하이드로겔 재질의 전(全)광학부 형태인 조절인공수정체의 임상결과와 안정성
Visual Outcome and Stability of Hydrogel Full-Optics Accommodative Intraocular Lens
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목적: 조절인공수정체를 삽입한 환자에서 1년간의 임상결과와 안정성을 추적 조사하였다. 대상과 방법: 백내장수술 시 조절인공수정체(WIOL-CF^®, GELMED, Praha, Czech Republic)를 삽입한 20안(10명)을 대상으로 수술후 1일, 1개월, 2개월, 6개월 그리고 12개월까지 원거리와 근거리의 나안시력과 최대교정시력, 인공수정체의 중심이탈정도와 경사도,그리고 전방깊이를 측정하였다. 결과: 연령관련 황반변성이 발견된 1안을 제외한 19안(10명)에서 술 후 원거리 나안시력은 12개월째 20/25 이상이 11안(57.9%), 20/40이상이 17안(89.5%)이었으며, 근거리 나안시력은 술 후 12개월째 20/25 이상이 12안(63.2%), 20/40 이상이 18안(94.7%)이었다. 수술후 1일, 1개월, 2개월, 6개월 그리고 12개월까지 측정한 인공수정체의 중심이탈정도(p＞0.05)와 경사도(p＞0.05), 전방깊이(p＞0.05)모두 통계적으로 유의한 차이가 없었다. 결론: WIOL-CF^®을 삽입한 환자의 경우 비교적 좋은 원거리와 근거리 시력을 보였으며, 또한 12개월까지의 인공수정체 위치적 안정성도 우수한 것으로 확인되었다.
Abstract
Purpose: To report the visual outcome and to determine the stability of WIOL-CF^® (GELMED, Praha, Czech Republic) hydrogel full-optics accommodative intraocular lens (IOL). Methods: The present study evaluated 20 eyes of 10 patients who underwent routine cataract surgery and WIOL-CF^® accommodative IOL implantation. Measurement included uncorrected/best corrected visual acuities (VA) at near and distant,degree of IOL decentration, degree of IOL tilting and anterior chamber depth on postoperative day 1, 1 month, 2 months,6 months and 12 months. Results: Result analysis was performed with 19 eyes of 10 patients, except for 1 complicated eye. At 12 months, the uncorrected distance VA of 11 eyes (57.9%) and 17 eyes (89.5%) were 20/25 and 20/40 or better, respectively. At 12 months,the uncorrected near VA of 12 eyes (63.2%) and 18 eyes (94.7%) were 20/25 and 20/40 or better, respectively. There was no statistically significant difference in anterior chamber depth (p > 0.05), IOL decentration (p > 0.05) and IOL tilting (p >0.05) on postoperative day 1, 1 month, 2 months, 6 months and 12 months. Conclusions: The clinical results of cataract surgery with WIOL-CF were relatively satisfactory.
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