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당뇨망막병증 환자에서 무색 인공수정체안과 황색 착색 인공수정체안의 대조민감도 및 색각 비교

Contrast Sensitivity and Color Vision Comparison Between Clear and Yellow-Tinted Intraocular Lens in Diabetic Retinopathy

김태진|이주화|임경오
대한안과학회 (The Korean Ophthalmological Society)|2012.02|대한안과학회지 (Journal of The Korean Ophthalmological Society)|제53권 제2호|pp. 238-245

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Diabetic retinopathyColor vision testContrast sensitivity testYellow-tinted intraocular lens
주제분류안과학

초록

목적: 당뇨망막병증 환자를 대상으로 무색 인공수정체와 황색착색 인공수정체 삽입 안의 대조민감도 및 색각 기능을 비교하고자 한다. 대상과 방법: 비증식당뇨망막병증 환자에서 백내장 수술을 시행 받은 25명의 50안을 대상으로 하였다. 한쪽 눈에는 무색 인공수정체를삽입하고 반대쪽 눈에는 황색착색 인공수정체를 삽입하였다. 수술 후 3개월째에 vision contrast test system을 이용한 대조민감도검사 및 Farnsworth-Munsell 100-hue test를 이용한 색각 검사를 시행하였다. 결과: 두 인공수정체의 대조민감도는 중등도 비증식당뇨망막병증에서 6.0 cycles per degree, 심한 비증식당뇨망막병증에서 12.0cycles per degree를 제외한 모든 공간주파수에서 유의한 차이를 보였다. 색각 검사 결과 total error score는 세 당뇨병군에서 유의한차이가 없었으나 이에 비해 청황 색각축 error score의 경우 세 군 모두에서 유의한 차이를 보여주었다. 결론: 당뇨망막병증에서 황색착색 인공수정체는 무색 인공수정체보다 더 나은 대조 민감도를 보였고, 청황 색각축에서 색각을 향상한다.

Abstract

Purpose: To compare contrast sensitivity and color vision after implantation of a clear intraocular lens (IOL) and a yellow-tinted IOL in diabetic retinopathy patients. Methods: In the 50 eyes of 25 diabetic patients with non-proliferative diabetic retinopathy, clear IOLs were implanted in 25eyes, and yellow-tinted IOLs were implanted in 25 fellow eyes. Three months after the surgery, contrast sensitivity function was measured with a vision contrast test system, and color discrimination was tested using the Farnsworth Munsell 100-hue test. Results: Eyes implanted with yellow-tinted IOLs had significant differences in contrast sensitivity values compared to those of fellow eyes implanted with clear IOLs in both the moderate diabetic retinopathy group (6.0 cycles per degree) and the severe diabetic retinopathy group (throughout all spatial frequencies except 12.0 cycles per degree). The yellow-tinted IOL did not modify chromatic discrimination compared with that of the clear IOL. In the blue-yellow axis error score, however,there were significant differences between the clear IOL and the yellow-tinted IOL. Conclusions: With progressing diabetic retinopathy, the yellow-tinted IOL provided better contrast sensitivity than the clear IOL. The yellow-tinted IOL improved color vision in the blue-yellow chromatic axis without causing chromatic discrimination defects.

참고문헌 (55)

  1. Comerford JP, "Vision evaluation using contrast sensitivity functions", Am J Optom Physiol Opt, 60, pp.394~398 (1983)
  2. Campbell FW, "Optical and retinal factors affecting visual resolution", J Physiol, 181, pp.576~593 (1965)
  3. Swanson WH, "Color vision", Ophthalmol Clin North Am, 16, pp.179~203 (2003)
  4. Davies N, "Extent of foveal tritanopia in diabetes mellitus", Br J Ophthalmol, 87, pp.742~746 (2003)
  5. Volbrecht VJ, "Diabetic short-wavelength sensitivity: variations with induced changes in blood glucose level", Invest Ophthalmol Vis Sci, 35, pp.1243~1246 (1994)
  6. Thompson DG, "Colour blindness, a hazard to diabetics", Lancet, 1, pp.44~ (1978)
  7. Thompson DG, "Defective colour vision in diabetes: a hazard to management", Br Med J, 1, pp.859~860 (1979)
  8. Francois J, "Acquired dyschromatopsia", Ann Ocul(Paris), 190, pp.812~859 (1957)
  9. Cho NC, "Selective loss of S-cones in diabetic retinopathy", Arch Ophthalmol, 118, pp.1393~1400 (2000)
  10. Dr W, "Diabetic dyschromatopsia: pathogenetic hypothesis, In Colour Vision Deficiencies VIII. Dordrecht: Martinus Nijhoff", pp.1987, Gastaud P
  11. Hood DC, "The response range of the blue-cone pathways: a source of vulnerability to disease", Invest Ophthalmol Vis Sci, 25, pp.864~867 (1984)
  12. Mollon JD, "What is odd about the short-wavelength mechanism and why is it disproportionately vulnerable to acquired damage? Report of a discussion, In Colour Vision Deficiencies VI", pp.145~149 (1982), Dr W. Junk Publishers
  13. Farnsworth D, "Tritanomalous vision as a threshold function", pp.185~197 (1956), U.S. Naval Medical Research Laboratory, Submarine Base
  14. Greenstein VC, "The use of a flash - on - flash paradigm to assess sensitivity changes due to retinal disease", Invest Ophthalmol Vis Sci, 23, pp.102~112 (1982)
  15. Nork TM, "Selective loss of blue cones and rods in human retinal detachment", Arch Ophthalmol, 113, pp.1066~1073 (1995)
  16. Kessel L, "Diabetic versus non-diabetic colour vision after cataract surgery", Br J Ophthalmol, 83, pp.1042~1045 (1999)
  17. Ayed S, "Diabetes and color vision disorder detected by the Farnsworth 100 Hue test. Diabetic dyschromatopsia", J Fr Ophtalmol, 13, pp.506~510 (1990)
  18. Utku D, "Farnsworth-Munsell 100-hue test for patients with diabetes mellitus", Ann Ophthalmol, 24, pp.205~208 (1992)
  19. Muntoni S, "Dyschromatopsia in diabetes mellitus and its relation to metabolic control", Diabetes Care, 5, pp.375~378 (1982)
  20. Trick GL, "The relationship between hue discrimination and contrast sensitivity deficits in patients with diabetes mellitus", Ophthalmology, 95, pp.693~698 (1988)
  21. Roy MS, "Color vision defects in early diabetic retinopathy", Arch Ophthalmol, 104, pp.225~228 (1986)
  22. Hardy KJ, "Detection of colour vision abnormalities in uncomplicated type 1 diabetic patients with angiographically normal retinas", Br J Ophthalmol, 76, pp.461~464 (1992)
  23. Green FD, "Colour vision of diabetics", Br J Ophthalmol, 69, pp.533~536 (1985)
  24. Bresnick GH, "Association of hue discrimination loss and diabetic retinopathy", Arch Ophthalmol, 103, pp.1317~1324 (1985)
  25. Andley U, "Photooxidative stress, In Principles and Practice of Ophthalmology: Clinical Practice Philadelphia", pp.417~436 (1994), WB Saunders
  26. Lanum J, "The damaging effects of light on the retina. Empirical findings, theoretical and practical implications", Surv Ophthalmol, 22, pp.221~249 (1978)
  27. Yoon HM, "An ultrastructural study of recovery of photoreceptor layer from visible light-induced damage", J Korean Ophthalmol Soc, 34, pp.678~686 (1993)
  28. Ham WT Jr, "Retinal sensitivity to damage from short wavelength light", Nature, 260, pp.153~155 (1976)
  29. Sperling HG, "Differential spectral photic damage to primate cones", Vision Res, 20, pp.1117~1125 (1980)
  30. Lawwill T, "Three major pathologic processes caused by light in the primate retina: a search for mechanisms", Trans Am Ophthalmol Soc, 80, pp.517~579 (1982)
  31. Ishida M, "Improving contrast sensitivity with the UVCY (Hoya) intraocular lens under glare conditions", Folia Ophthalmol Jpn, 44, pp.399~405 (1993)
  32. Ham WT Jr, "Basic mechanisms underlying the production of photochemical lesions in the mammalian retina", Curr Eye Res, 3, pp.165~174 (1984)
  33. Ham WT Jr, "Histologic analysis of photochemical lesions produced in rhesus retina by short-wavelength light", Invest Ophthalmol Vis Sci, 17, pp.1029~1035 (1978)
  34. Sparrow JR, "Blue light-absorbing intraocular lens and retinal pigment epithelium protection in vitro", J Cataract Refract Surg, 30, pp.873~878 (2004)
  35. Yap M, "The effect of a yellow filter on contrast sensitivity", Ophthalmic Physiol Opt, 4, pp.227~232 (1984)
  36. Kinney JA, "Reaction time to spatial frequencies using yellow and luminance-matched neutral goggles", Am J Optom Physiol Opt, 60, pp.132~138 (1983)
  37. Kelly SA, "Effect of yellow-tinted lenses on brightness", J Opt Soc Am A, 7, pp.1905~1911 (1990)
  38. Sivak JG, "Effect of a yellow ocular filter on chromatic aberration: the fish eye as an example", Am J Optom Physiol Opt, 55, pp.813~817 (1978)
  39. Wolffsohn JS, "Contrast is enhanced by yellow lenses because of selective reduction of short-wavelength light", Optom Vis Sci, 77, pp.73~81 (2000)
  40. Kuyk TK, "Effect of short wavelength absorbing filters on Farnsworth-Munsell 100 Hue test and hue identification task performance", Optom Vis Sci, 67, pp.522~531 (1990)
  41. de Fez D, "Enhancement of contrast sensitivity and losses of chromatic discrimination with tinted lenses", Optom Vis Sci, 79, pp.590~597 (2002)
  42. "Fundus photographic risk factors for progression of diabetic retinopathy. ETDRS Report number 12. Early Treatment Diabetic Retinopathy Study Research Group", Ophthalmology, 98(5 Suppl), pp.823~833 (1991)
  43. Della Sala S, "Impaired contrast sensitivity in diabetic patients with and without retinopathy: a new technique for rapid assessment", Br J Ophthalmol, 69, pp.136~142 (1985)
  44. Sokol S, "Contrast sensitivity in diabetics with and without background retinopathy", Arch Ophthalmol, 103, pp.51~54 (1985)
  45. Ghafour IM, "Contrast sensitivity in diabetic subjects with and without retinopathy", Br J Ophthalmol, 66, pp.492~495 (1982)
  46. Trick GL, "The relationship between hue discrimination and contrast sensitivity deficits in patients with diabetes mellitus", Ophthalmology, 95, pp.693~698 (1988)
  47. Kim HG, "Hue discrimination and contrast sensitivity deficits in diabetic subjects with and without retinopathy", J Korean Ophthalmol Soc, 32, pp.274~280 (1991)
  48. Arend O, "Contrast sensitivity loss is coupled with capillary dropout in patients with diabetes", Invest Ophthalmol Vis Sci, 38, pp.1819~1824 (1997)
  49. Rodríguez-Galietero A, "Blue-light filtering intraocular lens in patients with diabetes: contrast sensitivity and chromatic discrimination", J Cataract Refract Surg, 31, pp.2088~2092 (2005)
  50. Mester U, "Intraindividual comparison of a blue-light filter on visual function: AF-1 (UY) versus AF-1 (UV) intraocular lens", J Cataract Refract Surg, 34, pp.608~615 (2008)
  51. Neumaier-Ammerer B, "Comparison of visual performance with blue light-filtering and ultraviolet light-filtering intraocular lenses", J Cataract Refract Surg, 36, pp.2073~2079 (2010)
  52. Wang H, "Comparison of photochromic, yellow, and clear intraocular lenses in human eyes under photopic and mesopic lighting conditions", J Cataract Refract Surg, 36, pp.2080~2086 (2010)
  53. Ao M, "Color discrimination by patients with different types of light-filtering intraocular lenses", J Cataract Refract Surg, 36, pp.389~395 (2010)
  54. Ernest PH, "Light-transmission-spectrum comparison of foldable intraocular lenses", J Cataract Refract Surg, 30, pp.1755~1758 (2004)
  55. van den Berg TJ, "Light scattering by donor lenses as a function of depth and wavelength", Invest Ophthalmol Vis Sci, 38, pp.1321~1332 (1997)

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