장기간 경과에 따른 라식술 후 각막의 공초점현미경 증례 3

• 영문명: Long-term Corneal Morphological Changes after Laser in Situ Keratomileusis by Confocal Microscopy: Three Cases Reports
• 발행기관: 대한검안학회
• 저자명: 장수경(Soo Gyeong Jang) 김호윤(Ho Yun Kim) 박영민(Young Min Park) 이종수(Jong Soo Lee)
• 간행물 정보: 『Annals of optometry and contact lens』Vol.14 No.4, 218~222쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2015.12.30

영문 초록

Purpose: To report the confocal morphological changes in the cornea at least 12 months after laser in situ keratomileusis (LASIK) compared with normal cornea. Case summary: Confocal microscopy was used to obtain data from three cases of post- LASIK at least 12 months. We evaluated confocal morphological images of the activated keratocyte, scarring tissue, stromal folding in the corneal epithelium, Bowman’s layer, stromal cells (anterior, middle, posterior keratocyte) and endothelium. Case 1) At 12 months after LASIK, although scar tissue was not observed, active keratocyte and stromal folding due to stromal edema were noted. Case 2) At 24 months after LASIK, active keratocyte and scarring tissue were not found. However, regenerated nerve plexus in the subepithelial nerve fiber layers was crooked and the stromal folding due to stromal edema was observed. Case 3) At 36 months after LASIK, the corneal epithelium and wing cell were normal but stromal folding still remained. Conclusions: Active keratocyte and stromal folding were still noted at 12 months after LASIK. Especially, stromal folding due to stromal edema remained at 36 months after LASIK.

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키워드

Confocal microscopy Keratocyte Laser in situ keratomileusis Opacity