펨토초 레이저를 이용한 각막생검으로 진단된 진균각막염 1예

• 영문명: A Case Report of Fungal Keratitis Diagnosed by Femtosecond Laser Assisted Corneal Biopsy
• 발행기관: 대한안과학회
• 저자명: 염정훈 최석규 이종현 이도형 김진형,"Jung Hoon Yum, M.D., Suk Kyue Choi, M.D., Jong Hyun Lee, M.D., Do Hyung Lee, M.D., Ph.D., Jin Hyoung Kim, M.D."
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume49,number1, 164~168쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2008.01.31

영문 초록

`Purpose: To describe femtosecond laser-assisted corneal biopsy and its use in assessing the causative organism in a case of fungal keratitis that occurred 8 months after penetrating keratoplasty. Case summary: A 27-year-old man who had undergone penetrating keratoplasty 8 months prior showed atypical diffuse corneal haze and erosion. Diagnostic corneal biopsy using a femtosecond laser was performed because of repeated negative test results for an infectious organism and a lack of improvement, despite steroid and empirical antibiotic therapy. A corneal flap 200 μm in depth and 3 mm in diameter was obtained. The biopsy showed pseudohyphae, which led to a diagnosis of Candidal keratitis. No complications occurred during the procedure. Conclusions: Femtosecond laser-assisted corneal biopsy enabled identification of the infectious pathogen. This technique is easy, safe, and rapid, and it yields a biopsy specimen with a uniform depth and precise size. Femtosecond laser-assisted corneal biopsy can be used as an accurate diagnostic method in uncertain cases of corneal ulcers.`

키워드

Corneal biopsy, Femtosecond laser, Fungal keratitis