노안교정 고주파 각막성형술을 이용한 단안시 치료의 임상 결과
Clinical Outcomes of Monovision Induced by Presbyopic Correcting Conductive Keratoplasty
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
목적: 노안교정 고주파 각막성형술을 이용한 노안 교정수술의 효능과 안정성 및 만족도를 알아보고자 한다. 대상과 방법: 2009년 4월부터 2009년 11월까지 본원에 내원하여 노안교정 고주파 각막성형술을 시행 받은 환자 20명을 대상으로 하였다. 시술 후 6개월 이상 추적관찰하여 구면렌즈대응치, 원거리와 근거리 시력 및 만족도를 분석하였다. 결과: 시술 전 평균 구면렌즈대응치는 비우세안과 우세안에서 각각 0.56 ± 0.48D와 0.88 ± 0.25D이었으나 술 후 1개월에는 -1.65± 0.56D와 -0.06 ± 0.36D, 술 후 3개월에는 -1.33 ± 0.40D와 0.17 ± 0.37D, 술 후 6개월에는 -1.10 ± 0.44D와 0.31 ± 0.33D로술 후 1개월과 3개월 사이의 역행 양은 각각 0.32 ± 0.39D와 0.23 ± 0.25D, 3개월과 6개월 사이의 역행 양은 0.23 ± 0.38D와0.14 ± 0.30D이었다. 술 후 만족도 조사 결과 “불만족한다”는 대답이 55% (11/20)이었다. 결론: 노안의 치료방법으로서 노안교정 고주파 각막성형술을 이용한 단안시 시술은 단기간에 수술효과의 퇴행이 나타나는 일시적인치료 방법으로 생각한다.
Abstract
Purpose: To evaluate the efficacy, safety, and satisfaction of patients who underwent conductive keratoplasty (CK). Methods: CK was performed in 20 patients between April and December 2009. Surgeries were performed on the dominant eye with emmetropia as the postoperative goal and on the non-dominant eye with mild myopia as the postoperative goal. Patients’ satisfaction, refractive change, and visual acuity were evaluated for at least 3 months after the surgery. Results: Preoperatively, the mean manifest refraction spherical equivalent (MRSE) of the non-dominant and dominant patient eyes was 0.56 ± 0.48 D and 0.88 ± 0.25 D, respectively. Postoperatively, the mean MRSE of the non-dominant and dominant patient eyes was -1.65 ± 0.56 D and -0.06 ± 0.36D at 1 month, -1.33 ± 0.40 D and 0.17 ± 0.37 D at 3 months, and -1.10 ± 0.44 D and 0.31 ± 0.33 D at 6 months, respectively, indicating significant effect regression. Eleven out of 20 patients (55%) were disappointed with the results of CK. Conclusions: Conductive keratoplasty led to significant regression of refractive effects during follow-up. Monovision with CK is suggested to be a temporary refractive procedure in patients with presbyopia.
참고문헌 (25)
- Kim MG, "Presbyopic Contact Lens Fitting. In: Lee YS, ed. Contact lens: Principles and practice, 1st ed" (2007), Naewae haksool
- Mantry S, "Surgical management of presbyopia", Cont Lens Anterior Eye, 27, pp.171~175 (2004)
- 이호영, "백내장수술 환자에게 적용된 모노비전(Monovision)에 대한 임상 연구", 대한안과학회지, 49(9), pp.1437~1442 (2008), 대한안과학회
- Stahl JE, "Conductive keratoplasty for presbyopia: 1-year results", J Refract Surg, 22, pp.137~144 (2006)
- Stahl JE, "Conductive keratoplasty for presbyopia: 3-year results", J Refract Surg, 23, pp.905~910 (2007)
- Habibollahi A, "Visual Outcomes of conductive keratoplasty to treat hyperopia and astigmatism after laser in situ keratomileusis and photorefractive keratectomy", Middle East Afr J Ophthalmol, 18, pp.238~242 (2011)
- Chang JS, "Conductive keratoplasty to treat hyperopic overcorrection after LASIK for myopia", J Refract Surg, 27, pp.49~55 (2011)[DOI]
- Jin YH, "Refraction and Prescription, 3rd ed", pp.125~140 (2009), Naewae haksool
- Duane A, "Subnormal accommodation", Trans Am Ophthalmol Soc, 23, pp.159~183 (1925)
- Duke-Elder S, "System of Ophthalmology, 1st ed. Vol. 5", pp.484~ (1970), CV Mosby
- Harris MG, "Clinicolegal considerations of monovision", J Am Optom Assoc, 59, pp.491~495 (1988)
- Jain S, "Success of monovision in presbyopes: review of the literature and potential applications to refractive surgery", Surv Ophthalmol, 40, pp.491~499 (1996)
- 안견, "레이저 열각막성형술 (Laser thermal keratoplasty : LTK)로 유도된 Monovision의 단기 임상성적", 대한안과학회지, 44(5), pp.5~1043 (2003), 대한안과학회
- du Toit R, "Visual and nonvisual variables implicated in monovision wear", Optom Vis Sci, 75, pp.119~125 (1998)
- Greenbaum S, "Monovision pseudophakia", J Cataract Refract Surg, 28, pp.1439~1443 (2002)
- Lans LJ, "Experimentelle untersuchungen über entstehung von astigmatismus durch nicht-perforirende corneawunden", Graefes Arch Clin Exp Ophthalmol, 45, pp.117~152 (1898)
- Neumann AC, "Radial thermokeratoplasty for the correction of hyperopia", Refract Corneal Surg, 6, pp.404~412 (1990)
- Feldman ST, "Regression of effect following radial thermokeratoplasty in humans", Refract Corneal Surg, 5, pp.288~291 (1989)
- Peyman GA, "Modification of rabbit corneal curvature with use of carbon dioxide laser burns", Ophthalmic Surg, 11, pp.325~329 (1980)
- Naoumidi TL, "Conductive Keratoplasty: histological study of human corneas", Am J Ophthalmol, 140, pp.984~992 (2005)
- Haw WW, "Conductive keratoplasty and laser thermal keratoplasty", Int Ophthalmol Clin, 42, pp.99~106 (2002)
- Ayoubi MG, "Femtosecond laser in situ keratomileusis versus conductive keratoplasty to obtain monovision in patients with emmetropic presbyopia", J Cataract Refract Surg, 36, pp.997~1002 (2010)
- Esquenazi S, "Wound-healing response and refractive regression after conductive keratoplasty", J Cataract Refract Surg, 32, pp.480~486 (2006)
- Guzowski M, "Five-year refractive changes in an older population: the Blue Mountains Eye Study", Ophthalmology, 110, pp.1364~1370 (2003)
- Lee KE, "Changes in refractive error over a5-year interval in the Beaver Dam Eye Study", Invest OphthalmolVis Sci, 40, pp.1645~1649 (1999)