a significant positive correlation with AL. Furthermore, longer AL was significantly associated with heavier weight (p=0.041), and higher BMI (p=0.015), and higher DO quartiles (p=0.042). After adjust for age, sex, and near-work activities, multivariate linear regression models showed that weight, BMI, and DO were still significantly associated with AL. Among the near-work activities, daily reading time was significantly associated with AL. Conclusions: AL was positively related to weight as well as daily reading time in Korean urban school children.

Analysis of Corneal Best-Fit-Sphere Using Orbscan II system in Korean Emmetropia (Orbscan II system을 이용한 한국인 정시안 각막의 최적구면 분석)

  • Lim, Hyeon-Seon;Kim, Bong-Hwan;Moon, Byeong-Yeon;Ji, Taek-Sang;Kim, Se-Jin;Lee, Kyung-Hwan
    • Journal of Korean Ophthalmic Optics Society
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    • v.12 no.2
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    • pp.61-66
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    • 2007
  • This study was to analysis the values for anterior and posterior Best-Fit Sphere(BFS) in a Korean emmetropic population using the Orbscan II system. Cycloplegic refraction and anterior and posterior BFS were performed 40 eyes of 20 patients and we compared the results by sex and between the two eyes. Respectively, the 1, 3, 5mm zone average of anterior BFS showed each $5.63{\pm}3.49{\mu}m$, $4.48{\pm}2.81{\mu}m$ and $2.14{\pm}1.82{\mu}m$. The 1, 3, 5mm zone average of posterior BFS showed each $22.54{\pm}10.25{\mu}m$, $15.88{\pm}7.55{\mu}m$ and $4.43{\pm}4.94{\mu}m$ in 40 emmetropic eyes. Anterior and posterior BFS were not statistically significant difference in male and female using Mann-Witney U test.

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Characteristics of $\beta$-Streptococcus spp. Isolated in Cultured Flounder (Paralichthys olivaceus) of Jeju Island (제주산 양식넙치 (Paralichthys olivaceus)로부터 분리된 $\beta$-용혈성 연쇄구균 ($\beta$-Streptococcsus spp.)의 특성)

  • HEO Moon-Soo;SONG Choon Bok;LEE Jehee;YEO In-Kyu;JEON You-Jin;LEE Jung-Jae;CHUNG Sang-Chul;LEE Ki-Wan;RHO Sum;CHOI Kwang-Sik;LEE Young Don
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.34 no.4
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    • pp.365-369
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    • 2001
  • Streptococcus spp. of bacterial pathogen of fish were isolated from the cultured flounder (Paralichthys olivaceus) in fish farm of Jeju Island. Clinical signs of the infected flounder which are the most commons symptoms are as follows: erratic swimming, darkening of the body colour, unilateral or bilateral exophthalmia, corneal opacity, hemorrhages in the opercular and the bases of the fins, and the ulceration of the body surface. Biochemical characteristics of pathogenic fish Streptococcus spp, were gram positive, spherical form, catalase negative, oxidase negative and $\beta$-haemolytic, respectively, The viable cells counted from the tissue of the diseased flounder were the largest in the order of the ulcer, the kidney, the blood and the brain, The drugs used were ampicillin, ciprofloxacin, doxycycline, gentamycin, tetracycline, erythromycin, streptomycin and oxytetracycline, Streptococcus spp. were found to be sensitive to ampicillin, ciprofloxacin, doxycycline and gentamycin, but were resistant to tetracycline, erythromycin, streptomycin and oxytetracycline. The pathogenicity of Streptococcus spp. on the cultured flounder with an abdominal cavity injection was high. The haemolytic activity of the toxin against the sheep red blood cells reached the maximum after 30 min incubation at $37^{\circ}C$ or $50^{\circ}C$. The toxin showed highest activity at pH $5.5\sim6.5$.

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CAVERNOUS SINUS THROMBOSIS : A CASE REPORT (해면 정맥동 혈전증(Cavernous Sinus Thrombosis) 치험례)

  • Chang, Hyun-Suk;Jang, Myung-Jin;Kim, Yong-Kwan;Kim, Kyoung-Won
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.17 no.4
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    • pp.447-455
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    • 1995
  • Cavernous sinus thrombosis is one of the major complications of abscesses of the maxillofacial region. The initial symptoms of CST are usually pain in the eye and tenderness to pressure. this is associated with high fluctuating fever, chills, rapid pulse, and sweating. Venous obstruction subsequently causes edema of the eyelids, lacrimation, proptosis, chemosis and retinal hemorrhages. Blindness is sometimes an accompaniment of cavernous sinus thrombosis when the infection also involves the orbit. There is also cranial nerve involvement (oculomotor, troclear, abducence) and ophthalmoplegia, diminished or absent corneal reflex, ptosis, and dilation of the pupil occur. The terminal stages bring signs of advanced toxemia and meningitis. Infections of the face can cause a septic thrombosis of the cavernous sinus. Furunculosis and infected hair follicles in the nose are frequent causes. Extractions of maxillary anterior teeth in the presence of acute infection and especially curettage of the sockets under such circumstances can cause this condition. The infection is usually staphylococcal. The inflection may spread directly through the pterygoid plexus of veins and the pterygomaxillary space and then ascend into the sinus or it may spread directly from the pterygopalatine space to the orbit. This is possible because of the absence of valves in the angular, facial, and ophthalmic veins. The treatment is empirical antibiotic therapy followed by specific anbibiotic therapy based on blood or pus culture. The inflection usually involves one side, however, it may easily spread to the opposite side through the circulus sinus. Unless it is treated early, the prognosis is poor even in this doses. Occasionally the antibiotics will not adequately resolve the septic thrombus, and death ensues. the use of anticoagulants to prevent venous thrombosis has been recommended, but the efficacy of such therapy has not been substantiated. Surgical access through eye enucleation has been suggested. We report a case which demonstrates cavernous sinus thrombosis by the infection after the functional neck dissection and the intraoral reconstruction with auriculomastoid fascio-cutaneous island flap.

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Disease monitoring of Alaska pollock (Gadus chalcogrammus) based on growth stages (명태 (Gadus chalcogrammus)의 성장 단계별 질병 모니터링)

  • Kim, Kwang Il;Byun, Soon-Gyu;Kang, Hee Woong;Nam, Myung-Mo;Choi, Jin;Yoo, Hae-Kyun;Lee, Chu
    • Korean Journal of Ichthyology
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    • v.29 no.1
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    • pp.62-68
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    • 2017
  • The Alaska pollock (Gadus chalcogrammus) belongs to the family Gadidae; it is a cold water fish, and has been developed as a novel aquaculture species in Korea. In this study, we describe ongoing surveillance for aquatic animal pathogens based on growth stages. We investigated bacterial flora in rearing water, and monitored pathogens; we also analyzed histopathological traits of abnormal fish. In rearing water, the total bacterial counts were $2.1{\times}10^3cfu/mL$ and Vibrio spp. (52%) were predominant in the larvae stage. In the juvenile and adult stages, the total bacterial counts were $3.4{\times}10^3$ and $3.2{\times}10^2cfu/mL$, respectively (with Pseudomonas sp. as the predominant species; 90% and 52%). This result revealed that the bacterial flora in rearing water changed depending on the feeding types. No virulent-bacteria or problematic viruses (VHSV, viral hemorrhagic septicemia virus; NNV, nervous necrosis virus; MBV, marine birnavirus) were detected from outwardly healthy fish using either culture or PCR assay. Some juveniles (less than 5%) had gas bubbles on the gill lamellae, degeneration of the corneal epithelium, and choroid gland degeneration, suggesting that these symptoms were caused by external injury and secondary infection by opportunistic bacteria. Disease management is important to cope with disease emergence in the novel aquaculture species Alaska pollock.

Ultrastructure of the Compound Eye of the Rice Brown Planthopper, Nilaparvata lugens (StaL) (Homopteera : Auchenorhyncha : Delphacidae) (벼멸구 겹눈의 미세구조)

  • Young Nam Youn
    • Korean journal of applied entomology
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    • v.34 no.3
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    • pp.266-277
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    • 1995
  • The adult brown planthopper possesses tow oval shaped compound eyes which, on their ventral borders, curve around the base of the antennae. Compound eye of the adult brown planthopper is recognised apposition eye which each ommatidium is optically isolated from it surroundings, the rhabdoms receiving light only from their own corneal lens. Each ommatidium possesses its own dioptric apparatus formed from the cuticular cornea and an underlying crystalline cone. The retinula cells lying immediately beneath the crystalline cone have their individual rhabdomeres tightly opposed to form one central, closed rhbdom. The rhabdom stretches from the spex of the crystalline cone nearly to the basement membrane and is approximately 110~120 $\mu\textrm{m}$ in length. The crystalline cone is surrounded by a pair of primary pigment cells an these in turn are surrounded by accessory pigment cells. Accessory pigment cells extend beyond the crystalline cone surrounding the retinular cells in the distal region of the eye. The crystalline cone is surrounded by the distal-most regions of the retinula cells show the presence of seven cells and sections taken proximally in the last quarter of the omatidium before the basement membrane is reached, reveal the presence of a small, eighth retinula cell which also contributes to the central rhabdom. Each ommatidium has a central rhabdom formed from the modified inner border of all of the retinula cells. Th rhabdom consists of micrvilli arising from the inner wall of each retinula cell. In cross section th microvilli exhibit a characteristic honeycomb appearance. Pigment cells comprise the primary pigment cells enveloping the crystalline cone, the accessory pigment cells extending from the inner surface of the comea to the basement membrane and the small pigment cells of the basement membrane.

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FINITE ELEMENT ANALYSIS OF STRESSES INDUCED BY OSSEOINTEGRATED PROSTHESES WITH OR WITHOUT CONNECT10N BETWEEN NATURAL TOOTH AND OSSEOINTEGRATED ABUTMENTS (골 유착성 임프란트 보철수복시 자연지대치와의 고정유무에 따른 유한요소법적 응력분석)

  • Ko, Heon-Ju;Chung, Chae-Heon
    • The Journal of Korean Academy of Prosthodontics
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    • v.29 no.2
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    • pp.147-160
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    • 1991
  • The purpose of this study was to examine, by the method of finite element analysis, how implant geometry with or without connection between natural tooth and osseointegrated abutments affected the stress distribution in surrounding bone and osseointegrated prosthesis. The mandibular first and second molars were removed and the two osseointegrated implants were placed in the first and second molar sites. Stress analysis induced by prostheses with connection(Model A)or without connection(Model B) between natural tooth(second bicuspid) and two osseointegrated abutments(first molar and second molar) was performed under vertical point load(Load P1) or distributed point load(Load P2). The results were as follows; 1. Under vertical point load, mesial tilting was shown in both Model A and Model B and inferior displacement of Model A was greater than that of Model B in the second bicuspid. 2. Under vortical point load, the first and second molars showed mesial tilting in both Model A and Model B, and inferior displacement of them was similar in Model A and Model B and was less than that of the second bicuspid. 3. Under distributed point load, mesial displacement was shown in Model A and Model B and inferior displacement of Model A was less than that of Model B in the second bicuspid. 4. Under distributed point load, mesial tilting was shown and inferior displacement of Model A was similar to that of Model B in the first and second molars. 5. In Model A under vertical point load, high stress was concentrated in the corneal portion of first molar and distributed throughout the second molar and the second bicuspid, and the stress distribution of the second molar was greater than that of the second bicuspid. 6. In Model B under vertical point load, high stress was concentrated in the coronal and mesio-cervical portion of the first molar. 7. In Model A under distributed point load, high stress was concentrated in the mesio-cervical portion of the first molar and evenly distributed throughout the second molar and the second bicuspid. 8. In Model B under distributed point load, high stress was concentrated in the disto-cervical portion of the second bicuspid and evenly distributed throughout the first and second molars.

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Green Light-emitting Diodes Light Stimuli during Incubation Enhances Posthatch Growth without Disrupting Normal Eye Development of Broiler Embryos and Hatchlings

  • Zhang, L.;Zhu, X.D.;Wang, X.F.;Li, J.L.;Gao, F.;Zhou, G.H.
    • Asian-Australasian Journal of Animal Sciences
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    • v.29 no.11
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    • pp.1562-1568
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    • 2016
  • Monochromatic green light-emitting diodes (LED) light stimuli influences the posthatch growth performance of chicks. This study was undertaken with the following objectives: i) to examine whether the green LED light stimuli induces an overheating effect by determining weight loss rate of fertile eggs during incubation period; ii) to look for the development of eyes and other primary organs at different ages of embryos and newly hatched chicks. Arbor Acres fertile broiler eggs (n = 480) were randomly assigned to 3 incubation groups and exposed to continuous white light, green light, or a dark environment (control) from the first day to 19 d of incubation. The light sourced from LED lamps with the intensity of 30 lx at eggshell level. The results showed that either green or white light stimuli during incubation did not significantly affect the weight loss rate of fertile eggs, hatching time, hatchability, chick embryo, or body weight (BW), the weight percentage of heart, liver, and eyes, as well as obvious systematic abnormalities in eye weight, side-to-side, back-to-front, or corneal diameter from 15 d of embryogenesis to 6 d of posthatch (p>0.05). Compared with the dark condition, green light stimuli during incubation tended to increase feed intake (p = 0.080), improved the BW gain of chicks during 0 to 6 day posthatch (p<0.05), and increased the percentage of pectoral muscle to the BW on 3- and 6-day-old chicks. In addition, embryos or chicks in green light had lower weight percentage of yolk retention on 19 d of embryogenesis and 1 d of posthatch in comparison to those in dark or white group (p<0.05). These results suggest that providing 30 lx green LED light stimuli during incubation has no detrimental effect on the development of eyes, heart and liver of embryos and hatchlings, but does have potential benefits in terms of enhancement of the chick growth during the early posthatch stages. In addition, the fertile broiler eggs stimulated with 30 lx green LED light during incubation does not cause an overheating effect.