• 제목/요약/키워드: corneal scarring

검색결과 3건 처리시간 0.018초

Corneal Squamous Cell Carcinoma Presumed to Arise from Corneal Fibrosis in a Shih-Tzu Dog

  • Kim, Eunjik;Park, Youngwoo
    • 한국임상수의학회지
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    • 제35권6호
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    • pp.311-314
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    • 2018
  • Squamous cell carcinoma (SCC) is a form of neoplasm that origins from the epithelial surface of many organs. Ocular occurrence in small animals is rare, especially in the central cornea without the involvement of limbus or conjunctiva. In the current case, a 10-year-old, spayed female Shih-Tzu was presented with a central corneal mass. Through an ophthalmic examination the sign of corneal scarring around the mass was found. Pink fleshy lesion that protruded outward was removed through superficial keratectomy. The mass with the size of $8.5{\times}6.5$ millimeter was histopathologically diagnosed as corneal SCC infiltrating not only the epithelium, but also the superficial corneal stroma with surrounding superficial lymphoplasmacytic and neutrophilic chronic keratitis. Also, the adjacent, non-affected corneal epithelium was markedly hyperplastic and keratinized; the adjacent stroma was moderately vascularized and fibrotic. The pulse-dose therapy using 1% topical 5-flourouracil were applied for five cycles. The tumor has not recurred through nine months of follow-up time.

녹는 궤양에 기인한 각막 천공에서 각막 재건을 위한 말양막이식술 증례 (Equine Amniotic Membrane Transplantation in Corneal Perforation Resulting from Melting Ulcer in a Dog)

  • 김주리;배재현;권용환;김남수;김민수
    • 한국임상수의학회지
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    • 제30권1호
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    • pp.41-44
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    • 2013
  • 4년령 중성화한 수컷 시츄견이 우안에 녹는 궤양이라는 기왕력으로 전북동물의료센터에 내원했다. 안과 검사결과 우안에 각막 전체의 70%에 해당하는 각막 연화를 동반한 각막 천공이 관찰되었다. 또한 홍채 탈출과 섬유소 응괴가 각막 천공 중앙부에서 관찰되었다. 좌안의 위협 반사와 대광 반사는 정상이었다. 각막 결손 부위가 너무 컸기 때문에 각결막 판을 이용한 방법이나 각막 직접 봉합을 배제하였으며 말양막이식술을 시행하기로 결정했다. 말양막은 각막 윤부에 전체 각막을 다 덮을 수 있도록 9-0 나일론 봉합사를 이용하여 봉합을 실시했다. 양막이식 후 79일 째 육아조직과 색소침착이 다소 남아있었으나 우안의 위협 반사와 눈부심 반사는 모두 정상이었다. 비록 색소 침착과 육아조직이 각막에 남아있기는 했지만 개에서 말양막이식술은 녹는 궤양으로 기인한 각막 천공에서 시행해 볼 수 있는 유용한 치료법으로 생각된다.

Treatment of immune-mediated keratitis (IMMK) in dogs with immunosuppressants observed with spectral domain optical coherence tomography (SD-OCT)

  • Hyelin Kim ;Youngseok Jeong ;Eunji Lee;Kangmoon Seo ;Seonmi Kang
    • Journal of Veterinary Science
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    • 제24권5호
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    • pp.66.1-66.7
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    • 2023
  • Two dogs presented with bilateral pattern-forming corneal opacity. Treatment with topical immunosuppressants was initiated after a complete ophthalmic examination. The response to treatment was assessed by analyzing serial images using slit-lamp biomicroscopy and spectral domain optical coherence tomography (SD-OCT). Both dogs responded to topical immunosuppressants; however, the lesions recurred once the treatment was abated or withdrawn. The most effective immunosuppressant in both dogs was 0.03% tacrolimus ointment. Early and continuous treatment with topical immunosuppressants may be necessary to improve corneal clarity and prevent scarring. SD-OCT could provide useful structural information regarding presumed immune-mediated keratitis and aid in monitoring treatment response.