전층각막이식술 10년 후 이식각막의 공초점현미경 소견

• 영문명: Confocal Microscopic Findings of Transplanted Cornea 10 Years After Penetrating Keratoplasty
• 발행기관: 대한안과학회
• 저자명: 김나미 신민규 김수진 이종수,Na Mi Kim, MD, Min Kyu Shin, MD, Su Jin Kim, MD, Jong Soo Lee, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume50,number5, 779~784쪽, 전체 6쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2009.05.15

영문 초록

Purpose: To examine the morphological characteristics of the transplanted cornea in patients who received penetrating keratoplasty at least 10 years previously prior. Case summery: Each layer of the transplanted cornea of patients who received penetrating keratoplasty 10 years previously prior was examined with a confocal microscope (ConfoScan 4.1, Fortune Technology, Italy). Cross-sectioned corneal images of the corneal epithelium, Bowman’s layer, stromal layer, Descement’s membrane, and endothelium were evaluated and compared with the normal fellow other eye. A total of three eyes from three subjects between the ages of 60 and 70 years were examined. The epithelial cells had large cell borders, and a spindle shaped, and a highly reflective nucleus. The keratocytes were highly reflective and the density of keratocytes was lower than that in the normal cornea. The regenerated nerve fibers were markedly altered, as characterized by increased nerve tortuosity, reduced branching patterns, and shorter nerve lengths. In the endothelial cell layer, a bright nucleus, a reduced ratio of hexagonal cells, and several multinuclear cells were observed. Conclusions: Even 10 years after penetrating keratoplasty, the entire transplanted cornea is morphologically different from the normal cornea.

키워드

Confocal microscopy, Penetrating keratoplasty