유리체절제술과 백내장 동시수술 시 모양체고랑 인공수정체삽입술 후의 굴절이상값
Postoperative Refractive Errors after Phacovitrectomy with Sulcus Fixation of an Intraocular Lens
0
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
목적: 유리체절제술과 백내장 동시수술 시 모양체고랑에 인공수정체를 삽입하였을 때 수술 전 굴절이상예측값과 수술 후 현성굴절이상값의 차이를 알아보았다. 대상과 방법: 유리체절제술과 백내장 동시수술 시 인공수정체를 모양체고랑에 삽입했던 환자와 인공수정체를 수정체낭에 삽입했던환자들의 수술 전 굴절이상예측값과 수술 후 현성굴절이상값을 후향적으로 조사하였다. 결과: 유리체절제술과 백내장 동시수술 시 인공수정체를 모양체고랑에 삽입했던 제1군은 19명 19안이었고, 인공수정체를 수정체낭에삽입했던 제2군은 20명 23안이었다. 수술 후 현성굴절이상값과 수술 전 굴절이상예측값의 차이는 제1군에서는 -0.71 ± 1.02D였고(p=0.012), 제2군에서는 -0.07 ± 0.74D (p=0.86)로, 제1군의 수술 후 현성굴절이상값은 인공수정체를 수정체낭에 넣은 제2군과 비교해유의한 근시편위를 보였다. 결론: 유리체절제술과 백내장 동시수술 시 인공수정체를 모양체고랑에 삽입할 경우, 인공수정체 도수를 약 1.0D 낮추어 인공수정체를삽입하는 것이 수술 후 원하는 굴절력을 얻는 데 도움이 될 것으로 생각된다.
Abstract
Purpose: To evaluate the difference between the predicted postoperative refraction and the actual postoperative refraction aftersimultaneous vitrectomy and cataract surgery with sulcus fixation of an intraocular lens (IOL). Methods: The records of patients with simultaneous vitrectomy and cataract surgery with sulcus IOL implantation (group 1) andwith in-the-bag IOL implantation (group 2) were reviewed. We compared the spread between the predicted and actual refractiveerrors in the two groups. Results: Group 1 consisted of 19 eyes in 19 patients and group 2 consisted of 23 eyes in 20 patients. The spread between thepredicted and actual refraction (spread = actual-predicted) was -0.71 ± 1.02 D in group 1 (p = 0.012) and -0.07 ± 0.74 D in thegroup 2 (p = 0.86). The actual refractive errors in group 1 shifted toward myopia from the predicted in-the-bag refraction whencompared with group 2. Conclusions: For the implantation of an IOL in the sulcus after simultaneous vitrectomy and cataract surgery, the IOL powershould be approximately 1.0 D less than the power for in-the-bag fixation.
참고문헌 (31)
- 김재우, "유리체절제술과 백내장 동시수술에서 네지지부인공수정체의 안정성", 대한안과학회지, 51(6), pp.829~834 (2010), 대한안과학회
- Koenig SB, "Combined phacoemulsification and pars plana vitrectomy", Arch Ophthalmol, 108, pp.362~364 (1990)
- Benson WE, "Extracapsular cataract extraction, posterior chamber lens insertion, and pars plana vitrectomy in one operation", Ophthalmology, 97, pp.918~921 (1990)
- Smiddy WE, "Cataract extraction after vitrectomy", Ophthalmology, 94, pp.483~487 (1987)
- Hutton WL, "Cataract extraction in the diabetic eye after vitrectomy", Am J Ophthalmol, 104, pp.1~4 (1987)
- 최연주, "백내장수술 중 낙하된 유리체내 수정체로 의뢰된 잔류수정체 제거술의 결과", 대한안과학회지, 53(1), pp.68~75 (2012), 대한안과학회
- Pande M, "Incidence of lens matter dislocation during phacoemulsification", J Cataract Refract Surg, 22, pp.737~742 (1996)
- von Lany H, "Displacement of nuclear fragments into the vitreous complicating phacoemulsification surgery in the UK: clinical features, outcomes and management", Br J Ophthalmol, 92, pp.493~495 (2008)
- Murat Uyar O, "Vitreoretinal surgery for retained lens fragments after phacoemulsification", Eur J Ophthalmol, 13, pp.69~73 (2003)
- Soliman Mahdy M, "Intravitreal phacoemulsification with pars plana vitrectomy for management of posteriorly dislocated nucleus or lens fragments", Eur J Ophthalmol, 20, pp.115~119 (2010)
- Lai TY, "Immediate pars plana vitrectomy for dislocated intravitreal lens fragments during cataract surgery", Eye (Lond), 19, pp.1157~1162 (2005)
- Kageyama T, "Results of vitrectomy performed at the time of phacoemulsification complicated by intravitreal lens fragments", Br J Ophthalmol, 85, pp.1038~1040 (2001)
- Lahey JM, "Combining phacoemulsification with pars plana vitrectomy in patients with proliferative diabetic retinopathy: a series of 223 cases", Ophthalmology, 110, pp.1335~1339 (2003)
- Koenig SB, "Combined phacoemulsification, pars plana vitrectomy, and posterior chamber intraocular lens insertion", Arch Ophthalmol, 110, pp.1101~1104 (1992)
- Hurley C, "Combined endocapsular phacoemulsification, pars plana vitrectomy, and intraocular lens implantation", J Cataract Refract Surg, 22, pp.462~466 (1996)
- Blankenship GW, "Posterior chamber intraocular lens insertion during pars plana lensectomy and vitrectomy for complications of proliferative diabetic retinopathy", Am J Ophthalmol, 108, pp.1~5 (1989)
- 이종현, "인공수정체 삽입위치에 따른 수술전 굴절이상예측값과 수술후 현성굴절값의 비교", 대한안과학회지, 43(11), pp.11~2150 (2002), 대한안과학회
- Dong Kyu Lee, "Prediction of Refractive Error in Combined Vitrectomy and Cataract Surgery With One-Piece Acrylic Intraocular Lens", Korean Journal of Ophthalmology, 22(4), pp.214~219 (2008), 대한안과학회
- Suzuki Y, "Postoperative refractive error after simultaneous vitrectomy and cataract surgery", Ophthalmic Surg lasers, 31, pp.271~275 (2000)
- Suto C, "Adjusting intraocular lens power for sulcus fixation", J cataract refract surg, 29, pp.1913~1917 (2003)
- Bayramlar H, "Myopic shift from the predicted refraction after sulcus fixation of PMMA posterior chamber intraocular lenses", Can J Ophthalmol, 41, pp.78~82 (2006)
- 김의연, "유리체절제술 후 시행한 백내장 수술에서 유리체절제술이 인공수정체 도수 결정에 미치는 영향", 대한안과학회지, 49(11), pp.1759~1764 (2008), 대한안과학회
- Androudi S, "Combined pars plana vitrectomy and phacoemulsification to restore visual acuity in patients with chronic uveitis", J Cataract Refract Surg, 31, pp.472~478 (2005)
- Randleman JB, "Refractive changes after posterior segment surgery", Ophthalmol Clin North Am, 17, pp.521~526 (2004)
- Weinberger D, "Corneal topographic changes after retinal and vitreous surgery", Ophthalmology, 106, pp.1521~1524 (1999)
- Byrne S, "Refractive change following pseudophakic vitrectomy", BMC Ophthalmol, 8, pp.19~ (2008)
- Jeoung JW, "Factors influencing refractive outcomes after combined phacoemulsification and pars plana vitrectomy:results of a prospective study", J Cataract Refract Surg, 33, pp.108~114 (2007)
- Brazitikos PD, "Primary pars plana vitrectomy versus scleral buckle surgery for the treatment of pseudophakic retinal detachment: a randomized clinical trial", Retina, 25, pp.957~964 (2005)
- Pandey SK, "Visual results and postoperative complications of capsular bag and ciliary sulcus fixation of posterior chamber intraocular lenses in children with traumatic cataracts", J Cataract Refract Surg, 25, pp.1576~1584 (1999)
- Stark WJ, "Posterior chamber intraocular lens implantation in the absence of posterior capsular support", Ophthalmic Surg, 19, pp.240~243 (1988)
- 양종윤, "백내장 수술에서 후낭 파열로 인한 섬모체고랑 삽입 후 일체형 인공수정체 도수 결정 및 전방 변화", 대한안과학회지, 53(6), pp.775~780 (2012), 대한안과학회[DOI]