안내이물의 입구 위치에 따른 임상양상
Clinical Characteristics of Intraocular Foreign Bodies According to Entrance Location: Corneal vs. Non-Corneal
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목적: 안내이물에서 각막과 각막 이외의 이물 입구 위치에 따른 임상양상의 차이를 알아보고자 하였다. 대상과 방법: 2011년 1월부터 2016년 7월까지 안내이물제거술을 시행받은 환자들의 의무기록을 후향적으로 분석하였다. 의무기록을 분석하여 입구가 각막인 경우와 각막이 아닌 경우로 분류하였다. 수술기록을 분석하여 수정체전낭 및 후낭, 망막열공과 박리 등 안구내 손상 부위를 조사하였고, 이물 제거 방법 및 인공수정체 삽입 등 수술 방법의 차이를 알아보았다. 결과: 43명 43안이 포함되었다. 입구가 각막인 경우가 33안(76.7%), 각막이 아닌 경우가 10안(23.3%)이었다. 안내이물의 입구가 각막인 경우 중 후낭이 보존된 경우는 24.2% (8안)이었고, 안내이물의 입구가 각막이 아닌 경우는 80% (8안)에서 후낭이 보존되었다. 안내이물의 입구가 각막이 아닌 경우에서 후낭 보존 가능성이 높았다. 안내이물의 입구가 각막인 경우는 망막열공이 없는 경우가 60.6%였고 각막이 아닌 경우는 20%에서 망막열공이 없었다. 이물의 입구가 각막이 아닌 경우에서 망막열공의 가능성이 높았다. 결론: 안내이물 입구의 위치는 수정체낭과 망막손상 가능성을 예측할 수 있는 인자이다.
Abstract
Purpose: To investigate differences in the clinical features of post-traumatic intraocular foreign bodies (IOFBs) according to their entrance locations, specifically, those penetrating the cornea and those not penetrating the cornea. Methods: A retrospective chart review was performed of patients with an IOFB from January 2011 to July 2016. The patients were divided into two groups: those in whom the IOFB entered through the cornea (“corneal entrance” group) and those in whom the IOFB did not penetrate the cornea (“non-corneal entrance” group), and compared. Damage to the anterior and posterior capsule, retinal tear, and retinal detachment were analyzed, and differences in surgical techniques including the IOFB extraction route and intraocular lens implantation were recorded. Results: A total of 43 eyes (43 patients) were included, with 33 (76.7%) in the corneal entrance group and 10 (23.3%) in the non-corneal group. The posterior capsule was preserved in 24.2% (eight) of eyes in the corneal group and 80% (eight) of eyes in the non-corneal group. The corneal group had significantly more posterior capsule ruptures but dramatically fewer retinal tears (39.4%) than the non-corneal group (80% retinal tears). Conclusions: The location of IOFB entrance is a predictable factor of lens capsule and retinal injuries.
참고문헌 (22)
- Shock JP, "Long-term visual acuity results after penetrating and perforating ocular injuries", Am J Ophthalmol, 100, pp.714~718 (1985)
- Lam DS, "Combined phacoemulsification, pars plana vitrectomy, removal of intraocular foreign body(IOFB), and primary intraocular lens implantation for patients with IO FB and traumatic cataract", Eye, 12, pp.395~398 (1998)
- Tyagi AK, "Simultaneous posterior chamber intraocular lens implant combined with vitreoretinal surgery for intraocular foreign body injuries", Eye, 12(Pt 2), pp.230~233 (1998)
- Yeh S, "Current trends in the management of intraocular foreign bodies", Curr Opin Ophthalmol, 19, pp.225~233 (2008)
- Singh R, "23-gauge vitrectomy with intraocular foreign body removal via the limbus : an alternative approach for select cases", Indian J Ophthalmol, 62, pp.707~710 (2014)
- 조형진, "안내이물의 임상특성 및 시력예후", 대한안과학회지, 43(10), pp.21~1975 (2002), 대한안과학회
- 이은하, "안내이물 환자에서 최종시력에 영향을 주는 인자", 대한안과학회지, 42(7), pp.997~1002 (2001), 대한안과학회
- Jonas JB, "Prognostic factors in ocular injuries caused by intraocular or retrobulbar foreign bodies", Ophthalmology, 107, pp.823~828 (2000)
- Choragiewicz T, "Surgical treatment of open globe trauma complicated with the presence of an intraocular foreign body", Klin Oczna, 117, pp.5~8 (2015)
- Lit ES, "Anterior and posterior segment intraocular foreign bodies", Int Ophthalmol Clin, 42, pp.107~120 (2002)
- Katz G, "Posterior-segment intraocular foreign bodies : an update on management", Retin Physician, 6, pp.32~34 (2009)
- Rathod R, "An update on the management of intraocular foreign bodies", Retin Physician, 8, pp.52~55 (2011)
- Upshaw JE, "Ocular foreign bodies in children", Pediatr Emerg Care, 24, pp.409~414 (2008)
- Zhang Y, "Intraocular foreign bodies in China : clinical characteristics, prognostic factors, and visual outcomes in 1, 421 eyes", Am J Ophthalmol, 152, pp.66~73 (2011)
- 진용헌, "수정체유화술, 유리체절제술, 안내이물제거술 및 인공수정체삽입술의 동시수술", 대한안과학회지, 43(4), pp.8~699 (2002), 대한안과학회
- Dhoble P, "Combined cataract extraction with pars plana vitrectomy and metallic intraocular foreign body removal through sclerocorneal tunnel using a novel"Magnet Handshake"technique", Asia Pac J Ophthalmol, 7, pp.114~118 (2018)
- Yuksel K, "23 Gauge pars plana vitrectomy for the removal of retained intraocular foreign bodies", BMC Ophthalmol, 15, pp.75~ (2015)
- Ravani R, "Midline sclerotomy approach for intraocular foreign body removal in phakic eyes using endoilluminator : A novel technique", Indian J Ophthalmol, 66, pp.687~690 (2018)
- Park JH, "Intraocular foreign body removal by viscoelastic capture using DisCoVisc during 23-gauge microincision vitrectomy surgery", Retina, 33, pp.1070~1072 (2013)
- Gonzalez-Cortes JH, "Minimally invasive surgery for the removal of posterior intraocular foreign bodies", J Ophthalmic Vis Res, 12, pp.236~240 (2017)
- 심규영, "안내이물의 임상양상 및 예후인자", 대한안과학회지, 54(3), pp.456~461 (2013), 대한안과학회
- Park CH, "A clinical evaluation of intraocular foreign bodies", J Korean Ophthalmol Soc, 32, pp.498~508 (1991)