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레이저홍채절개술 단독 치료와 아르곤레이저주변홍채성형술 병용 치료 후 전안부빛간섭단층촬영 결과 비교

Change in Angle Parameters Measured by Anterior Segment Optical Coherence Tomography after Laser Peripheral Iridotomy Alone versus Laser Peripheral Iridotomy and Argon Laser Peripheral Iridoplasty

박기호|김태우|김석환|김동명|박형주
대한안과학회 (The Korean Ophthalmological Society)|2011.05|대한안과학회지 (Journal of The Korean Ophthalmological Society)|제52권 제5호|pp. 566-573

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키워드

Anterior segment optical coherence tomographyLaser peripheral iridotomyArgon laser peripheral iridoplasty
주제분류안과학

초록

목적: 원발폐쇄각 환자에서 레이저홍채절개술 단독치료와 레이저홍채절개술과 아르곤레이저 주변홍채성형술 병용치료 후 전안부 구 조의 변화를 전안부 빛간섭단층촬영을 통해 비교 분석하고자 하였다. 대상과 방법: 본원 안과에서 원발폐쇄각 또는 원발폐쇄각녹내장으로 진단받은 환자 17명 25안을 대상으로 11안에서 레이저홍채절개술 단독치료(단독군), 14안에서 레이저홍채절개술과 아르곤레이저 주변홍채성형술 병용치료(병용군)를 시행하였다. 전안부 빛간섭단층촬 영으로 시술 전후 anterior chamber depth (ACD), angle opening distance at 500 μm and 750 μm (AOD 500 and AOD 750), angle recess area at 500 μm and 750 μm (ARA 500 and ARA 750), trabecular-iris space area at 500 μm and 750 μm (TISA 500 and TISA 750), trabecular-iris angle (TIA)를 비교하였다. 결과: 두 군 모두 시술 전보다 시술 후 AOD 500, AOD 750, ARA 500, ARA 750, TISA 500, TISA 750, TIA는 유의하게 증가하였다(LPI treatment group: p=0.003, p=0.006, p=0.013; LPI and ALPI combined treatment group: p=0.001, p=0.001, p=0.001). 단독군보다 병용군에서 시술 전후의 AOD 500 차이, TISA 500 차이, 그리고 TISA 750 차이가 유의하게 증가하였다(p=0.112, p=0.147, p=0.049, p=0.037). 결론: 레이저홍채절개술 단독치료와 레이저홍채절개술과 아르곤레이저주변홍채성형술 병용치료 모두 전방각을 유의하게 넓혔으며 병 용군에서 더 큰 효과를 보였다.

Abstract

Purpose: To compare the changes in angle parameters after laser peripheral iridotomy (LPI) alone versus LPI and ALPI (argon laser peripheral iridoplasty) in primary angle closure patients by using anterior segment optical coherence tomography (AS-OCT). Methods: A total of 25 eyes from 17 patients with narrow angles were enrolled in this present study. Eleven eyes in the LPI treatment group and 14 eyes in the LPI and ALPI combined treatment group were evaluated using AS-OCT. The anterior chamber depth (ACD), angle opening distance at 500 μm (AOD 500) and 750 μm (AOD 750), angle recess area at 500 μm (ARA 500) and 750 μm (ARA 750), trabecular-iris space area at 500 μm (TISA 500) and 750 μm (TISA 750), trabecular-iris angle (TIA) were measured. The pre- and post-treatment parameters were compared in each group. The parameter changes after laser treatment were also compared. Results: AOD 500, AOD 750, ARA 500, ARA 750, TISA 500 and TISA 750 except ACD significantly increased following LPI treatment (p = 0.013, p = 0.010, p = 0.008, p = 0.003, p = 0.006, p = 0.003, p = 0.013, respectively, Wilcoxon signed rank test) and LPI and ALPI combined therapy (p = 0.001, p = 0.001, p = 0.001, p = 0.001, p = 0.001, p = 0.001, p = 0.001, respectively, Wilcoxon signed rank test). The AOD 500 difference, TISA 500 difference, and TISA 750 difference were significantly greater after LPI and ALPI combined therapy than after LPI treatment alone (p = 0.112, p = 0.147, p = 0.049, p = 0.037, respectively, Mann-Whitney U-test). Conclusions: The results from the present study showed LPI alone or LPI and ALPI combined therapy significantly widened the anterior chamber angle and combined therapy showed greater effect than LPI alone.

참고문헌 (35)

  1. Erie JC, "The incidence of primary angle closure glaucoma in Olmstead County", Arch Ophthalmol, 115, pp.177~181 (1997)
  2. Foster PJ, "Glaucoma in China: how big is the problem", Br J Ophthalmol, 85, pp.1277~1282 (2001)
  3. Dandona L, "Angle closure glaucoma in an urban population in southern India", Ophthalmology, 107, pp.1710~1716 (2000)
  4. Foster PJ, "Glaucoma in Mongolia", Arch Ophthalmol, 114, pp.1235~1241 (1996)
  5. Kimbrough RL, "Angle closure glaucoma in nanophthalmos", Am J Ophthalmol, 88, pp.572~579 (1979)
  6. Iwata K, "Argon laser iridotomy in primary chronic angle closure glaucoma", Glaucoma, 7, pp.103~106 (1985)
  7. Del Price LV, "YAG and argon laser iridotomy", Ophthalmology, 95, pp.1207~1211 (1988)
  8. Ritch R, "Argon laser treatment for medically unresponsive attacks of angle closure glaucoma", Am J Ophthalmol, 94, pp.194~204 (1982)
  9. Saunders DC, "Acute closured angle glaucoma and Nd YAG laser iridotomy", Br J Ophthalmol, 74, pp.523~525 (1990)
  10. Lam DS, "Immediate argon laser peripheral iridoplasty as treatment for acute attack of primary angle closure glaucoma", Ophthalmology, 105, pp.2231~2236 (1998)
  11. Ritch R, "Argon laser treatment of angle closure glaucoma", Perspectives in Ophthalmology, 4, pp.129~138 (1980)
  12. Ritch R, "Argon laser peripheral iridoplasty", J Glaucoma, 1, pp.206~213 (1992)
  13. Ritch R, "Argon laser peripheral iridoplasty (ALPI)", Surv Ophthalmol, 52, pp.279~288 (2007)
  14. Hung T, "Provocation and mechanism of angle-closure glaucoma after iridectomy", Arch Ophthalmol, 97, pp.1862~1864 (1979)
  15. Hong C, "Evaluation of pupillary block component in angle closure glaucoma", Jpn J Ophthalmol, 40, pp.239~243 (1996)
  16. Aung T, "Acute primary angle-closure long term intraocular pressure outcome in Asian eyes", Am J Ophthalmol, 131, pp.7~12 (2001)
  17. Ningli W, "Primary angle closure glaucoma in Chinese and Western populations", Chin Med J, 115, pp.1706~1715 (2002)
  18. Robert R, "Argon laser peripheral iridoplasty", Ophthalmic Surg Lasers, 27, pp.289~300 (1996)
  19. Izatt JA, "Micrometer scale resolution imaging of the anterior eye in vivo with optical coherence tomography", Arch Ophthalmol, 112, pp.1584~1589 (1994)
  20. Radhakrishnan S, "Real time optical coherence tomography of the anterior segment at 1310 nm", Arch Ophthalmol, 119, pp.1179~1185 (2001)
  21. See JL, "Changes in anterior segment morphology in response to illumination and after laser iridotomy in Asian eyes", Br J Ophthalmol, 91, pp.1485~1489 (2007)
  22. Yip JL, "Incidence of occludable angles in a high-risk Mongolian population", Br J Ophthalmol, 92, pp.30~33 (2008)
  23. Pavlin CJ, "Ultrasound biomicroscopy of anterior segment structures in normal and glaucomatous eyes", Am J Ophthalmol, 113, pp.381~389 (1992)
  24. Radhakrishnan S, "Comparison of optical coherence tomography and ultrasound biomicroscopy for detection of narrow anterior chamber angles", Arch Ophthalmol, 123, pp.1053~1059 (2005)
  25. Müler M, "Anterior chamber angle measurement with optical coherence tomography", J Cataract Refract Surg, 32, pp.1803~1808 (2006)
  26. Alsagoff Z, "Long term clinical course of primary angle closure glaucoma in an Asian population", Ophthalmology, 107, pp.2300~2304 (2000)
  27. Aung T, "Acute primary angle closure long term intraocular pressure outcome in Asian eyes", Am J Ophthalmol, 131, pp.7~12 (2001)
  28. Krasnov MM, "Q switched laser iridectomy and Q switched laser goniopuncture", Adv Ophthalmol, 34, pp.192~196 (1977)
  29. Sassani JW, "Histopathology of argon laser peripheral iridoplasty", Ophthalmic Surg, 24, pp.740~745 (1993)
  30. Wirbelauer C, "Imaging of the anterior eye chamber with optical coherence tomography", Klin Monatsbl Augenheilkd, 222, pp.856~862 (2005)
  31. Tomlinson A, "Ocular dimensions in the heredity of angle closure glaucoma", Br J Ophthalmol, 57, pp.475~486 (1973)
  32. Palvin CJ, "Ultrasound biomicroscopy in plateau iris syndrome", Am J Ophthalmol, 113, pp.390~395 (1992)
  33. Chalita MR, "High speed optical coherence to mography of laser iridotomy", Am J Ophthalmol, 140, pp.1133~1136 (2005)
  34. Ishikawa H, "Quantitative assessment of the anterior segment using ultrasound biomicroscopy", Curr Opin Ophthalmol, 11, pp.133~139 (2000)
  35. 김현승, "원발폐쇄각녹내장 환자에서 주변홍채성형술 병용 효과", 대한안과학회지, 44(11), pp.17~2570 (2003), 대한안과학회

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