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´«Àº Ç÷°üÀÌ ¸¹ÀÌ Áö³ª°¡°í ¿ÜºÎ ¾Ë·¹¸£°Õ°ú Á÷Á¢ Á¢ÃËÇÏ´Â ºÎÀ§À̹ǷΠ¾Ë·¹¸£±â ¹ÝÀÀÀÌ ÀÚÁÖ ÀϾ´Â ºÎÀ§ÀÌ´Ù. °á¸·ÀÌ °¡Àå ¸é¿ª ¹ÝÀÀÀÌ ¿Õ¼ºÇÑ ºÎÀ§ÀÌ´Ù. ¾Ë·¹¸£±â °á¸·¿°¸¸ Àֱ⵵ ÇÏÁö¸¸ ´ëºÎºÐÀº ¾Ë·¹¸£±â ºñ¿°°ú °°ÀÌ ³ªÅ¸³­´Ù. ¾Ë·¹¸£±â¿¡ ÀÇÇÑ ´« Áõ»óÀº »îÀÇ Áú¿¡ Å©°Ô ¿µÇâÀ» ¹ÌÄ£´Ù.

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    ´« ¾Ë·¹¸£±â´Â ¾çÂÊ ´«¿¡ Áõ»óÀÌ °°ÀÌ ³ªÅ¸³ª´Â ¶Ñ·ÇÇÑ Æ¯Â¡À» °¡Áö°í ÀÖ´Ù. °Å´ë À¯µÎ °á¸·¿°(giant papillary conjunctivitis)¸¦ Á¦¿ÜÇÏ°í´Â ¸ðµÎ ¾Ë·¹¸£°Õ ¹Î°¨µµ°¡ ÀÖ´Ù. º½Ã¶ °¢°á¸·¿°(vernal keratoconjunctivitis)°ú ¾ÆÅäÇÇ °¢°á¸·¿° ¸ðµÎ ½Ã·Â¿¡ ¿µÇâÀ» ÁÙ ¼ö ÀÖ´Ù.

A) ¾Ë·¹¸£±â °á¸·¿°

    ¾Ë·¹¸£±â °á¸·¿°Àº ´«¿¡ °¡Àå ÈçÇÑ ¾Ë·¹¸£±â ¹ÝÀÀÀÌ¸ç º¸Åë ¾ÆÅäÇǸ¦ °¡Áø ¼ºÀο¡¼­ 25%, ¼Ò¾Æ¿¡¼­ 30%Á¤µµ ÀÖ´Ù. ÀÌ´Â ¾Ë·¹¸£°Õ°ú ´«ÀÌ Á÷Á¢ Á¢ÃËÇÔÀ¸·Î¼­ Áõ»óÀÌ À¯¹ßµÈ´Ù. ȯÀÚ´Â ÅëÁõº¸´Ù´Â ´« °£Áö·¯¿ò, ´«¹° Áõ°¡¸¦ È£¼ÒÇÑ´Ù. ¾çÂÊ ´«ÀÌ ÃæÇ÷µÇ¾î ÀÖ°í °á¸·ºÎÁ¾ÀÌ »ý±â°Å³ª ¼ö¾×¼º ºÐºñ¹°À» È긮±âµµ ÇÑ´Ù. ¾Ë·¹¸£±â °á¸·¿°Àº °èÀýÀûÀ¸·Î ³ªÅ¸³ªÁö¸¸ °¡²û Àϳ⳻³» Áõ»óÀÌ ³ªÅ¸³ª±âµµ ÇÑ´Ù. °èÀý¼º ¾Ë·¹¸£±â °á¸·¿°Àº ÁÖ·Î µÎµå·¯±â ¾¦À̳ª Ãʸñ·ù¿¡ ÀÇÇÑ´Ù. Áö¼Ó¼º ¾Ë·¹¸£±â °á¸·¿°(perennial allergic conjunctivitis)Àº µ¿¹° ÅÐÀ̳ª Áý¸ÕÁö Áøµå±â¿¡ ÀÇÇÑ´Ù. º¸Åë Áö¼Ó¼º ¾Ë·¹¸£±â °á¸·¿°ÀÌ °èÀý¼º ¾Ë·¹¸£±â °á¸·¿°º¸´Ù´Â Áõ»óÀÌ ¾àÇÏ´Ù.

B) º½Ã¶ °¢°á¸·¿°(vernal conjunctivitis, Ãá°è °¢°á¸·¿°) (±×¸² º¸±â)

    º½Ã¶ °¢°á¸·¿°Àº À§ÂÊ ´«²¨Ç® °á¸·¿¡ ½ÉÇÑ ¾çÃø¼º ¸¸¼º ¿°Áõ ÁúȯÀÌ´Ù. ¸¸ÀÏ °¢¸·±îÁö ÁøÇàÇÏ¿´´Ù¸é ½Ã·Â¿¡ ¿µÇâÀ» ÁÙ ¼ö ÀÖ´Ù. º½Ã¶ °¢°á¸·¿°ÀÌ IgE ¸Å°³ ¹ÝÀÀÀº ¾Æ´ÏÁö¸¸ ´ëºÎºÐ ¼Ò¾Æ¿¡¼­ ±â°üÁö õ½Ä, ¾ÆÅäÇÇÇǺο°À» °¡Áö°í ÀÖ´Ù. º½Ã¶ °¢°á¸·¿°Àº ¿©ÀÚ¾ÆÀ̺¸´Ù ³²ÀÚ¾ÆÀÌ¿¡¼­ µÎ¹è ´õ ¸¹ÀÌ ¹ß»ýÇϸç, ¾Æ½Ã¾Æ³ª ¾ÆÇÁ¸®Ä« »ç¶÷µé¿¡¼­ ´õ ÈçÇÏ´Ù. ÁÖ·Î ¿ì¸®³ª¶ó¿Í °°Àº ¿Â´ëÁö¹æ ¾ÆÀ̵鿡¼­ º½°ú ¿©¸§¿¡ ½ÉÇØÁø´Ù. Áõ»óÀº ½ÉÇÑ ´« °¡·Á¿òÁõ°ú ºûÀ̳ª ¶¡°ú °°Àº Àڱع°Áú¿¡ ÀÇÇØ ¾ÇÈ­µÈ´Ù. ȯÀÚ´Â ´«ºÎ½ÉÀ» ½ÉÇÏ°Ô È£¼ÒÇÏ°í À̹°°¨°ú ´«¹°ÀÌ ¸¹ÀÌ ³ª¿Â´Ù°í ¸»ÇÑ´Ù. Á¥²ÀÁö ÇüÅÂÀÇ µ¹±â°¡ À§ ´«²¨Ç®¿¡ ÀÖ¾î cobblestone(Á¶¾àµ¹)À̶ó´Â ¿ë¾î¸¦ »ç¿ëÇÑ´Ù. ²öÀûÀÌ´Â ºÐºñ¹°À» È긮¸ç ÀϽÃÀûÀ¸·Î °¢¸· Å׵θ®·Î Ȳ»ö-ÇϾá Á¡(trantas dots)ÀÌ ³ª¿À±âµµ ÇÏ°í ÀÌ·± °ÍÀÌ °á¸·¿¡µµ(Horner points)º¸ÀδÙ. Shield ±Ë¾ç°ú µ¥´Ï(Dennie) ¼±ÀÌ ³ªÅ¸³ª±âµµ ÇÑ´Ù. µ¥´Ï¼±À̶õ ´«²¨Ç® ¾Æ·¡·Î ÇǺΰ¡ µÎµå·¯±â°Ô Æ¢¾î³ª¿Â °ÍÀ» ¸»ÇÑ´Ù. ¼Ò¾Æ¿¡¼­´Â ¿°ÁõÀ¸·Î ÀÎÇؼ­ ¼Ó´«½çÀÌ ±æ´Ù.

C) ¾ÆÅäÇÇ °¢°á¸·¿°

    ÀÌ´Â ¾Æ·¡ ´«²¨Ç®¿¡ ÈçÈ÷ ¹ß»ýÇÏ´Â ¸¸¼º ¿°Áõ¼º ´« ÁúȯÀÌ´Ù. ¸¸ÀÏ °¢¸·±îÁö ÁøÇàÇÏ¸é ½Ã·Â¿¡ ¿µÇâÀ» ÁÙ ¼ö ÀÖ´Ù. ¾ÆÅäÇÇ °¢°á¸·¿°À» °¡Áø ´ëºÎºÐÀÇ È¯ÀÚµéÀº ¾ÆÅäÇÇÇǺο°À» °¡Áö°í ÀÖ°í ¸¹Àº ȯÀÚµéÀÌ ±â°üÁö õ½ÄÀ¸·Î °í»ýÇÑ´Ù. ¾ÆÅäÇÇ °¢°á¸·¿°Àº »çÃá±â Àü¿¡´Â °ÅÀÇ ³ªÅ¸³ªÁö ¾Ê´Â´Ù. Áõ»óÀº ½ÉÇÑ ´« °¡·Á¿òÁõ, Ÿ´Â µíÇÑ ´À³¦, ´«¹°ÀÌ ³ª¿À¸ç ¾Ë·¹¸£±â °á¸·¿°º¸´Ù Áõ»óÀÌ ½ÉÇÏ´Ù. ¶ÇÇÑ Áõ»óÀÌ Àϳ⳻³» Áö¼ÓÇÑ´Ù. ±¸-°á¸·(bulbar conjunctiva)ºÎÀ§´Â ÃæÇ÷µÇ°í ºÎ¾îÀÖ´Ù. ´«²¨Ç®¿¡ ½ÀÁøÀº ´«ÁÖÀ§ ÇǺγª º¼·Î ÁøÇàÇϱ⵵ ÇÑ´Ù. 2Â÷ Æ÷µµ»ó±¸±Õ °¨¿°Àº ´«²¨Ç® °æ°á(induration)°ú macerationÀÌ »ý±â±âµµ ÇÑ´Ù.

D) °Å´ëÀ¯µÎ °á¸·¿°(Giant Papillary Conjunctivitis)

    ÀÌ´Â ÄÜÅÃÁî ·»Á ÀǾÈ(ocular prosthesis)À̳ª ºÀÇÕ°ú °°ÀÌ ¿À·£±â°£ À̹°Áú°ú Á¢ÃËÇÏ¿© ¹ß»ýÇÏ´Â ¿°Áõ ¹ÝÀÀÀÌ´Ù. °£Áö·¯¿ò, ´«¹°, ´«ÀÌ ºÒÆíÇÔÀ» È£¼ÒÇÑ´Ù. ¾à°£ÀÇ Á¡¾× ´«¹°Àº Á¡Â÷ ½ÉÇØÁö¾î¼­ ²öÀûÇØÁö°í trantas dots, ÃæÇ÷°ú ºÎÁ¾ÀÌ ¹ß»ýÇÑ´Ù.

E) Á¢Ã˼º ¾Ë·¹¸£±â

    Á¢Ã˼º ¾Ë·¹¸£±â´Â ´«²¨Ç®¿¡ ³ªÅ¸³ª¸ç °á¸·ºÎÀ§¿¡µµ ³ªÅ¸³¯ ¼ö ÀÖ´Ù. ±¹¼Ò ¾à¹°À» ÀÚÁÖ ¹ß¶ó ³ªÅ¸³ª±âµµ ÇÏ°í ÄÜÅÃÁî·»Áî ¼¼Ã´¾×À̳ª º¸Á¸Á¦¿Í ÀÚÁÖ ¿¬°üµÇ¾î Áõ»óÀÌ ³ªÅ¸³­´Ù.

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    ¾Ë·¹¸£±â °á¸·¿°ÀÌ ¾Æ´Ñ °ÍÀº ¹ÙÀÌ·¯½º, ¼¼±Õ¼º ¶Ç´ÂŬ¶ó¹Ìµð¾Æ(chlamydia) °¨¿°¿¡ ÀÇÇÑ´Ù. º¸Åë °¨¿°¿¡ ÀÇÇϸé ÇÑÂÊ¿¡¸¸ Áõ»óÀÌ ³ªÅ¸³ª³ª Á¡Â÷ ÁøÇàÇÏ¿© ¾çÂÊ¿¡ ³ªÅ¸³ª±âµµ ÇÑ´Ù. À̶§´Â °£Áö·¯¿ò º¸´Ù´Â Â´Â µíÇÑ ÅëÁõ, Ÿ´Â µíÇÑ ´À³¦À» È£¼ÒÇÏ°í ÀÚÁÖ À̹°°¨ÀÌ ´À²¸Áø´Ù°í Ç¥ÇöÇÑ´Ù. ºÐºñ¹°Àº ¼ö¾×¼º, Á¡¾×¼º ¶Ç´Â ³ó¼ºÀÏ ¼ö ÀÖ´Ù. ¾Ë·¹¸£±â °á¸·¿°Àº ÄÚ´«¹°°üÀÌ ¸·ÇôÀְųª À̹°Áú, °Ç¼º ´«, Æ÷µµ¸·¿°, ¿Ü»ó, ¾È°Ë°á¸·¿°°ú °¨º°ÇÏ¿©¾ß ÇÑ´Ù.

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