삼체형과 일체형 비구면 인공수정체의 안정성 비교
Comparison of the Stability Between Three-piece and Single-piece Aspheric Intraocular Lenses
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목적: 삼체형과 일체형 비구면 인공수정체의 중심이탈, 경사도, 전방깊이 및 굴절력을 검사하여 안정성을 비교하였다. 대상과 방법: 101안의 백내장수술 환자 중 삼체형인 TecnisⓇ ZA9003 삽입군(54안)과 일체형인 AcrySofⓇ IQ 삽입군(47안)을 대상으로 술 후 1일, 1달, 2달에 전안부분석기(EAS-1000, Nidek, Japan)로 중심이탈, 경사도, 전방깊이, 굴절력을 검사하였다. 결과: 중심이탈은 술 후 1일(p = 0.04)에 차이를 보였으나 1달(p = 0.15), 2달(p = 0.13)에는 유의한 차이는 없었다. 경사도는 술 후 1일, 1달, 2달에 유의한 차이가 없었고 전방깊이는 술 후 1일, 1달, 2달에서 모두 유의한 차이가 없었다. 굴절력은 술 후 1일(p = 0.03)에 차이를 보였으나 1달(p = 0.07), 2달(p = 0.07)에는 유의한 차이가 없었다. 결론: 삼체형과 일체형 비구면 인공수정체의 중심이탈, 경사도, 전방깊이 및 굴절력은 술 후 2달까지 유의한 차이가 없었다. 따라서 두 인공수정체의 2달까지 낭내 안정성은 차이가 없는 것으로 생각된다.
Abstract
Purpose: The goal of the present study was to compare the stability of the 3-piece (TecnisⓇ ZA9003) and single-piece (AcrySofⓇ IQ) aspheric intraocular lenses (IOL) by testing decentration, tilt, anterior chamber depth, and refraction. Methods: The subjects of this study consisted of 101 eyes who had undergone cataract surgeries with a 3-piece aspheric IOL (54 eyes) and with a single-piece aspheric IOL (47 eyes). The decentration, tilt, anterior chamber depth, and refraction were measured on postoperative day 1, 1 month, and 2 months, using an anterior eye segment analysis system (EAS-1000, Nidek, Japan). Results: There was a statistically significant difference in the decentration on the postoperative day 1 (p = 0.04). However, there was no statistically significant difference on postoperative 1 month (p = 0.15) and 2 months (p = 0.13). There was no statistically significant difference in the tilt on postoperative day 1, 1 month, and 2 months. There was no statistically significant difference in the anterior chamber depth on postoperative day 1, 1 month, and 2 months. There was a statistically significant difference in the refraction on postoperative day 1 (p = 0.03). However, there was no statistically significant difference on postoperative 1 month (p = 0.07) and 2 months (p = 0.07). Conclusions: There was no statistically significant difference in the decentration, anterior chamber depth, and refraction between the 3-piece and single-piece aspheric IOL. Therefore, there is no difference between the 3-piece and single-piece aspheric IOL in the capsular bag stability until 2 months postoperatively.
참고문헌 (27)
- Brandser R, "Accuracy of IOL calculation in cataract surgery", Acta Ophthalmol Scand, 75, pp.162~165 (1997)
- Zaldivar R, "Intraocular lens power calculation in patients with extreme myopia", J Cataract Refract Surg, 26, pp.668~674 (2000)
- Olsen T, "Intraocular lens power calculation with an improved anterior chamber prediction algorithm", J Cataract Refract Surg, 21, pp.313~319 (1995)
- Minassian DC, "Extracapsular cataract extraction compared with small incision surgery by phacoemulsification: a randomized trial", Br J Ophthalmol, 85, pp.822~829 (2001)
- Krondort EC, "Keratometric cylinder and visual recovery following Phacoemulsification and intraocular lens implantation using a self-sealing cataract incision", J Cataract Refract Surg, 17, pp.731~733 (1991)
- Merriam JC, "The effect of incisions for cataract curvature", Ophthalmology, 110, pp.1807~1813 (2003)
- Long DA, "A prospective evaluation of corneal curvature changes with 3.0 to 3.5 mm corneal tunnel phacoemulsification", Ophthalmology, 103, pp.226~232 (1996)
- Alio’ JL, "Outcomes of microincision cataract surgery versus coaxial phacoemulsification", Ophthalmology, 112, pp.1997~2003 (2005)
- Drews RC, "Five year study of astigmatic stability after cataract surgery with intraocular lens implantation: comparison of wound sizes", J Cataract Refract Surg, 26, pp.250~253 (2000)
- Nemeth J, "Optical and ultrasound measurement of axial length and anterior chamber depth for intraocular lens power calculation", J Cataract Refract Surg, 29, pp.85~88 (2003)
- Olsen T, "Immersion versus contact technique in the measurement of axial length by ultrasound", Acta Ophthalmol, 67, pp.101~102 (1989)
- Warson A, "Contact or immersion technique for axial length measurement", Aust NZJ Ophthalmol, 27, pp.49~51 (1999)
- Rose LT, "Comparison of Zeiss IOL master and application A-scan ultrasound: biometry for intraocular lens calculation", Clin Experiment Ophthalmol, 31, pp.121~124 (2003)
- Brint SF, "Keratometric cylinder and visual performance following phacoemulsification and implantation with silicon small incision or poly(methylmethacrylate) intraocular lenses", J Cataract Refract Surg, 17, pp.32~36 (1991)
- Guirao A, "Corneal optical aberrations and retinal image quality in patients in whom monofocal intraocular lenses were implanted", Arch Ophthalmol, 120, pp.1143~1151 (2002)
- Werner L, "Wavefront corrections of intraocular lenses", Ophthalmol Clin North Am, 17, pp.233~245 (2004)
- Chalita MR, "Correlation of aberrations with visual acuity and symptoms", Ophthalmol Clin North Am, 17, pp.135~142 (2004)
- 채종근, "백내장 수술 후 인공수정체의 종류에 따른 앞방깊이와 굴절력의 변화", 대한안과학회지, 47(12), pp.1935~1942 (2006), 대한안과학회
- 김홍석, "비구면 인공수정체와 구면 인공수정체의 술 후 구면수차, 고위수차 및 대비감도의 비교", 대한안과학회지, 49(8), pp.1256~1262 (2008), 대한안과학회
- 이자영, "비구면 인공수정체와 구면 인공수정체의 중심이탈, 경사도 및 전방깊이의 비교", 대한안과학회지, 50(6), pp.852~857 (2009), 대한안과학회
- 안현석, "비구면 인공수정체와 구면 인공수정체 삽입 수술 후 수차 및 시기능 비교", 대한안과학회지, 49(8), pp.1248~1255 (2008), 대한안과학회
- 강인성, "서로 다른 비구면 인공수정체 삽입안에서 술 후 시기능 비교", 대한안과학회지, 50(5), pp.691~697 (2009), 대한안과학회
- Wirtitsch MG, "Effect of haptic design on change in axial lens position after cataract surgery", J Cataract Refract Surg, 30, pp.45~51 (2004)
- Kim JS, "Periodic Biometry in Three Types of Posteriorly Implanted IOLs: PMMA, Silicone, and Acrylic Soft, by EAS-1000 Scheimpflug Photography", J Korean Ophthalmol Soc, 41, pp.2205~2210 (2000)
- Dietze HH, "Limitations of correcting spherical acerration with aspheric intraocular lenses", J Cataract Refract Surg, 31, pp.574~585 (2005)
- Mutlu FM, "Comparision of tilt and decentration of 1-piece and 3-piece hydrophobic acrylic intraocular lenses", J Cataract Refract Surg, 31, pp.343~347 (2005)
- 차영동, "아크릴 재질 인공수정체 종류에 따른 임상 결과의 비교", 대한안과학회지, 47(5), pp.740~747 (2006), 대한안과학회