잠시만 기다려 주세요. 로딩중입니다.

유리체절제술과 백내장병합수술에서 후낭절개술군과 대조군의 전방깊이와 굴절력 변화

Changes of Anterior Chamber Depth and Refractive Error after Phacovitrectomy with and without Posterior Capsulotomy

대한안과학회지 2020년 61권 9호 p.1010 ~ 1014
조용운, 이동우, 김병선, 유웅선, 김성재, 서성욱, 정인영,
소속 상세정보
조용운 ( Cho Yong-Wun ) - Gyeongsang National University College of Medicine Gyeongsang National University Hospital Department of Ophthalmology
이동우 ( Lee Dong-Woo ) - Gyeongsang National University College of Medicine Gyeongsang National University Hospital Department of Ophthalmology
김병선 ( Kim Byoung-Seon ) - Gyeongsang National University College of Medicine Gyeongsang National University Hospital Department of Ophthalmology
유웅선 ( Yoo Woong-Sun ) - Gyeongsang National University College of Medicine Gyeongsang National University Hospital Department of Ophthalmology
김성재 ( Kim Seong-Jae ) - Gyeongsang National University College of Medicine Gyeongsang National University Hospital Department of Ophthalmology
서성욱 ( Seo Seong-Wook ) - Gyeongsang National University College of Medicine Gyeongsang National University Hospital Department of Ophthalmology
정인영 ( Chung In-Young ) - Gyeongsang National University College of Medicine Gyeongsang National University Hospital Department of Ophthalmology

Abstract

목적: 유리체절제술과 백내장병합수술 시 유리체절단침을 이용하여 후낭절개술을 동시에 시행한 경우와 시행하지 않은 경우에 전방깊이 및 굴절력 변화를 확인하고자 하였다.

대상과 방법: 유리체절제술과 백내장병합수술 시 유리체절단침을 이용한 후낭절개술을 받은 20명 20안, 병합수술은 시행하고 후낭절개술은 시행하지 않은 환자 20명 20안을 대조군으로 선정하였다. 술 전, 술 후의 전방의 깊이는 샤임플러그 사진기(Pentacam®)를이용하였으며, 술 후 굴절력은 자동각막굴절측정기를 이용하여 예측한 굴절력과 차이를 비교하였다.

결과: 후낭절개술을 시행한 군에서 술 전 전방깊이는 2.56 ± 0.233 mm, 술 후 1개월째 3.54 ± 0.366 mm, 3개월째 3.71 ± 0.424 mm로 측정되었다. 대조군에서는 술 전 2.53 ± 0.204 mm였으며, 술 후 1개월 3.09 ± 0.197 mm, 3개월째 2.95 ± 0.295 mm로 측정되었다. 술 전 유의한 차이는 없었으며 술 후 1, 3개월째는 두 군 간에 유의한 차이가 관찰되었다. 후낭절개술은 시행한 군에서 예측굴절력은 -0.32 ± 0.124 diopters (D)였고, 술 후 3개월째 -0.62 ± 0.132 D로 측정되었으며 대조군에서는 예측 굴절력은 -0.33 ± 0.142 D였고, 술 후 3개월째 -0.91 ± 0.292 D로 측정되었고 3개월째 두 군 간에 유의한 차이가 관찰되었다.

결론: 유리체절제술과 백내장병합수술 시 유리체절단침을 이용한 후낭절개술은 술 후 3개월까지 대조군과 비교해 볼 때 근시화 및 인공수정체의 전방이동을 방지할 수 있는 방법으로 고려해 볼 수 있다.

Purpose: To compare the effect on changes in anterior chamber depth (ACD) and refractive error between subjects after combined phacovitrectomy with posterior capsulotomy using a vitrectomy probe and control subjects after combined phacovitrectomy without posterior capsulotomy.

Methods: A total of 20 eyes of 20 subjects who underwent combined phacovitrectomy with posterior capsulotomy using a vitrectomy probe were compared with 20 eyes of 20 control subjects who underwent only phacovitrectomy without posterior capsulotomy. The ACD was measured with Scheimpflug imaging (Pentacam®; OCULUS Optikgerate GmbH, Wetzlar, Germany) before and after surgery. Also the preoperative desired refraction and postoperative refraction were compared using an auto keratorefractometor.

Results: The preoperative ACD of subjects with posterior capsulotomy was 2.56 ± 0.233 mm. The ACD was 3.54 ± 0.366 mm and 3.71 ± 0.424 mm at one and three months after surgery in subjects with posterior capsulotomy. The preoperative ACD of subjects without posterior capsulotomy was 2.53 ± 0.204 mm. The ACD was 3.09 ± 0.197 mm and 2.95 ± 0.295 mm at one and three months after surgery in subjects without posterior capsulotomy. There was no significant difference between the two groups in preoperative ACD, but ACD at one and three months after surgery was significantly different between the two groups. The desired refractory error was -0.32 ± 0.124 D in subjects with posterior capsulotomy, and -0.33 ± 0.142 D in the control group. The postoperative refraction was -0.62 ± 0.132 D in patients who underwent phacovitrectomy with posterior capsulotomy, and -0.91 ± 0.292 D in the control group. There was a significant difference in refraction three months after the surgery.

Conclusions: Combined phacovitrectomy with posterior capsulotomy using a vitrectomy probe may be a useful way to prevent myopic change caused by anterior migration of an intraocular lens compared with control subjects, without posterior capsulotomy, for three months after surgery.

키워드

Posterior capsulotomy; Refractive error; Vitrectomy

원문 및 링크아웃 정보

 

등재저널 정보