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안내후방콘택트렌즈 삽입술 후 고위수차의 변화

Changes in Higher Order Aberration After Implantable Contact Lens Implantation

김태진|김진형|이종현|이도형|최석규|염정훈|박세훈
대한안과학회 (The Korean Ophthalmological Society)|2010.09|대한안과학회지 (Journal of The Korean Ophthalmological Society)|제51권 제9호|pp. 1210-1216

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키워드

Higher order aberrationsImplantable contact lens
주제분류안과학

초록

목적: 유수정체 안내후방콘택트렌즈 삽입 후 고위수차의 변화를 알아보았다. 대상과 방법: 2008년 2월부터 2009년 10월까지 삽입술을 시행한 26안을 대상으로 술 전, 술 후 1주, 1개월, 3개월에 Hartmann-Shack 방식의 수차계(KR9000PW)로 눈 전체의 고위수차를 측정하였다. 술 전후에 각막중심 4 mm에서 총고위수차, 총구면수차, 총코마수차,총트레포일수차 그리고 3차항, 4차항의 RMS값의 변화를 분석하였다. 결과: 평균나이는 25.4세였고, 현성굴절검사상 환자의 평균 구면대응치는 -6.40D였다. 술 후 1주, 1개월, 3개월에 평균 구면대응치는각각 0.00 ± 0.13D, 0.03 ± 0.21D, -0.013 ± 0.12D이였다. 술 후 1주, 1개월, 3개월에 눈 전체의 총고위수차, 총구면수차, 총코마수차,총트레포일수차, 3차, 4차항의 고위수차 RMS값 간에는 통계적으로 유의한 차이가 없었으며, 술 전과의 비교도 통계적으로 유의한변화는 보이지 않았다(Wilcoxon-signed-ranks test, p＜0.05). 결론: 유수정체 안내후방콘택트렌즈 삽입술 후 눈 전체의 각막중심 4 mm에서 고위수차는 변화가 없는 것으로 사료된다.

Abstract

Purpose: To evaluate the changes in higher-order aberrations (HOAs) after implantation of an ICL (implantable contact lens). Methods: Twenty-six eyes that had undergone ICL implantation between February 2008 and October 2009 were included. Ocular higher-order aberrations of all the eyes were measured using the Hartmann-Shack aberrometer (KR9000PW). Examinations were performed preoperatively, as well as one week, one month, and three months after ICL implantation. Changes in ocular total higher-order aberrations, total spherical aberration, coma aberration, trefoil aberration, and S3 and S4 calculated in the central 4-mm zone and expressed as root mean square (RMS) values were analyzed. Results: The mean patient age was 25.4 years, and the mean preoperative spherical equivalent was -6.40 diopters(D). The mean postoperative spherical equivalents were 0.00 ± 0.13D, 0.03 ± 0.21D, -0.013 ± 0.12D at one week, one month,and three months, respectively. There were no statistically significant differences in ocular higher-order aberration RMS,including spherical, coma, or trefoil aberration, at one week, one month, or three months postoperative or between preoperative and postoperative measurements. Conclusions: There is no significant change of ocular higher order aberration in the central 4-mm zone after ICL implantation.

참고문헌 (34)

  1. Kim TG, "2 cases of corneal ectasia dected after LASIK", J Korean Ophthalmol Soc, 40, pp.846~849 (1999)
  2. Amoils SP, "Iarogenic keratectasia after laser in situ keratomileusis for less than -4.0 to -7.0 diopters of myopia", J Cataract Refract Surg, 26, pp.967~977 (2000)
  3. Geggel HS, "Delayed onset keratectasia following laser in situ keratomileusis and photorefractive keratectomy", Ophthalmology, 107, pp.640~652 (2000)
  4. Bailey MD, "Patient satisfaction and visual symptoms after laser in situ keratomileusis", Ophthalmology, 110, pp.1371~1378 (2003)
  5. Buzzonetti L, "Comparison of wavefront aberration changes in the anterior corneal surface after laser-assisted subepithelial keratectomy and laser in situ keratomileusis: preliminary study", J Cataract Refract Surg, 30, pp.1929~1933 (2004)
  6. Buzzonetti L, "Comparison of corneal aberration changes after laser in situ keratomileusis performed with mechanical microkeratome and IntraLase femtosecond laser: 1-year follow-up", Cornea, 27, pp.174~179 (2008)
  7. Chalita MR, "Wavefront analysis in post-LASIK eyes and its correlation with visual symptoms, refraction, and topography", Ophthalmology, 111, pp.447~453 (2004)
  8. Chalita MR, "Correlation of aberrations with visual symptoms using wavefront analysis in eyes after laser in situ keratomileusis", J Refract Surg, 19, pp.682~686 (2003)
  9. Yamane N, "Ocular higher-order aberrations and contrast sensitivity after conventional laser in situ keratomileusis", Invest Ophthalmol Vis Sci, 45, pp.3986~3990 (2004)
  10. Pesudovs K, "Wavefront aberration outcomes of LASIK for high myopia and high hyperopia", J Refract Surg, 21, pp.508~512 (2005)
  11. Sharma M, "Higher order aberrations and relative risk of symptoms after LASIK", J Refract Surg, 23, pp.252~256 (2007)
  12. Budo C, "Multicenter study of the Artisan phakic intraocular lens", J Cataract Refract Surg, 26, pp.1163~1171 (2000)
  13. Jimenez AI, "Contrast sensitivity after posterior chamber phakic intraocular lens implantation for high myopia", J Refract Surg, 17, pp.641~645 (2001)
  14. Lee SY, "Implantable contact lens to correct high myopia", J Korean Ophthalmol Soc, 41, pp.1515~1522 (2000)
  15. 한상엽, "고도근시 환자에서 안내후방콘택트렌즈삽입술의 중장기간 임상결과", 대한안과학회지, 48(4), pp.465~472 (2007), 대한안과학회
  16. 전연숙, "중등도 이상의 근시환자에서 ICL (Implantable Contact Lens) 수술의 임상 결과", 대한안과학회지, 45(3), pp.20~20 (2004), 대한안과학회
  17. Tehrani M, "Changes in higher-order aberrations after implantation of a foldable iris-claw lens in myopic phakic eyes", J Cataract Refract Surg, 32, pp.250~254 (2006)
  18. Tahzib NG, "Higher-order aberrations after implantation of iris-fixated rigid or foldable phakic intraocular lenses", J Cataract Refract Surg, 34, pp.1913~1920 (2008)
  19. Kuroda T, "Wavefront analysis of higher order aberrations in patients with cataracts", J Cataract Refract Surg, 28, pp.438~444 (2002)
  20. Oshika T, "Comparison of corneal wavefront aberrations after photorefractive keratectomy and laser in situ keratomileusis", Am J Ophthalmol, 127, pp.1~7 (1999)
  21. Fernández-Vega L, "Clear lens extraction for the correction of high myopia", Ophthalmology, 110, pp.2349~2354 (2003)
  22. Huber C, "Effectiveness of intraouclar lens calculation in highametropia", J Cataract Refract Surg, 15, pp.667~672 (1989)
  23. Colin J, "Retinal detachment after clear lens extraction for high myopia; seven-year follow-up", Ophthalmology, 106, pp.2281~2284 (1999)
  24. AlióJ, "Corneal wavefront- guided LASIK retreatments for correction of highly aberrated corneas following refractive surgery", J Refract Surg, 23, pp.760~773 (2007)
  25. Menezo JL, "Phakic intraocular lenses to correct high myopia: Adatomed, Staar, and Artisan", J Cataract Refract Surg, 30, pp.33~44 (2004)
  26. Sarikkola AU, "Traumatic cataract and other adverse events with the implantable contact lens", J Cataract Refract Surg, 31, pp.511~524 (2005)
  27. Perez-Santonja JJ, "Surgical correction of severe myopia with an angle-supported phakic intraocular lens", J Cataract Refract Surg, 26, pp.1288~1302 (2000)
  28. Baikoff G, "Angle-fixated anterior chamber phakic intraocular lens for myopia of -7 to -19 diopters", J Refract Surg, 14, pp.282~293 (1998)
  29. Oshika T, "Higher order wavefront aberrations of cornea and magnitude of refractive correction in laser in situ keratomileusis", Ophthalmology, 109, pp.1154~1158 (2002)
  30. Kohnen T, "Comparison of corneal higher-order aberrations induced by myopic and hyperopic LASIK", Ophthalmology, 112, pp.1692~1698 (2005)
  31. Marcos S, "Change in corneal aberrations after cataract surgery with 2 types of aspherical intraocular lenses", J Cataract Refract Surg, 33, pp.217~226 (2007)
  32. Iseli HP, "Corneal and total wavefront aberrations in phakic and pseudophakic eyes after implantation of monofocal foldable intraocular lenses", J Cataract Refract Surg, 32, pp.762~771 (2006)
  33. Pesudovs K, "Effect of cataract surgery incision location and intraocular lens type on ocular aberrations", J Cataract Refract Surg, 31, pp.725~734 (2005)
  34. Tong N, "Changes in corneal wavefront aberrations in microincision and small-incision cataract surgery", J Cataract Refract Surg, 34, pp.2085~2090 (2008)

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