| 발표일자: |
2018년 11월 2일(금) ~ 11월 4(일) |
| 발표번호: |
P(e-poster)-360 |
| 발표장소: |
코엑스 컨퍼런스룸 3층 301 A-B |
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| 아칸토아메바각막염과 헤르페스상피각막염에서 전안부 빛간섭단층촬영 양상의 비교 |
| 경상대학교 의과대학 안과교실¹, 창원경상대학교병원 안과² |
| 안자영1, 유웅선1, 김현아1, 박영민1,2, 서성욱1, 유지명1, 김성재1 |
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목적 : This study is to investigate the characteristic features of Acanthamoeba keratitis (AK) that differentiating it from herpetic epithelial keratitis (HEK) using anterior segment optical coherence tomography (AS-OCT).
방법 : Medical records of three eyes of each AK and herpetic keratitis who had AS-OCT examination were reviewed in this study. Slit-lamp biomicroscopy and AS-OCT was performed on the initial visit and on every follow-up visits in all patients.
결과 : In all three AK cases, reflective bands in the corneal stroma that correspond to the area of radial keratoneuritis were observed. The depth of the reflective bands varied in each case. After AK treatment, slit-lamp biomicroscopy confirmed that radial keratoneuritis had resolved and AS-OCT confirmed that reflective bands in the corneal stroma had also disappeared in all patients. Unlike the AS-OCT results found in AK, highly reflective HEK lesions were observed only in the subepithelial area, not in the stroma.
결론 : AS-OCT seems to be helpful analyzing the specific depth of the lesion which enables to distinguish AK from HEK.
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