안내후방콘텍트렌즈 크기교체술을 시행한 후vault의 변화 양상
The Analysis of Vault Change after Posterior Chamber Phakic Intraocular Lens Size Exchange
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목적: 안내후방콘텍트렌즈(Implantable contact lens: ICL) 삽입술 후 크기교체술을 시행한 경우 vault의 변화 정도가 교체술 전의 vault 에 따라서 차이가 있는지 알아보고자 하였다. 대상과 방법: ICL 삽입술 후 vault가 낮거나 높아서 크기교체술을 시행한 13명(14안)에 대하여 0.5 mm 큰 ICL으로 변경한 경우와 0.5mm 작은 ICL으로 변경한 경우로 나누어서 크기교체술 후 vault 결과를 분석하였다. 결과: 14안 중 0.5 mm 더 작은 ICL으로 교체한 경우는 6안이었으며, 술 전 vault의 평균값은 1.38 mm (1.18-1.70)였으며 술 후 vault의평균값은 0.71 mm (0.51-0.92)였다(p=0.03). 0.5 mm 더 큰 ICL으로 교체한 경우는 8안이었으며, 술 전 vault의 평균값은 0.07 mm (0.03-0.13)였으며 술 후 vault의 평균값은 0.50 mm (0.12-1.01)였다(p＜0.01). 교체술의 시기는 0.5 mm 더 작은 ICL으로 교체한 경우는 술 후 평균 3.5일(1-6일)에 시행하였으며 0.5 mm 더 큰 ICL으로 교체한 경우는 술 후 평균 135일(90-660일)에 시행하였다(p＜0.01). 결론: ICL 크기교체술은 대부분의 경우에서 적당하지 않은 vault를 이상적인 vault로 변화시킬 수 있는 효과적인 방법이라고 할 수있으며, 작은 크기의 ICL으로 교체하는 경우에는 조기에 시행하는 경향이 있다.
Abstract
Purpose: To evaluate the vault change after implantable collamer lens (ICL) size exchange according to the preoperative vault. Methods: In 14 eyes of 13 patients, the vault change after ICL exchange operation due to unideal vault was compared in 2 groups, the smaller ICL exchanged group and larger ICL exchanged group. Results: In 6 out of 14 eyes, the ICL was exchanged to a 0.5 mm smaller size and the vault was changed from 1.38 mm (1.18-1.70) to 0.71 mm (0.51-0.92) (p = 0.03). In 8 eyes, the ICL was exchanged to a 0.5 mm bigger size and the vault was changed from 0.07 mm (0.03-0.13) to 0.50 mm (0.12-1.01) (p < 0.01). The exchange operation was performed at 3.5 postoperative days (1-6) if the ICL was exchanged to 1 step smaller size, but the exchange operation was performed at 135postoperative days (90-660) if the ICL was exchanged to 1 step bigger size (p < 0.01). Conclusions: ICL exchange to 1 step smaller or bigger size is an effective method to correct unideal postoperative vault to a more ideal vault size. The exchange to 1 step smaller size ICL tended to be performed sooner.
참고문헌 (21)
- 한상엽, "고도근시 환자에서 안내후방콘택트렌즈삽입술의 중장기간 임상결과", 대한안과학회지, 48(4), pp.465~472 (2007), 대한안과학회
- DU GP, "Outcome after treatment of myopia with implantable Collamer lens", Zhonghua Yan Ke Za Zhi, 47, pp.146~150 (2011)
- Portaliou DM, "Long-term results of phakic refractive lens implantation in eyes with high myopia", J Refract Surg, 27, pp.787~791 (2011)
- Alfonso JF, "Posterior chamber collagen copolymer phakic intraocular lenses to correct myopia: five-year follow-up", J Cataract Refract Surg, 37, pp.873~880 (2011)
- Yokoyama S, "Repeatability of the ciliary sulcus-to-sulcus diameter measurement using wide-scanning-field ultrasound biomicroscopy", J Cataract Refract Surg, 37, pp.1251~1256 (2011)
- Seo JH, "Effects of white-to-white diameter and anterior chamber depth on implantable collamer lens vault and visual outcome", J Refract Surg, 25, pp.730~738 (2009)
- Lee DH, "Correlation between preoperative biometry and posterior chamber phakic Visian Implantable Collamer Lens vaulting", Ophthalmology, 119, pp.272~277 (2012)
- Choi KH, "Ultrasound biomicroscopy for determining visian implantable contact lens length in phakic IOL implantation", J Refract Surg, 23, pp.362~367 (2007)
- Reinstein DZ, "Comparison of postoperative vault height predictability using white-to-white or sulcus diameter-based sizing for the visian implantable collamer lens", J Refract Surg, 29, pp.30~35 (2013)
- Kojima T, "Optimization of an implantable collamer lens sizing method using high-frequency ultrasound biomicroscopy", Am J Ophthalmol, 153, pp.632~637 (2012)
- Alfonso JF, "Central vault after phakic intraocular lens implantation: correlation with anterior chamber depth, white-to-white distance, spherical equivalent, and patient age", J Cataract Refract Surg, 38, pp.46~53 (2012)
- 김욱겸, "전방깊이에 대한 수정체 두께의 비율이 ICL 삽입 후 Vault에 미치는 영향", 대한안과학회지, 53(8), pp.1081~1087 (2012), 대한안과학회
- 곽애영, "술 전 Crystalline Lens Rise가 안내후방인공수정체 삽입술 후 Vaulting에 미치는 영향", 대한안과학회지, 53(12), pp.1749~1755 (2012), 대한안과학회
- Kojima T, "Posterior chamber phakic implantable collamer lens: changes in vault during 1 year", J Refract Surg, 26, pp.327~332 (2010)
- Alfonso JF, "Three-year follow-up of subjective vault following myopic implantable collamer lens implantation", Graefes Arch Clin Exp Ophthalmol, 248, pp.1827~1835 (2010)
- Alfonso JF, "Long-term evaluation of the central vault after phakic Collamer® lens (ICL) implantation using OCT", Graefes Arch Clin Exp Ophthalmol, 250, pp.1807~1812 (2012)
- Du GP, "Changes in objective vault and effect on vision outcomes after implantable Collamer lens implantation: 1-year follow-up", Eur J Ophthalmol, 22, pp.153~160 (2011)
- Bechmann M, "Imaging of posterior chamber phakic intraocular lens by optical coherence tomography", J Cataract Refract Surg, 28, pp.360~363 (2002)
- Fernandes P, "Implantable collamer posterior chamber intraocular lenses: a review of potential complications", J Refract Surg, 27, pp.765~776 (2011)
- Gonvers M, "Implantable contact lens for moderate to high myopia: short-term follow-up of 2 models", J Cataract Refract Surg, 27, pp.380~388 (2001)
- Sanders DR, "ICL in Treatment of Myopia (ITM) Study Group. Incidence of lens opacities and clinically significant cataracts with the implantable contact lens: comparison of two lens designs", J Refract Surg, 18, pp.673~682 (2002)