급성폐쇄각발작의 과거력을 가진 백내장수술 시 수정체낭내확장고리의 효과

다국어 초록 (Multilingual Abstract)

Purpose: To evaluate the effect of a capsular tension ring (CTR) on the change in postoperative refractive errors and anterior chamber depth after cataract surgery in patients with a history of acute primary angle closure (APAC). Methods: We retrospectively reviewed medical records of 45 patients who underwent cataract surgery with a history of APAC. Forty five eyes were divided into 2 groups based on whether a CTR was implanted (n = 21) or not (n = 24). Spherical equivalent (SE) refractive errors were compared between the 2 groups for 12 months postoperatively. The postoperative anterior chamber depth (ACD) and volume (ACV) were compared between the 2 groups. Results: SE refractive errors in the CTR group were -0.59 ± 1.08 D at 6 months and -0.61 ± 1.04 D at 12 months postoperatively. In the non-CTR group, -0.64 ± 1.30 D, at 6 months and -0.67 ± 1.19 D at 12 months postoperatively. There was no statistically significant difference between 2 groups (p = 0.89, p = 0.84) and postoperative SE refraction shifted to myopic refractive power in both groups (p < 0.01). The postoperative ACD and ACV also showed no difference between the 2 groups (p = 0.13, p = 0.47). Conclusions: The postoperative ACD, ACV and myopic shift in patients with a history of APAC demonstrated no significant difference between CTR-implanted and non-CTR-implanted patient groups.

참고문헌 (Reference)

1 김선아, "원발폐쇄각녹내장과 백내장이 동반된 환자에서 백내장 수술 후 예측굴절력과의 차이" 대한안과학회 46 (46): 1983-1988, 2005

2 김태완, "수정체낭내팽창고리 사용의 장기 관찰" 대한안과학회 46 (46): 1624-1629, 2005

3 차영동, "수정체낭 크기 측정을 위한 수정체낭확장고리의 개발 및 술 전 예측인자에 관한 연구" 대한안과학회 47 (47): 221-226, 2006

4 김종을, "급성원발폐쇄각발작의 과거력을 갖는 백내장 수술 시 술 후 굴절력의 변화" 대한안과학회 50 (50): 1669-1673, 2009

5 Hara T, "‘Equator ring’ for maintenance of the completely circular contour of the capsular bag equator after cataract removal" 22 : 358-359, 1991

6 Erie JC, "The incidence of primary angle-closure glaucoma in Olmsted County, Minnesota" 115 : 177-181, 1997

7 Park YK, "The effect of capsular tension ring on posterior capsular opacity in cataract surgery" 43 : 819-822, 2002

8 Jacobi PC, "Primary phacoemulsification and intraocular lens implantation for acute angle-closure glaucoma" 109 : 1597-1603, 2002

9 Zhuo YH, "Phacoemulsification treatment of subjects with acute primary angle closure and chronic primary angle- closure glaucoma" 18 : 646-651, 2009

10 Kubota T, "Phacoemulsification and intraocular lens implantation for angle closure glaucoma after the relief of pupillary block" 217 : 325-328, 2003

11 Nongpiur ME, "Novel association of smaller anterior chamber width with angle closure in Singaporeans" 117 : 1967-1973, 2010

12 Cionni RJ, "Management of profound zonular dialysis or weakness with a new endocapsular ring designed for scleral fixation" 24 : 1299-1306, 1998

13 Nongpiur ME, "Lens vault, thickness, and position in chinese subjects with angle closure" 118 : 474-479, 2011

14 Wang BS, "Increased iris thickness and association with primary angle closure glaucoma" 95 : 46-50, 2011

15 Seah SK, "Incidence of acute primary angle- closure glaucoma in Singapore. An island-wide survey" 115 : 1436-1440, 1997

16 Sung Yong Kang, "Inaccuracy of Intraocular Lens Power Prediction for Cataract Surgery in Angle-Closure Glaucoma" 연세대학교의과대학 50 (50): 206-210, 2009

17 Sun R, "In vitro evaluation of the efficacy of the capsular tension ring for managing zonular dialysis in cataract surgery" 29 : 502-505, 1998

18 Ramli N, "Efficacy of medical therapy in the initial management of acute primary angle closure in Asians" 24 : 1599-1602, 2010

19 Jacob S, "Efficacy of a capsular tension ring for phacoemulsification in eyes with zonular dialysis" 29 : 315-321, 2003

20 Boomer JA, "Effect of the Morcher capsular tension ring on refractive outcome" 32 : 1180-1183, 2006

21 Schild AM, "Effect of a capsular tension ring on refractive outcomes in eyes with high myopia" 36 : 2087-2093, 2010

22 Takimoto M, "Effect of a capsular tension ring on prevention of intraocular lens decentration and tilt and on anterior capsule contraction after cataract surgery" 52 : 363-367, 2008

23 Lee DH, "Effect of a capsular tension ring on intraocular lens decentration and tilting after cataract surgery" 28 : 843-846, 2002

24 Lam DS, "Current approaches to the management of acute primary angle closure" 18 : 146-151, 2007

25 Hayashi K, "Changes in anterior chamber angle width and depth after intraocular lens implantation in eyes with glaucoma" 107 : 698-703, 2000

26 Yoon JY, "Cataract surgery in patients with acute primary angle-closure glaucoma" 17 : 122-126, 2003

27 Wu RY, "Association of narrow angles with anterior chamber area and volume measured with anterior segment optical coherence tomography" 129 : 569-574, 2011