• Title/Summary/Keyword: 각막궤양

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Thermokeratoplasty as a Treatment for Ulcerative Keratitis Caused by Corneal Endothelial Degeneration in Two Dogs (개의 각막내피세포 변성증에 의한 각막 궤양에 적용한 각막열성형술 2례)

  • Park, Young-Woo;Kim, See-Un;Ahn, Jae-Sang;Ahn, Jeong-Taek;Lee, Yesran;Lee, Eui-Ri;Yi, Na-Young;Seo, Kang-Moon;Jeong, Man-Bok
    • Journal of Veterinary Clinics
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    • v.28 no.5
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    • pp.533-537
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    • 2011
  • A 13-year-old, female, Shih-tzu and a 10-year-old, female, Yorkshire terrier were presented with ulcerative keratitis caused by corneal endothelial degeneration. Generalized corneal edema, conjunctival hyperemia, focal corneal pigmentation, corneal neovascularization, sub-epithelial bullae, and positive fluorescein staining were observed during ophthalmic examinations. Thermokeratoplasty was performed on the overall edematous corneas. Healing of the cornea was completed within 25 days and corneal ulceration has not recurred after healing of the cornea in both cases. Other ocular complications were not observed except for a slight increase in corneal pigmentation. According to this study, thermokeratoplasty could be an effective treatment for corneal ulceration secondary to corneal endothelial diseases in dogs.

Keratomycosis in a Pet Rabbit Due to Curvularia lunata (애완용 토끼에 있어서 Curvularia lunata에 의한 각막진균증 1예)

  • Pall Mahendra;Lee Chang-woo
    • Journal of Veterinary Clinics
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    • v.12 no.1
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    • pp.849-852
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    • 1995
  • 데마슘과 사상균의 일종인 Curvularia lunata가 식물파편으로 오염된 흙에 의해 눈에 외상을 입은 젊은 수토끼(Orytolaggus cunuculis)에서 각막궤양을 일으킨 것으로 밝혀졌다. 이 토끼는 직경 1.5 mm의 각막궤양, 각막부종, 전방축농, 눈물 등을 나타내었다. 각막 소파시료의 KOH 표본과 진균배지에서의 분리를 통해 진균이 확인되었다. 눈의 외상은 진균성각막염의 발생소인이었다. 토끼장의 흙은 Curvularia lunata의 집락을 많이 형성하였으며, 이것이 감염원으로 추정되었다. 이것은 애완용 토끼에서 Curvularia lunata에 의한 안진균증의 최초의 보고인 것으로 판단된다. 외상의 병력이 있는 동물임상의 다양한 상황에서 Curvularia lunata의 병인론적 역할이 연구되어야 함을 강조하였다.

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

  • Kim, Jury;Bae, Jaehyun;Kwon, Yong-Hwan;Kim, Nam-Soo;Kim, Min-Su
    • Journal of Veterinary Clinics
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    • v.30 no.1
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    • pp.41-44
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    • 2013
  • A 4-year-old castrated male Shih-Tzu was presented to the Chonbuk National University Animal Medical Center with a history of melting ulcer in the right eye (OD). Upon ophthalmologic examination, severe keratomalacia of approximately 70% of the entire surface area with a full thickness corneal defect was found in OD. In addition, iris and fibrin clots were observed on the center of the corneal defect. The menace response and dazzle reflex were normal in OS. As the size and damage of corneal perforation was so severe, amniotic membrane (AM) transplantation was considered to repair the cornea instead of direct suture technique, flap methods or corneal transplantation. Equine AM was sutured to the limbus to cover the entire cornea in a single interrupted pattern using 9-0 nylon suture material. On day 79, mild scarring and pigmentation, with almost no vasculature, remained. The menace response and dazzle reflex were normal of OD. Although pigmentation and scarring remained on the cornea, equine AM transplantation can be useful for reconstruction of severe corneal perforation with keratomalacia.

Corneal Ulcer Region Detection With Semantic Segmentation Using Deep Learning

  • Im, Jinhyuk;Kim, Daewon
    • Journal of the Korea Society of Computer and Information
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    • v.27 no.9
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    • pp.1-12
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    • 2022
  • Traditional methods of measuring corneal ulcers were difficult to present objective basis for diagnosis because of the subjective judgment of the medical staff through photographs taken with special equipment. In this paper, we propose a method to detect the ulcer area on a pixel basis in corneal ulcer images using a semantic segmentation model. In order to solve this problem, we performed the experiment to detect the ulcer area based on the DeepLab model which has the highest performance in semantic segmentation model. For the experiment, the training and test data were selected and the backbone network of DeepLab model which set as Xception and ResNet, respectively were evaluated and compared the performances. We used Dice similarity coefficient and IoU value as an indicator to evaluate the performances. Experimental results show that when 'crop & resized' images are added to the dataset, it segment the ulcer area with an average accuracy about 93% of Dice similarity coefficient on the DeepLab model with ResNet101 as the backbone network. This study shows that the semantic segmentation model used for object detection also has an ability to make significant results when classifying objects with irregular shapes such as corneal ulcers. Ultimately, we will perform the extension of datasets and experiment with adaptive learning methods through future studies so that they can be implemented in real medical diagnosis environment.

Effect of Grid Keratotomy on Indolent Corneal Ulcers in Dogs (개에서 만성 각막 상피 결손증 치료법으로서의 각막 격자 절개법)

  • Ahn, Jae-Sang;Kim, Se-Eun;Park, Young-Woo;Ahn, Jeong-Taek;Lee, Yesran;Lee, Eui-Ri;Seo, Kang-Moon;Jeong, Man-Bok
    • Journal of Veterinary Clinics
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    • v.28 no.6
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    • pp.562-565
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    • 2011
  • A total of 29 eyes (25 dogs: one eye, 2 dogs: both eyes) with indolent corneal ulcer were treated with grid keratotomy from January 2008 to March 2010. The corneal lesions were reevaluated at 7-14 day intervals. The treatments had been repeated until fluorescein dye was not retained on the cornea and the epithelium did not appear to be loosely attached to the stromal layer. The healing rate of the corneal ulcers was 86.2%. The mean healing time ($mean{\pm}SD$) was $15.92{\pm}9.19$ days, ranged from 7 to 39 days. The lesions of remaining 4 eyes had deteriorated or not improved for more than 6 weeks. In those cases, $3^{rd}$ eyelid flap following grid keratotomy was applied. After 2 weeks, all of the eyes healed by the treatment. The results in this study suggest that grid keratotomy could be an excellent choice as an initial treatment for superficial corneal ulcers in dogs. In the cases of recurrence or to promote healing of the lesions, however, $3^{rd}$ eyelid flap following grid keratotomy is recommended.

A Case of Feline Proliferative Eosinophilic Keratitis Treated by Topical Cyclosporine and Corticosteroids (고양이 증식성 호산구성 각막염에서 국소적인 사이클로스포린과 코르티코스테로이드 점안 1례)

  • Ahn, Jeong-Taek;Jeong, Man-Bok;Kim, Se-Eun;Park, Young-Woo;Kim, Tae-Hyun;Ahn, Jae-Sang;Lee, So-Ra;Lee, Chang-Woo;Seo, Kang-Moon
    • Journal of Veterinary Clinics
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    • v.27 no.6
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    • pp.751-754
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    • 2010
  • A 6-year-old spayed female Persian cat presented with a 3-month history of recurrent ulcerative keratitis with noticeable opacification and vascularization of the right cornea. The lesion was nonresponsive to topical antibiotics and to nonsteroidal anti-inflammatory drugs. Ophthalmic examination showed signs of ocular discomfort, such as epiphora and blepharospasm, in the right eye. Biomicroscopic examination revealed an irregular, edematous, vascularized mass with pink to white tissue on the entire cornea and mild conjunctivitis. A tentative diagnosis of feline proliferative eosinophilic keratitis (FPEK) was made on the basis of clinical appearance. Cytologic examination of the cornea showed a mixture of numerous eosinophils and mast cells, which confirmed the original diagnosis of FPEK. The cat was treated with a topical antibiotic-corticosteroid combination, cyclosporine ointment, trifluridine eye drops, and oral Llysine. The clinical signs improved remarkably 18 days after the cat was first examined. The short-term use of corticosteroids and long-term use of cyclosporine and an anti-viral agent resolved the lesion without recurrence of the disease for 1 year.

Placement of an Intraocular Silicone Prosthesis with Evisceration in a Dog with Refractory Glaucoma (난치성 녹내장을 지닌 개에서 안구내용제거술을 통한 안구 내 실리콘 보철물 적용 1례)

  • Kim, Kyung-Hee;Kim, Joon-Young;Choi, Young-Min;Lee, Jong-Hoon;Park, Chang-Hee;Lee, Jung-Ha;Lee, Young-Sun;Jeong, Soon-Wuk
    • Journal of Veterinary Clinics
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    • v.27 no.5
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    • pp.610-613
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    • 2010
  • An 8-year-old male dog weighing 7.9 kg was referred to us for evaluation of exophthalmos and corneal edema of the left eye, on which cataract surgery had been performed 3 years prior. On ophthalmic examination, the left eye showed an extremely high intraocular pressure (47 mmHg), with no menace response, dazzle reflex, or pupillary light reflex. The dog was treated with systemic and topical glaucoma medications. After treatment, corneal edema decreased but IOP did not return to within acceptable limits. Seventeen months later, the dog presented with hyphema, episcleral congestion, and corneal edema attributable to accidental trauma. The owner wished to maintain an attractive ocular appearance, and an intraocular silicone prosthesis (ISP) was thus inserted after the evisceration. Three months postoperatively, a corneal ulcer was detected, but this resolved successfully after prescription of appropriate medication. One year after surgery, no complications related to surgery were evident.

Evaluation of Bovine Amniotic Membrane for the Treatment of Superficial Canine Corneal Ulcer (개의 표재성 각막 궤양에서 소의 양막을 이용한 치료에 대한 평가)

  • Choi, Young-Min;Kim, Joon-Young;Park, Jong-Im;Jeong, Soon-Wuk
    • Journal of Veterinary Clinics
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    • v.24 no.3
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    • pp.358-366
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    • 2007
  • This study was performed to investigate the application of bovine amniotic membrane for canine corneal ulcer and to compare bovine amniotic membrane flap to nictitating membrane flap. Corneas were treated with 8.0mm trephine and 100% ethanol was applied and corneal epithelium was removed. This experiment was divided into three groups; control group, nictitating membrane flap group and amniotic membrane + nictitating membrane flap group. To compare corneal healing, fluorescein dye test, histopathological examination and TUNEL assay were performed. The healing size of the corneal epithelium in was largest among groups and it was significantly different with the other groups (P<0.05). Also, inflammatory cell deposits and keratocyte apoptosis in amniotic membrane flap group were smallest, but the width of the corneal epithelium was thickest among groups. Therefore, we tentatively predicted that the amniotic membrane flap would be an alternative effective method for the treatment of superficial canine corneal ulcer.

The Bacterial Contamination in Glasses for Vision Correction (시력 교정용 안경의 세균 오염)

  • Kim, Heung-Soo;Hwang, Seock-Yeon;Yun, Chi-Young
    • Journal of Korean Ophthalmic Optics Society
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    • v.18 no.1
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    • pp.67-73
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    • 2013
  • Purpose: Recently, bacterial contamination of equipment and accessories required for vision correction has become a main causal factor in ophthalmic diseases. Thus, We investigated on both the actual condition of bacterial contamination from glasses of vision correction. Methods: Investigation of microorganisms was carried out with a group of 145 glasses wearers, composed of 36 elementary school students, 37 middle school students, 38 high school students, 10 college students, and 32 aged men. Results: Seventeen species of bacteria are detected from glasses of vision correction: B. cereus, B. licheniformis, Bacillus sp., CNS, Enterococcus sp., Escherichia coli, Proteus sp., Pseudomonas sp., Serretia sp., Streptococcus sp., Staphylococcus epidermidis, Staphylococcus aureus, Streptococcus hemolyticus,, Acinetobacter sp., Enterobacter cloacae, GNR, and Pseudomonas aeruginosa. Among 17 species of bacteria, there are some potential causative agents for keratitis, corneal ulcer, Acute dacryocystitis, Orbital cellulitis, Periphlebitis retinae, Marginal blepharitis, and Acute conjunctivitis. Enterobacter cloacae, Pseudomonas aeruginosa and Staphylococcus epidermidis cause keratitis. Pseudomonas sp., and Staphylococcus aureus cause corneal ulcer. Staphylococcus aureus causes acute dacryocystitis, orbital cellulitis, periphlebitis retinae, marginal belpharitis. Streptococcus hemolyticus causes acute conjunctivitis. Conclusions: In summation, it is verified that hazardous, opportunistic and infectious microorganisms exist in glasses for vision correction. Ophthalmic diseases are predicted. Therefore, supplementary research on the development of a cleaning solution to cleanse the infection and of an effective method to remove microorganisms is required.