목적: 결막하 출혈 환자들을 대상으로 결막의 림프관을 관찰해보고 이를 통해 결막하 림프관의 의미에 대해 생각해보고자 하였다. 대상과 방법: 본원 안과에 방문한 결막하 출혈 환자와 백내장 수술 시 시행한 겐타마이신과 베타메타존의 결막 주사 후 발생한 결막하 출혈환자를 대상으로 세극등을 이용하여 결막하 출혈과 결막하 림프관을 관찰하였다. 결과: 눈비빔에 의한 결막하 출혈 환자 1명 1안에서 뚜렷한 림프관의 모습을, 외상성 결막하 출혈 환자 10명 10안에서는 얇은 림프관의 모습을 관찰 할 수 있었으며, 백내장 수술 시 시행한 결막 주사후 발생한 결막하 출혈 환자 10명 10안에서도 확장된 모습의 림프관을 관찰할 수 있었다. 녹색 필터 사용시 림프관의 관찰이 더욱 용이했다. 결론: 평소 정상적으로 관찰할 수 없는 결막하 림프관은 결막하 출혈 시 잘 나타나며 특히 결막 주사 후 발생한 결막하 출혈에서 더욱 뚜렷이 나타난다.

Purpose: To observe and characterize subconjunctival lymphatics in patients with subconjunctival hemorrhages. Methods: Patients who visited our clinic with subconjunctival hemorrhage resulting from ocular trauma, or subconjunctival injection of gentamicin and betamethasone during a cataract operation, were included in this study. Subconjunctival hemorrhages and subconjunctival lymphatics were observed using slit lamp biomicroscopy. Results: Apparent dilated lymphatics were found in one patient with subconjunctival hemorrhage after rubbing of the eye; thin lymphatics were found in 10 patients with traumatic subconjunctival hemorrhages; and apparent dilated lymphatics were found in 10 patients after subconjunctival injection. Slit lamp biomicroscopy using a green filter allowed easy visualization of subconjunctival lymphatics. Conclusions: Subconjunctival lymphatics, which are not visible in normal ocular conditions, are evident on subconjunctival hemorrhages, especially after subconjunctival drug injection.

Purpose: To observe and characterize subconjunctival lymphatics in patients with subconjunctival hemorrhages. Methods: Patients who visited our clinic with subconjunctival hemorrhage resulting from ocular trauma, or subconjunctival injection of gentamicin and betamethasone during a cataract operation, were included in this study. Subconjunctival hemorrhages and subconjunctival lymphatics were observed using slit lamp biomicroscopy. Results: Apparent dilated lymphatics were found in one patient with subconjunctival hemorrhage after rubbing of the eye; thin lymphatics were found in 10 patients with traumatic subconjunctival hemorrhages; and apparent dilated lymphatics were found in 10 patients after subconjunctival injection. Slit lamp biomicroscopy using a green filter allowed easy visualization of subconjunctival lymphatics. Conclusions: Subconjunctival lymphatics, which are not visible in normal ocular conditions, are evident on subconjunctival hemorrhages, especially after subconjunctival drug injection.