아메드밸브삽입술 후 안구 생체계측값의 변화
Alterations in Ocular Biometrics Following Ahmed Valve Implantation
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목적: 아메드밸브삽입술 후 생체계측값의 변화에 대해 알아보고자 하였다. 대상과 방법: 아메드밸브삽입술을 시행받은 녹내장 환자 중 6개월 이상 경과한 76안을 대상으로 후향적 의무기록 분석을 시행하였다. 나이, 안압, 굴절력, 안축장, 중심각막두께, 전방깊이, 전방부피, 전방각, 전면 및 후면 각막곡률을 수술 전 및 수술 후 1주일, 1개월그리고 6개월째 비교 분석하였다. 결과: 평균 안압은 수술 전 39.17 ± 14.06 mmHg, 수술 후 1주일째 11.43 ± 3.25 mmHg (p<0.001), 수술 후 1개월째 13.18 ± 4.64 mmHg (p<0.001), 술 후 6개월째 12.95 ± 4.37 mmHg (p<0.001)로 유의한 감소를 보였다. 평균 안축장은 술 전 23.74 ± 2.01 mm, 수술 후 1주일째 23.48 ± 1.86 mm (p<0.001), 수술 후 1개월째 23.57 ± 1.94 mm (p<0.001), 술 후 6개월째 23.61 ± 1.98 mm (p=0.002)로 유의한 감소를 보였다. 전면 및 후면 각막곡률, 굴절력, 전방각, 전방깊이, 전방부피는 수술 전과 수술 후 유의한 차이는보이지 않았다(all p>0.05). 결론: 아메드밸브삽입술 후 유의한 안축장의 감소를 보였다. 각막곡률, 굴절력, 전방각, 전방깊이, 전방부피는 수술 후 일시적인 변화를 보였으나 통계적으로 유의하진 않았다.
Abstract
Purpose: We assessed changes in ocular biometrics following Ahmed valve implantation. Methods: We conducted a retrospective analysis involving 76 eyes of 76 glaucoma patients who underwent Ahmed valve implantation; these patients were followed up for 6 months. Preoperative data, including age, intraocular pressure (IOP), refractive status, axial length, central corneal thickness, anterior chamber depth (ACD), anterior chamber volume (ACV), and anterior and posterior keratometry, were evaluated preoperatively and at 1 week, 1 month, and 6 months postoperatively. Results: The mean IOP exhibited a significant reduction from 39.17 ± 14.06 mmHg preoperatively to 11.43 ± 3.25 mmHg (p < 0.001), 13.18 ± 4.64 mmHg (p < 0.001), and 12.95 ± 4.37 mmHg (p < 0.001) at 1 week, 1 month, and 6 months postoperatively, respectively. Furthermore, the axial length exhibited a significant post-surgery reduction, measuring 23.74 ± 2.01 mm preoperatively and 23.48 ± 1.86 mm (p < 0.001), 23.57 ± 1.94 mm (p < 0.001), and 23.61 ± 1.98 mm (p = 0.002) at 1 week, 1 month, and 6 months postoperatively, respectively. However, no significant changes were observed in various other parameters, such as anterior and posterior keratometry, refractive status, ACA, ACD, or ACV, at 6 months post-surgery (p > 0.05). Conclusions: Ahmed valve implantation resulted in a significant reduction in axial length. Furthermore, it had transient but non-significant effects on keratometry, refractive status, ACA, ACD, and ACV at 6 months after surgery.
참고문헌 (22)
- Weinreb RN, "The pathophysiology and treatment of glaucoma : a review", JAMA, 311, pp.1901~1911 (2014)
- The AGIS Investigators, "The Advanced Glaucoma Intervention Study(AGIS) : 7. The relationship between control of intraocular pressure and visual field deterioration", Am J Ophthalmol, 130, pp.429~440 (2000)
- Assaad MH, "Glaucoma drainage devices : pros and cons", Curr Opin Ophthalmol, 10, pp.147~153 (1999)
- Francis BA, "Changes in axial length following trabeculectomy and glaucoma drainage device surgery", Br J Ophthalmol, 89, pp.17~20 (2005)
- Tzu JH, "Refractive outcomes of combined cataract and glaucoma surgery", J Glaucoma, 24, pp.161~164 (2015)
- Haigis W, "Comparison of immersion ultrasound biometry and partial coherence interferometry for intraocular lens calculation according to Haigis", Graefes Arch Clin Exp Ophthalmol, 238, pp.765~773 (2000)
- Dinc UA, "Assessment of anterior chamber depth using Visante optical coherence tomography, slitlamp optical coherence tomography, IOL Master, Pentacam and Orbscan IIz", Ophthalmologica, 224, pp.341~346 (2010)
- Shankar H, "Anterior segment biometry with the Pentacam : comprehensive assessment of repeatability of automated measurements", J Cataract Refract Surg, 34, pp.103~113 (2008)
- McAlinden C, "A comprehensive evaluation of the precision(repeatability and reproducibility)of the Oculus Pentacam HR", Invest Ophthalmol Vis Sci, 52, pp.7731~7737 (2011)
- Cunliffe IA, "A prospective study examining the changes in factors that affect visual acuity following trabeculectomy", Eye(Lond), 6, pp.618~622 (1992)
- Németh J, "Changes in the ocular dimensions after trabeculectomy", Int Ophthalmol, 16, pp.355~357 (1992)
- Cashwell LF, "Axial length decrease accompanying successful glaucoma filtration surgery", Ophthalmology, 106, pp.2307~2311 (1999)
- Husain R, "Longitudinal changes in anterior chamber depth and axial length in Asian subjects after trabeculectomy surgery", Br J Ophthalmol, 97, pp.852~856 (2013)
- Kara N, "Changes in choroidal thickness, axial length and ocular perfusion pressure accompanying successful glaucoma filtration surgery", Eye(Lond), 27, pp.940~945 (2013)
- Chen S, "Changes in choroidal thickness after trabeculectomy in primary angle closure glaucoma", Invest Ophthalmol Vis Sci, 55, pp.2608~2613 (2014)
- Saeedi O, "Change in choroidal thickness and axial length with change in intraocular pressure after trabeculectomy", Br J Ophthalmol, 98, pp.976~979 (2014)
- Francis BA, "Changes in axial length following trabeculectomy and glaucoma drainage device surgery", Br J Ophthalmol, 89, pp.17~20 (2005)
- Rajan MS, "Partial coherence laser interferometry vs conventional ultrasound biometry in intraocular lens calculation", Eye(Lond), 16, pp.552~556 (2002)
- Kao SF, "Anterior chamber depth following filtration surgery", Ophthalmic Surg, 20, pp.332~336 (1989)
- Goins K, "Axial anterior chamber depth after trabeculectomy", Ophthalmologica, 200, pp.177~180 (1990)
- Hammel NA, "Changes in anterior segment parameters after insertion of Ex-PRESS miniature glaucoma implant", J Glaucoma, 22, pp.565~568 (2013)
- Delbeke H, "The effect of trabeculectomy on astigmatism", J Glaucoma, 25, pp.e308~e312 (2015)