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      당뇨망막병증에서 패턴 범망막광응고술과 기존 범망막광응고술과의 치료 효과 비교 = Comparison of the Effects of Patterned and Conventional Panretinal Photocoagulation on Diabetic Retinopathy

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      https://www.riss.kr/link?id=A100523682

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      다국어 초록 (Multilingual Abstract)

      Purpose: To compare the therapeutic effects and complications after panretinal photocoagulation (PRP) and discomforts of patients using patterned PRP versus conventional PRP for diabetic retinopathy. Methods: Eighty patients who required PRP due to di...

      Purpose: To compare the therapeutic effects and complications after panretinal photocoagulation (PRP) and discomforts of patients using patterned PRP versus conventional PRP for diabetic retinopathy. Methods: Eighty patients who required PRP due to diabetic retinopathy were enrolled in a prospective randomized controlled study. The patients were randomly divided into two groups: a patterned PRP group in which PRP was performed with a short laser exposure time (0.02 seconds) and a conventional PRP group with a long exposure time (0.2 seconds). At the 1-year follow-up visit, the progressions of diabetic retinopathy, best-corrected visual acuity, and central macular thickness were evaluated. All patients were questioned about the grade of pain during PRP. In addition, the complications after PRP were investigated. Results: There were no statistical differences in clinical characteristics between both groups. The progression of diabetic retinopathy was not different in both groups at the 1-year follow-up visit. The best-corrected visual acuities at 1, 2, 4, and 8 weeks after PRP were decreased in both groups and, in the conventional PRP group, the decrements of visual acuity were greater than in the patterned PRP group. The increments of central macular thickness were also greater in the conventional PRP group than the patterned PRP group. Conclusions: When patterned PRP is performed using a short laser exposure time, the efficacy in the treatment of diabetic retinopathy is similar to that of the conventional PRP using a longer laser exposure time. Moreover, patterned PRP is less painful, and fewer complications. J Korean Ophthalmol Soc 2010;51(12):1590-1597

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      참고문헌 (Reference)

      1 조범주, "당뇨망막병증에서 짧은 노출시간을 이용한 패턴 범망막광응고술의 단기 임상결과" 대한안과학회 50 (50): 376-382, 2009

      2 Pahor D, "Visual field loss after argon laser panretinal photocoagulation in diabetic retinopathy: full- versus mild-scatter coagulation" 22 : 313-319, 1998

      3 Wu L, "Twelve-month safety of intravitreal injections of bevacizumab (Avastin): results of the Pan-American Collaborative Retina Study Group (PACORES)" 246 : 81-87, 2008

      4 Wessing A, "Treatment of diabetic retinopathy by light-coagulation" 5 : 312-317, 1969

      5 Wade EC, "The effect of short versus long exposure times of argon laser panretinal photocoagulation on proliferative diabetic retinopathy" 228 : 226-231, 1990

      6 Early Treatment Diabetic Retinopathy Study Research Group, "Techniques for scatter and local photocoagulation treatment of diabetic retinopathy: Early Treatment Diabetic Retinopathy Study" Int Ophthalmol Clic 254-264, 1987

      7 Patz A, "Studies on retinal neovascularization" 19 : 1133-1138, 1980

      8 Beetham WP, "Ruby laser photocoagulation of early diabetic neovascular retinopathy: preliminary report of long-term controlled study" 83 : 261-272, 1970

      9 Yoshimura N, "Photocoagulated human retinal pigment epithelial cells produce an inhibitor of vascular endothelial cell proliferation" 36 : 1686-1691, 1995

      10 Al-Hussainy S, "Pain response and follow-up of patients undergoing panretinal laser photocoagulation with reduced exposure times" 22 : 96-99, 2008

      1 조범주, "당뇨망막병증에서 짧은 노출시간을 이용한 패턴 범망막광응고술의 단기 임상결과" 대한안과학회 50 (50): 376-382, 2009

      2 Pahor D, "Visual field loss after argon laser panretinal photocoagulation in diabetic retinopathy: full- versus mild-scatter coagulation" 22 : 313-319, 1998

      3 Wu L, "Twelve-month safety of intravitreal injections of bevacizumab (Avastin): results of the Pan-American Collaborative Retina Study Group (PACORES)" 246 : 81-87, 2008

      4 Wessing A, "Treatment of diabetic retinopathy by light-coagulation" 5 : 312-317, 1969

      5 Wade EC, "The effect of short versus long exposure times of argon laser panretinal photocoagulation on proliferative diabetic retinopathy" 228 : 226-231, 1990

      6 Early Treatment Diabetic Retinopathy Study Research Group, "Techniques for scatter and local photocoagulation treatment of diabetic retinopathy: Early Treatment Diabetic Retinopathy Study" Int Ophthalmol Clic 254-264, 1987

      7 Patz A, "Studies on retinal neovascularization" 19 : 1133-1138, 1980

      8 Beetham WP, "Ruby laser photocoagulation of early diabetic neovascular retinopathy: preliminary report of long-term controlled study" 83 : 261-272, 1970

      9 Yoshimura N, "Photocoagulated human retinal pigment epithelial cells produce an inhibitor of vascular endothelial cell proliferation" 36 : 1686-1691, 1995

      10 Al-Hussainy S, "Pain response and follow-up of patients undergoing panretinal laser photocoagulation with reduced exposure times" 22 : 96-99, 2008

      11 McDonald HR, "Macular edema following panretinal photocoagulation" 5 : 5-10, 1985

      12 Bandello F, "Light panretinal photocoagulation (LPRP) versus classic panretinal photocoagulation (CPRP) in proliferative diabetic retinopathy" 16 : 12-18, 2001

      13 Cuthbertson FM, "Kinetic anesthesia for laser surgery" 19 : 1205-1207, 2005

      14 Martidis A, "Intravitreal triamcinolone for refractory diabetic macular edema" 109 : 920-927, 2002

      15 Sanghvi C, "Initial experience with the Pascal photocoagulator: a pilot study of 75 procedures" 92 : 1061-1064, 2008

      16 Paulus YM, "Healing of retinal photocoagulation lesions" 49 : 5540-5545, 2008

      17 Scott J, "Graphic representation of pain" 2 : 175-184, 1976

      18 Molnar J, "Effect of laser photocoagulation on oxygenation of the retina in miniature pigs" 26 : 1410-1414, 1985

      19 Vaideanu D, "Double masked randomized controlled trial to assess the effectiveness of paracetamol in reducing pain in panretinal photocoagulation" 90 : 713-717, 2006

      20 "Diabetic Retinopathy Study Research Group. Photocoagulation treatment of proliferative diabetic retinopathy: clinical application of Diabetic Retinopathy Study (DRS) findings" Ophthalmology 583-600, 1981

      21 Mainster MA, "Decreasing retinal photocoagulation damage: principles and techniques" 14 : 200-209, 1999

      22 Khosla PK, "Contrast sensitivity in diabetic retinopathy after panretinal photocoagulation" 25 : 516-520, 1994

      23 Moorman CM, "Clinical applications of the micropulse diode laser" 13 : 145-150, 1999

      24 Yuki T, "Ciliary body and choroidal detachment after laser photocoagulation for diabetic retinopathy. A high-frequency ultrasound study" 104 : 1259-1264, 1997

      25 Weinberger D, "Analgesic effect of topical sodium diclofenac 0.1% drops during retinal laser photocoagulation" 84 : 135-137, 2000

      26 Chun DW, "A pilot study of multiple intravitreal injections of ranibizumab in patients with center-involving clinically significant diabetic macular edema" 113 : 1706-1712, 2006

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      연월일 이력구분 이력상세 등재구분
      2023 평가예정 해외DB학술지평가 신청대상 (해외등재 학술지 평가)
      2020-01-01 평가 등재학술지 유지 (해외등재 학술지 평가) KCI등재
      2017-01-01 평가 등재학술지 유지 (계속평가) KCI등재
      2013-01-01 평가 등재 1차 FAIL (등재유지) KCI등재
      2010-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2007-01-01 평가 등재학술지 선정 (등재후보2차) KCI등재
      2006-01-01 평가 등재후보 1차 PASS (등재후보1차) KCI등재후보
      2005-01-01 평가 등재후보학술지 유지 (등재후보1차) KCI등재후보
      2003-01-01 평가 등재후보학술지 선정 (신규평가) KCI등재후보
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      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 0.22 0.22 0.22
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.23 0.23 0.366 0.02
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