특이한 지지부를 가진 접형 인공수정체를 이용한 공막봉합고정술의 임상성적 Surgical Results of Transscleral Fixation of Foldable Acrylic Intraocular lens with Unique Shape of Haptics원문보기
목적: 특이한 지지부를 가진 아크릴 접형 인공수정체(CORNEAL®, ACR6D, France)를 사용한 공막봉합고정술의 임상결과에 대해 알아보고자 하였다. 대상과 방법: 2004년 7월부터 2006년 7월까지 CORNEAL® 인공수정체를 사용하여 본원 안과에서 공막봉합고정술을 시행 받은 18명 19안을 대상으로 의무기록을 후향적으로 분석하였다. 결과: 원인으로 합병백내장이 5안, 외상에 의한 경우가 8안, 이전 수술과 연관된 무수정체안이 6안이었다. 평균연령은 55.9±21.2세였고 술 전 최대교정시력은 0.31±0.35였으며 술 후 0.63±0.29로 유의하게 변화하였다(p<0.05). 구면렌즈대응치는 술 전 6.58±5.33디옵터였으며 술 후 -1.77±1.59디옵터였다. 굴절오차는 -1.13±1.57디옵터로 근시화되었다. 난시값은 술 후 2개월에 안정되는 양상을 보였으며 도난시로 진행하는 경향이 있었다. 평균 경과관찰기간은 11.0±7.6개월이었다. 결론: 후낭의 지지가 불충분한 환자에게 CORNEAL® 인공수정체를 이용한 공막봉합고정술은 시력교정을 위한 안전하고 효과적인 수술법이다.
목적: 특이한 지지부를 가진 아크릴 접형 인공수정체(CORNEAL®, ACR6D, France)를 사용한 공막봉합고정술의 임상결과에 대해 알아보고자 하였다. 대상과 방법: 2004년 7월부터 2006년 7월까지 CORNEAL® 인공수정체를 사용하여 본원 안과에서 공막봉합고정술을 시행 받은 18명 19안을 대상으로 의무기록을 후향적으로 분석하였다. 결과: 원인으로 합병백내장이 5안, 외상에 의한 경우가 8안, 이전 수술과 연관된 무수정체안이 6안이었다. 평균연령은 55.9±21.2세였고 술 전 최대교정시력은 0.31±0.35였으며 술 후 0.63±0.29로 유의하게 변화하였다(p<0.05). 구면렌즈대응치는 술 전 6.58±5.33디옵터였으며 술 후 -1.77±1.59디옵터였다. 굴절오차는 -1.13±1.57디옵터로 근시화되었다. 난시값은 술 후 2개월에 안정되는 양상을 보였으며 도난시로 진행하는 경향이 있었다. 평균 경과관찰기간은 11.0±7.6개월이었다. 결론: 후낭의 지지가 불충분한 환자에게 CORNEAL® 인공수정체를 이용한 공막봉합고정술은 시력교정을 위한 안전하고 효과적인 수술법이다.
Purpose: To report the surgical results of transscleral fixation of foldable acrylic intraocular lens with a unique haptic shape (CORNEAL®, ACR6D, France). Methods: We analyzed the medical records of 18 patients (19 eyes) who had transscleral fixation of posterior chamber intraocular lens implantati...
Purpose: To report the surgical results of transscleral fixation of foldable acrylic intraocular lens with a unique haptic shape (CORNEAL®, ACR6D, France). Methods: We analyzed the medical records of 18 patients (19 eyes) who had transscleral fixation of posterior chamber intraocular lens implantation from July 2004 to July 2006. Results: According to the cause of operation, there were five eyes with complicated cataract, eight with trauma, and six with aphakia associated with a previous operation. The mean age of the patients was 55.9±21.2 years. The mean preoperative best-corrected visual acuity was 0.31±0.35, and the postoperative value was 0.63±0.29 (p<0.05). The mean preoperative spherical refractive equivalent was 6.58±5.33 diopter, and the postoperative value was -1.77±1.59 diopter. The mean refractive error was -1.13±1.57 diopter. This showed a myopic shift (p<0.05). The mean astigmatism decreased with time, and it stabilized two months after the operation. The trend was toward mild against-the-rule astigmatism. The mean follow-up duration was 11.0±7.6 months. Conclusions: In eyes with inadequate capsular support, transscleral fixation of posterior chamber intraocular lens implantation with CORNEAL® lenses is a safe and effective procedure for visual correction.
Purpose: To report the surgical results of transscleral fixation of foldable acrylic intraocular lens with a unique haptic shape (CORNEAL®, ACR6D, France). Methods: We analyzed the medical records of 18 patients (19 eyes) who had transscleral fixation of posterior chamber intraocular lens implantation from July 2004 to July 2006. Results: According to the cause of operation, there were five eyes with complicated cataract, eight with trauma, and six with aphakia associated with a previous operation. The mean age of the patients was 55.9±21.2 years. The mean preoperative best-corrected visual acuity was 0.31±0.35, and the postoperative value was 0.63±0.29 (p<0.05). The mean preoperative spherical refractive equivalent was 6.58±5.33 diopter, and the postoperative value was -1.77±1.59 diopter. The mean refractive error was -1.13±1.57 diopter. This showed a myopic shift (p<0.05). The mean astigmatism decreased with time, and it stabilized two months after the operation. The trend was toward mild against-the-rule astigmatism. The mean follow-up duration was 11.0±7.6 months. Conclusions: In eyes with inadequate capsular support, transscleral fixation of posterior chamber intraocular lens implantation with CORNEAL® lenses is a safe and effective procedure for visual correction.
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