OCT + 시야검사 결과로 보는 녹내장 초기 신호와 눈 건강 관리법

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눈의 건강은 한 번 손상되면 회복이 어렵습니다. 그래서 정기적인 OCT 검사 와 시야검사 는 매우 중요합니다. 이번 글에서는 실제 환자분의 검사 예시를 통해 시신경 손상의 초기 변화와 관리법 을 알기 쉽게 설명드리겠습니다. 🔍 OCT(빛간섭단층촬영) 검사란? OCT 검사는 망막과 시신경의 구조를 단층(층별) 으로 촬영하는 검사입니다. 눈 속 신경층의 두께, 황반 중심부의 형태, 망막 부종 여부 등을 세밀하게 확인할 수 있어 녹내장, 황반변성, 당뇨망막병증 같은 질환의 조기 발견에 매우 유용합니다. 검사 시간: 약 5분 통증: 없음 결과 확인: 바로 가능 disc OCT(오른쪽) disc OCT(왼쪽)   OCT(빛간섭단층촬영) 검사 결과 설명 🔹 1. 검사 개요 OCT 검사는 망막(눈 안쪽의 신경막)과 황반(시력의 중심부)을 단층 촬영 해서, 눈 속 구조의 미세한 변화를 관찰하는 검사입니다. 즉, 망막이 얼마나 두꺼운지 , 부종이나 손상이 있는지 , 황반 중심이 정상인지 를 보는 검사예요. 🩺 오른쪽 눈 (R) 망막 두께(Macular Thickness): 약간 얇아진 부위 가 있습니다. 황반 중심(Fovea): 형태는 전반적으로 유지되어 있지만, 중심부의 미세한 손상 흔적 이 보입니다. 망막층 구조: 일부 내층(Inner layer) 이 얇아져 있으며, 이는 혈류 감소나 시신경 손상 초기 에서 보일 수 있는 소견입니다. 시세포층(Photoreceptor layer): 대체로 보존되어 있지만, 경계가 약간 흐릿한 부분 이 있어, 시야 흐림이나 중심 시력 저하 를 유발할 가능성이 있습니다. ➡️ 정리: 현재 심한 황반변성이나 망막박리 같은 질환은 보이지 않지만, 시신경 또는 황반 중심부의 기능 저하 초기 로 보입니다. 따라서 정기적인 경과 관찰 과 혈류 개선제 또는 안구 순환 개선 약물 복용이 도움이 됩니다. 🩺 왼쪽 눈 (L) 망막 두께: 오른쪽보다 약...

Conjunctivitis: Causes and Treatments

 


Introduction

Conjunctivitis, commonly known as "pink eye," is a widespread eye condition that affects people of all ages. It occurs when the conjunctiva, the thin, transparent membrane covering the white part of the eye and the inner eyelids, becomes inflamed. This inflammation leads to redness, swelling, irritation, and discharge. Conjunctivitis can be caused by infections, allergens, or environmental irritants, and understanding the underlying cause is essential for effective treatment. This blog post will explore the different types of conjunctivitis, their causes, symptoms, and available treatments.

Types of Conjunctivitis and Their Causes

There are three primary types of conjunctivitis, each with distinct causes:

1. Viral Conjunctivitis

Viral conjunctivitis is the most common form and is highly contagious. It is typically caused by adenoviruses, but other viruses, including the herpes simplex virus, can also trigger it. This type often spreads through direct contact with infected hands, contaminated surfaces, or respiratory droplets from coughs and sneezes.

Symptoms:

  • Redness in one or both eyes

  • Watery discharge

  • Burning or gritty sensation

  • Swollen eyelids

  • Light sensitivity

Treatment:

  • No specific antiviral treatment for most cases; symptoms usually resolve on their own within 7 to 14 days.

  • Artificial tears and cold compresses can help alleviate discomfort.

  • Avoid touching or rubbing the eyes to prevent spreading the infection.

  • Maintain proper hygiene, such as frequent handwashing and disinfecting surfaces.

2. Bacterial Conjunctivitis

Bacterial conjunctivitis is caused by bacterial infections, including Staphylococcus aureus, Streptococcus pneumoniae, and Haemophilus influenzae. This type is also contagious and often spreads through direct contact with infected individuals or contaminated objects, such as towels, makeup, or contact lenses.

Symptoms:

  • Thick, yellow or green discharge that may cause eyelids to stick together, especially in the morning

  • Redness and irritation

  • Swelling of the conjunctiva

  • Mild pain or discomfort

Treatment:

  • Antibiotic eye drops or ointments prescribed by a doctor to speed up recovery.

  • Frequent cleaning of the eyelids and avoiding contact with others can prevent further spread.

  • Dispose of contaminated personal items, such as old makeup and contact lenses.

3. Allergic Conjunctivitis

Allergic conjunctivitis is triggered by allergens, such as pollen, dust mites, pet dander, or mold. It is not contagious and typically occurs in individuals with seasonal allergies or sensitivities to specific environmental factors.

Symptoms:

  • Intense itching and tearing

  • Redness in both eyes

  • Swollen eyelids

  • Runny nose and sneezing (often associated with hay fever)

Treatment:

  • Avoid exposure to allergens by keeping windows closed and using air purifiers.

  • Use antihistamine eye drops or oral antihistamines to reduce allergic reactions.

  • Cold compresses and artificial tears can help soothe irritation.

  • In severe cases, a doctor may prescribe steroid eye drops.

General Prevention Tips for Conjunctivitis

Preventing conjunctivitis requires good hygiene and awareness of potential irritants. Here are some essential prevention tips:

  • Wash hands frequently with soap and water, especially after touching the eyes or face.

  • Avoid touching or rubbing the eyes, as this can spread infection.

  • Do not share personal items, such as towels, pillows, eye drops, or cosmetics.

  • Replace old makeup and contact lenses regularly to prevent bacterial contamination.

  • Clean and disinfect eyeglasses, contact lenses, and cases to prevent infections.

  • Wear protective eyewear in environments with high exposure to allergens, chemicals, or dust.

When to See a Doctor

Most cases of conjunctivitis resolve on their own, but medical attention is necessary if:

  • Symptoms persist for more than two weeks.

  • There is severe eye pain or sensitivity to light.

  • Vision becomes blurred or significantly impaired.

  • There is a thick, pus-like discharge.

  • The infection occurs in newborns, as neonatal conjunctivitis can be serious.

Conclusion

Conjunctivitis is a common but manageable eye condition that can stem from viral, bacterial, or allergic causes. While viral conjunctivitis typically resolves on its own, bacterial conjunctivitis requires antibiotic treatment, and allergic conjunctivitis responds well to antihistamines. Practicing good hygiene, avoiding eye irritation, and seeking medical attention when necessary can help prevent and manage conjunctivitis effectively. If you suspect you have conjunctivitis, taking the right precautions and following appropriate treatment guidelines will help ensure a quick recovery while preventing its spread to others.