This study was performed to observe the sequential charge of the morpholcgic characteristics in experimentally induced herpes simplex keratitis. Duration and morphology of corneal lesion following infection of rabbit cornea with the Kos strain of HSV-I were followed by a daily slit-lamp examination. Three types of virus inoculation methods were used such as scratching, deepithelialization, and intrastromal injection. Herpetic corneal lesions appeared 24 hours after inoculation with punctate and dendritic figures. They persisted up to 14 or 15 days. The characteristic finding in punctate herpetic keratitis was grouped, round-shaped, punctate lesion. When scratching method was emplyed, the most remarkable finding was the discontinuity of the lesion occurred along the scratching wound at relatively regular intervals. There was no difference in lesional morphology and duration between three inoculation methods.
Cornea ; Keratitis* ; Keratitis, Herpetic ; Wounds and Injuries

The effects of topical sodium-hyaluronan on the stromal and endothelial healing were examined in the repair process of experimental corneal alkali wounds. Corneal alkali wounds were produced in one eye of each rabbit by applying a 5.5 mm round filter paper soaked in 1N NaOH onto the central cornea for 60 seconds. Then the eyes were treated topically with either 1% Na-HA(the treatment group)or a phosphate buffered saline(PBS)(the con-trol group)4 times per day for 3 weeks. Endothelial wound morphometry was performed after alizarin red and trypan blue staining. The stromal healing was assessed by counting polymorphonuclear leukocytes(PMNs)and keratocytes in the central and marginal wounds areas. The stroma treated with Na-HA had less PMNs than that of the control group during the early healing period. The defect area of the endothelium was significantly smaller in the Na-HA treated group than in the control corneas. The present findings indicate that topically applied 1%Na-HA affects stromal and endothelial healing during the early repair process after corneal alkali wounds.
Alkalies* ; Cornea ; Endothelium ; Trypan Blue ; Wounds and Injuries*

We report a clinical ananlysis of children's perforating eye injuries which happened in middle western of Korea from Jan., 1988 to Apr., 1993. Total number of patients with perforating eye injuries was 40(40 eyes). The peak age group was 5-6 year of age. The cornea was the most common site of perforation. The most frequent cause of perforating eye injuries was knife and scissors(17.5%) and sharp pointed iron material(17.5%) and followed by glass(17.5%), wood(17.5%), pencil 7.5%), toy(5%), traffic accident(5%). According to this result obtained, the visual prognosis of perforating eye injuries in children is still poor. Special care should be taken to prevent such a severe eye trauma in children by every means.
Child ; Cornea ; Eye Injuries* ; Humans ; Iron ; Korea* ; Prognosis

The effects of topical sodium-hyaluronan (Na-HA)on the epithelial healing and aqueous compositions were examined in the repair process of experimen-tal corneal alkali wounds.Corneal alkali wounds were produced in one eye of each rabbit by applying a 5.5 mmround filter paper soaked in 1N NaOH onto the central cornea for 60 seconds.Then the eyes were treated topically with either 1%Na-HA (the treatment group)or a phosphate buffered saline (PBS) (the control group)4 times per day.The epithelial healing was assessed using a quantitative method and the changes of the concentration of ascorbic acid and glucose in aqueous were evaluated.The initial epithelial healing rate was similar between 1%Na-HA treated and control groups and the later healing was enhanced in the treated group but statistically insignificant.The concentrations of ascorbic acid and glucose in aqueous humor are not statistically different in the early phase, but ascorbic acid concentration in later healing phase was higher in the treated group when compared with the control group.The present findings in dicate that topical-ly applied 1%Na-HA affects late epithelial healing and ascorbic acid concentration in aqueous humor during the repair process after corneal alkali wounds.
Alkalies* ; Aqueous Humor ; Ascorbic Acid ; Cornea ; Epithelium ; Glucose ; Wounds and Injuries*

The results of 8 cases of herpes simplex keratitis and one case of corneo-lenticular adhesion caused by explosion wound treated by cryogenic instrument (Amoils cryo unit) are presented. The cryoapplicator (2mm in diameter) were applied on the lesions 7-15 seconds. (Temperature: -50 degrees C ~ -70 degrees C). One of herpes simplex keratitis patients was suffered from redness of the lids following cryotherapy for 3 days.
Cornea* ; Cryotherapy ; Explosions ; Freezing* ; Humans ; Keratitis, Herpetic ; Wounds and Injuries

PURPOSE: This study analyzed the efficacy of Scion Image(R)program, the measurement of area of cornea lesion in the process of corneal diseases. METHODS: Photographs were processed digitally from three corneal wound lesions, and the Adobe Photoshop(R) and Scion Image(R) were used to calculate the area. These measured automatically the area of the damaged corneal lesion in numerical values, allowing precise calculation of the ratio of the wounded area to the entire cornea. RESULTS: In the first case of corneal abrasion by contact lenses, we were able to measure the ratio of the lesion, improving from 45% to 9% after two days of treatment. In the second case of the typical corneal ulcer, the infected area was 23.6% of the cornea before treatment, and decreased to 14.5% after treatment. In the third case of the ring shaped corneal ulcer, we were able to measure the lesion accurately using the Scion Image(R) CONCLUSIONS: The Scion Image(R)program may be used for the measurement of corneal surface lesion. It seemed to allow objective and accurate measurement.
Contact Lenses ; Cornea ; Corneal Diseases ; Corneal Ulcer ; Wounds and Injuries

Cornea ; surgery ; Corneal Injuries ; Equipment Design ; Eye Foreign Bodies ; surgery ; Humans ; Surgical Instruments

The effect of topically applied autolohous serum was examined in experimental corneal alkali wounds. New Zealand white rabbits, weighing 2.5kg, total 24(24 eyes), were used in this experiment. Initial epithelial wounds were induced by applying a 5.5mm round filter paper, soaked in 1N NaOH, put on the central cornea for 60 seconds. The animals were divided into two groups. One group received autologous serum topically four times per day for 3 weeks, and a second group was served as control, Light and electron microscopic examination were performed for the morphological evaluation of the repair process of alkali damaged cornea. The autologuous serum-treated group showed similar initial epithelial healing rate and cumulative epithelial defect size when compared with the control groups. In light and electron microscopic finding, three days after alkali wound, the control epithelium showed cuboidal-shaped cells with intraepithelial apoptosis-like structure. The autologous serum-treated group, showing elongated spindle shaped cells with multi-layer, revealed a severe disorganization. Three weeks after alkali wound, the control epithelium revealed a relatively well organized architecture and the junction between basement membrance and basal epithelium indicated loose adhesion, Highly disorganized epithelial cells and relatively tight adhesion between the basement membrane and basal epithelium were noticed in the autologous serum-treated group.
Alkalies* ; Animals ; Basement Membrane ; Cornea ; Epithelial Cells ; Epithelium ; Rabbits ; Wounds and Injuries*

The effect of topically instilled autolohous serum on the healing of endothelium and change of aqueous chemical properties following alkali wounds were evaluated. New Zealand white rabbits, weighing 2.5KG, total 64(64 eyes), were used in this experiment. Standardized corneal alkali wounds were produced by applying a round filter paper of 5.5mm if diameter, soaked in 1N NaOH, to the central cornea for 60 seconds. Autologous serum in the treated group and balanced salt solution (BSS) in the control group were given 4 times per dat for 3 weeks. Endothelial defect areas and the concentrations of ascorbic acid, glucose and minerals in the aqueous humor were measured. Endothelial defect area was not significantly different between autologous serum-treated and control groups. The concentrations of ascorbic acid in the aqueous humor were aignificantly increased in the autologous serum-treated groups compared to the control groups. However, the concentrations of glucose, Na+, K+, Ca++ and Mg++ in the aqueous humor were not statistically different between two groups.
Alkalies* ; Aqueous Humor ; Ascorbic Acid ; Biochemistry* ; Cornea ; Endothelium ; Glucose ; Minerals ; Rabbits ; Wounds and Injuries*

An intact basement membrane which provides a firm attachment of basal epithelial cells to the maintain the corneal integrity in alkali wound healing. Despite many therapeutic trials tested, the fate of present investigation, the repair process of basal epithelium and its basement membrane was evaluated morphologically by utilizing a transmission electron microscope. New Zealand white rabbits, weighing 2.5kg, total of 16(16 eyes), were used in this experiment. Initial epithelial wounds were induced by applying a 5.5mm round filter paper, soaked in 1N NaOH, put on the central cornea for 60 seconds. Animals were divided into two groups and treated with 0.1% dexamethasone in the treated group and with balanced salt solution(BSS) in the control eyes q,i,d. for 8 weeks;. In control eyes, the basement membrane started focal disruption at 2 days, became the worst state at 4 weeks, and regained the normal integrity at 8 weeks after initial alkai damage, In dexamethansone-treated eyes. the basement membrance structure was fairly well visible up to 4 weeks and was almost completely disappeared at 8 weeks after intial alkali wounds.
Alkalies* ; Animals ; Basement Membrane* ; Cornea ; Dexamethasone* ; Epithelial Cells ; Epithelium ; Rabbits ; Wound Healing ; Wounds and Injuries*