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논문 기본 정보

자료유형
학술저널
저자정보
Minjeong Kim (Chung-Ang University College of Medicine) 전연숙 (중앙대학교) 문남주 (중앙대학교) 김경우 (중앙대학교)
저널정보
대한안과학회 Korean Journal of Ophthalmology Korean Journal of Ophthalmology 제36권 제5호
발행연도
2022.4
수록면
147 - 153 (7page)
DOI
10.3341/kjo.2021.0164

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초록· 키워드

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Purpose: To identify clinical factors associated with the early reduction of corneal sensitivity (CS) in patients with herpes zosterophthalmicus (HZO).Methods: Total 30 subjects were divided into two groups according to the occurrence of an early reduction of CS (group 1,normal CS; group 2, decreased CS). The demographics, ocular manifestations of HZO, and the ocular surface parameters werecompared between two groups. Then, the relative risks of variables were analyzed to expect the early decrease of CS by HZOusing logistic regression analysis.Results: Among total 30 subjects, the CS decreased in 10 subjects (3.2 ± 1.4 cm, group 2) and the other 20 subjects revealednormal CS (6.0 ± 0.0 cm, group 1). The age was higher in the group 2 (67.0 ± 16.6 years) than in group 1 (48.0 ± 17.6 years,p = 0.013), but sex and the comorbidity of diabetes mellitus was not difference between groups. The presence of cornealpunctate epithelial erosions was a single factor among the ocular manifestations of HZO, which discriminated group 1 (5%)and group 2 (60%, p = 0.002). The ocular surface staining scores (i.e., National Eye Institute scores and Sjogren’s InternationalCollaborative Clinical Alliance ocular surface score) were higher in group 2 (p = 0.001 and p = 0.021, respectively) than ingroup 1. The existence of corneal punctate epithelial erosions revealed as a sole risk factor for the early reduction of CS (oddsratio = 33.085; p = 0.016).Conclusions: It is necessary to pay attention to the possible occurrence of neurotrophic keratopathy especially in older patientswith HZO showing an initial presence of corneal punctate epithelial erosions.

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