자동동공측정계와 동공측정표를 이용하여 측정한 동공 크기의 비교
Comparison of Automatic Pupillometer and Pupil Card for Measuring Pupil Size
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목적: 동공 크기 측정에 있어 자동 동공측정계와 동공측정표를 이용하여 얻은 결과를 비교해 보고자 하였다. 대상과 방법: 2013년 8월 1개월 동안 안과에 내원한 60명 환자의 60안을 대상으로 동공측정표(Rosenbaum Card, J.G. Rosenbaum, Cleveland, OH, USA)와 자동 동공측정계(VIPTM-200, Neuroptics Inc., San Clemente, CA, USA)를 이용하여 각기 다른 조도(명소시, 박명시, 암소시)에서 동공 크기를 측정하였다. 결과: 명소시에서는 자동 동공측정계가 유의하게 크게 측정되었고 박명시와 암소시에서는 두 방법의 유의한 차이가 없었다. 세 조도모두에서 유의하게 자동 동공측정계가 검사자 간 오차가 적었다. 암소시에서는 동공 크기가 커질수록 동공측정표를 이용하였을 때유의하게 작게 측정되는 경향이 있었다. 결론: 가장 기본적인 동공 크기 측정 방법인 동공측정표와 비교할 때 자동동공측정계는 검사자 간 오차가 적은, 정확도가 높은 결과를보였다. 박명시와 암소시 동공 크기 측정에는 두 기계가 유사한 결과를 보여 동공측정표 역시 수술 전 참고자료로 활용 가능할 것으로기대된다.
Abstract
Purpose: To compare the pupil sizes measured using the automatic pupillometer and pupil card. Methods: We measured pupil sizes using a pupil card (Rosenbaum Card, J.G. Rosenbaum, Cleveland, OH, USA) and automated pupillometer (VIPTM-200, Neuroptics Inc., San Clemente, CA, USA) under different luminous intensities in 60 eyes of 60 patients who visited the ophthalmology clinic during August 2013. Results: Under the photopic condition, pupil sizes measured using automated pupillometer were larger than those measured using the pupil card with statistical significance. The 2 techniques were not different under mesopic and scotopic conditions. Under all light conditions, automated pupillometer showed higher inter-rater reliability. Under the scotopic condition, pupil sizes measured using the pupil card were smaller than pupil sizes measured using the pupillometer according to increased pupil size. Conclusions: When compared with pupil card, automated pupillometer provided accurate and reliable measurement with small inter-rater variation and was easy and simple to use. However, based on comparable measurements of both techniques under mesopic and scotopic conditions, the pupil card can be used as preoperative evaluation when considering the cost of purchase and maintenance.
참고문헌 (29)
- Brunette I., "Functional outcome and satisfaction after photorefractive keratectomy. Part 1 : development and validation of a survey questionnaire", Ophthalmology, 107, pp.1783~1789 (2000)
- Bailey MD., "Patient satisfaction and visual symptoms after laser in situ keratomileusis", Ophthalmology, 110, pp.1371~1378 (2003)
- McGhee CN., "Functional, psychological, and satisfaction outcomes of laser in situ keratomileusis for high myopia", J Cataract Refract Surg, 26, pp.497~509 (2000)
- Fan-Paul NI., "Night vision disturbances after corneal refractive surgery", Surv Ophthalmol, 47, pp.533~546 (2002)
- Hammond SD Jr., "Quality of vision and patient satisfaction after LASIK", Curr Opin Ophthalmol, 15, pp.328~332 (2004)
- Endl MJ., "Effect of larger ablation zone and transition zone on corneal optical aberrations after photorefractive keratectomy", Arch Ophthalmol, 119, pp.1159~1164 (2001)
- Martínez CE., "Effect of pupillary dilation on corneal optical aberrations after photorefractive keratectomy", Arch Ophthalmol, 116, pp.1053~1062 (1998)
- Roberts CW., "Optical zone diameters for photorefractive corneal surgery", Invest Ophthalmol Vis Sci, 34, pp.2275~2281 (1993)
- Charles KC., "Screening for pupil size in prospective refractive surgery patients", J Cataract Refract Surg, 24, pp.294~ (1998)
- 한진우, "비구면 일체형 인공수정체 삽입 후 동공 크기가 시력에 미치는 영향", 대한안과학회지, 53(11), pp.1615~1620 (2012), 대한안과학회
- Alarcón A., "Theoretical analysis of the effect of pupil size, initial myopic level, and optical zone on quality of vision after corneal refractive surgery", J Refract Surg, 28, pp.901~906 (2012)
- Lim DH., "Risk factors associated with night vision disturbances after phakic intraocular lens implantation", Am J Ophthalmol, 157, pp.135~141.e1 (2014)
- Helgesen A., "Pupil size and night vision disturbances after LASIK for myopia", Acta Ophthalmol Scand, 82, pp.454~460 (2004)
- 백지선, "굴절교정수술시 Colvard 동공측정기, ORBScanⅡ, Sirius로 측정한 동공크기의 비교", 대한안과학회지, 54(8), pp.1175~1179 (2013), 대한안과학회
- Schallhorn SC., "Pupil size and quality of vision after LASIK", Ophthalmology, 110, pp.1606~1614 (2003)
- Chan A., "Effect of preoperative pupil size on quality of vision after wavefront-guided LASIK", Ophthalmology, 118, pp.736~741 (2011)
- Myung D., "Pupil size and LASIK : a review", J Refract Surg, 29, pp.734~741 (2013)
- Pop M., "Risk factors for night vision complaints after LASIK for myopia", Ophthalmology, 111, pp.3~10 (2004)
- Schallhorn S., "The role of the mesopic pupil on patient-reported outcomes in young patients with myopia 1 month after wavefront-guided LASIK", J Refract Surg, 30, pp.159~165 (2014)
- Plainis S., "Through-focus performance with multifocal contact lenses : effect of binocularity, pupil diameter and inherent ocular aberrations", Ophthalmic Physiol Opt, 33, pp.42~50 (2013)
- Artigas JM., "Image quality with multifocal intraocular lenses and the effect of pupil size : comparison of refractive and hybrid refractive-diffractive designs", J Cataract Refract Surg, 33, pp.2111~2117 (2007)
- Salati C., "Pupil size influence on the intraocular performance of the multifocal AMO-Array intraocular lens in elderly patients", Eur J Ophthalmol, 17, pp.571~578 (2007)
- Tomita M., "Retrospective evaluation of the influence of pupil size on visual acuity after KAMRA inlay implantation", J Refract Surg, 30, pp.448~453 (2014)
- Ho LY., "Comparison of Rosenbaum pupillometry card using red and blue light to Colvard and Iowa pupillometers", J Refract Surg, 26, pp.498~504 (2010)
- Boxer Wachler BS., "Agreement and repeatability of pupillometry using videokeratography and infrared devices", J Cataract Refract Surg, 26, pp.35~40 (2000)
- Schallenberg M., "Comparison of the Colvard, Procyon, and Neuroptics pupillometers for measuring pupil diameter under low ambient illumination", J Refract Surg, 26, pp.134~143 (2010)
- 고병욱, "한국인의 연령 및 조도에 따른 동공크기에 대한 연구", 대한안과학회지, 52(4), pp.401~406 (2011), 대한안과학회
- Rosen ES., "Use of a digital infrared pupillometer to assess patient suitability for refractive surgery", J Cataract Refract Surg, 28, pp.1433~1438 (2002)
- Michel AW., "Comparison of 2 multiple-measurement infrared pupillometers to determine scotopic pupil diameter", J Cataract Refract Surg, 32, pp.1926~1931 (2006)