병적 근시가 황반 원공 수술 결과에 미치는 영향
The Effect of Pathologic Myopia on the Result of Macular Hole Surgery
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목적: 병적 근시의 유무가 황반 원공 수술 결과에 영향을 줄 수 있는가를 평가하기 위하여 시행하였다. 대상과 방법: 후향적 차트 리뷰를 통하여 2010년 1월부터 2011년 12월까지 본원 망막 클리닉에서 특발성 황반 원공으로 수술 받은 환자중 병적 근시를 동반한 환자 11안과 병적 근시를 동반하지 않은 환자 14안을 대상으로 하였다. 유리체 절제술, 내경계막 벗기기, C3F8(20%) 가스를 충전하였다. 술 전과 술 후 6개월째 최대교정시력, 안압, 빛광학간섭 단층촬영을 시행하였고 두 군간 최대교정시력, 안압, 황반 원공의 폐쇄 유무를 비교하였다. 결과: 술 전 변수 중 안구 장축만이 두 군간 30.6382 ± 1.77768 mm, 22.931 ± 1.02137 mm로 통계적으로 유의한 차이를 보였다(p˂0.001). 황반 원공의 폐쇄는 두 군에서 각각 0명, 11명에서 이루어졌으며 이는 통계적으로 유의한 차이를 보였다(p˂0.001). 하지만 두 군간술 후 시력에서는 통계적으로 유의한 차이를 보이지 않았다. 결론: 병적 근시의 유무가 전층 황반 원공 환자의 수술 후 원공의 폐쇄에 부정적인 영향을 줄 수 있다.
Abstract
Purpose: To evaluate if the presence of pathologic myopia could affect the result of macular hole surgery. Methods: This study was a retrospective comparison of the results of macular hole surgery between a pathologic myopia group (11 eyes) and a non-pathologic myopia group (14 eyes). All patients had undergone PPV, ILM peeling and C3F8(20%) gas temponade. BCVA, IOP and OCT findings were evaluated preoperatively and at 6 months after surgery. Postoperative BCVA, IOP and macular hole closure were compared between each groups. Results: The only statistically significant preoperative parameter between the groups was axial length (p < 0.001). Postoperative BCVA was lower in the pathologic myopia group, but the difference was not statistically significant. The rate of macular hole closure was statistically significant higher in the non-pathologic myopia group (p < 0.001). Conclusions: The presence of pathologic myopia may negatively affect the result of macular hole surgery.
참고문헌 (20)
- Kelly NE, "Vitreous surgery for idiopathic macular holes: Results of a pilot study", Arch Ophthalmol, 109, pp.654~659 (1991)
- Freeman WR, "Vitrectomy for the treatment of full-thickness stage 3 or 4 macular holes. Results of a multicentered randomized clinical trial. The Vitrectomy for Treatment of Macular Hole Study Group", Arch Ophthalmol, 115, pp.11~21 (1997)
- Brooks HL Jr, "Macular hole surgery with and without internal limiting membrane peeling", Ophthalmology, 107, pp.1939~1948 (2000)
- Kang HK, "The macular hole: report of an Australian surgical series and meta-analysis of the literature", Clin Experiment Ophthalmol, 28, pp.293~308 (2000)
- Park DW, "The use of internal limiting membrane maculorrhexis in treatment of idiopathic macular holes", Korean J Ophthalmol, 12, pp.92~97 (1998)
- Smiddy WE, "Internal limiting membrane peeling in macular hole surgery", Ophthalmology, 108, pp.1471~1476 (2001)
- Haritoglou C, "Long-term follow- up after macular hole surgery with internal limiting membrane peeling", Am J Ophthalmol, 134, pp.661~666 (2002)
- Xirou T, "Full thickness macular hole closure after exchanging silicone-oil tamponade with C(3)F(8) without posturing", Case Report Ophthalmol, 2, pp.166~169 (2011)
- Nishimura A, "Efficacy of primary silicone oil tamponade for the treatment of retinal detachment caused by macular hole in high myopia", Am J Ophthalmol, 151, pp.148~155 (2011)
- Tafoya ME, "Visual outcomes of silicone oil versus gas tamponade for macular hole surgery", Semin Ophthalmol, 18, pp.127~131 (2003)
- Lai JC, "Comparison of silicone oil versus gas tamponade in the treatment of idiopathic full-thickness macular hole", Ophthalmology, 110, pp.1170~1174 (2003)
- Qu J, "Vitrectomy outcomes in eyes with high myopic macular hole without retinal detachment", Retina, 32, pp.275~280 (2012)
- Wu TT, "Comparison of anatomical and visual outcomes of macular hole surgery in patients with high myopia vs. non-high myopia: a case-control study using optical coherence tomography", Graefes Arch Clin Exp Ophthalmol, 250, pp.327~331 (2012)
- Ikuno Y, "Vitrectomy for macular holes associated with myopic foveoschisis", Am J Ophthalmol, 141, pp.774~776 (2006)
- Scholda C, "Primary silicone oil tamponade without retinopexy in highly myopic eyes with central macular hole detachments", Retina, 25, pp.141~146 (2005)
- Grossniklaus HE, "Pathologic finding in pathologic myopia", Retina, 12, pp.127~133 (1992)
- Oster SF, "Dynamics of the macular hole-silicone oil tamponade interface with patient positioning as imaged by spectral domain-optical coherence tomography", Retina, 30, pp.924~929 (2010)
- Feng LG, "Surgical management of retinal detachment resulting from macular hole in a setting of high myopia", Yan Ke Xue Bao, 27, pp.69~75 (2012)
- Nadal J, "Treatment of retinal detachment secondary to macular hole in high myopia: Vitrectomy with dissection of the inner limiting membrane to the edge of the staphyloma and long-term tamponade", Retina, 32, pp.1525~1530 (2012)
- Kumar A, "Clinical presentation and surgical outcomes in primary myopic macular hole retinal detachment", Eur J Ophthalmol, 22, pp.450~455 (2012)