섬유주절제술과 백내장 병합수술 후 굴절력 오차의 분석

Other Titles
Refractive Error Induced by Combined Phacotrabeculectomy
Authors
Jun Seok LeeChong Eun LeeJi Hae ParkSam SeoKyoo Won Lee
Department
Dept. of Ophthalmology (안과학)
Issue Date
2018
Citation
대한안과학회지, Vol.59(12) : 1173-1180, 2018
ISSN
2092-9374
Abstract
Purpose: We evaluated the postoperative accuracy of intraocular lens power prediction for patients undergoing phacotrabeculectomy and identified preoperative factors associated with refractive outcome in those with primary open-angle glaucoma (POAG). Methods: We retrospectively reviewed the medical records of 27 patients who underwent phacotrabeculectomy to treat POAG. We recorded all discrepancies between predicted and actual postoperative refractions. We compared the data to those of an age- and sex-matched control group that underwent uncomplicated cataract surgery during the same time period. Preoperative factors associated with the mean absolute error (MAE) were identified via multivariate regression analyses. Results: The mean refractive error of the 27 eyes that underwent phacotrabeculectomy was comparable to that of the 27 eyes treated via phacoemulsification (+0.02 vs. –0.01 D, p = 0.802). The phacotrabeculectomy group exhibited a significantly higher MAE (0.65 vs. 0.35 D, p = 0.035) and more postoperative astigmatism (–1.07 vs. –0.66 D, p = 0.020) than the phacoemulsification group. The preoperative anterior chamber depth (ACD) and the changes in the postoperative intraocular pressure (IOP) were significantly associated with a greater MAE after phacotrabeculectomy. Conclusions: POAG treatment via combined phacoemulsification/trabeculectomy was associated with greater error in terms of final refraction prediction, and more postoperative astigmatism. As both a shallow preoperative ACD and a greater postoperative change in IOP appear to increase the predictive error, these two factors should be considered when planning phacotrabeculectomy.
Keywords
AstigmatismGlaucomaPhacotrabeculectomyRefractive outcome
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/42246
Appears in Collections:
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Ophthalmology (안과학)
Keimyung Author(s)
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