| 발표일자: |
2012년 11월 02일 (금) |
| 발표시간: |
16:09~16:16 |
| 발표번호: |
녹F-23 |
| 발표장소: |
A방 |
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| 백내장을 동반한 만성폐쇄각 녹내장에서 수정체 유화술 후 진행의 위험인자 |
| 연세대학교 의과대학 안과학교실, 시기능개발 연구소 |
| 이창규, 이나은, 강은민, 노승수, 홍사민, 김찬윤 |
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목적 : To evaluate of clinical risk factors of progression after cataract extraction by phacoemulsification with primary intraocular lens implantation, in eyes with chronic angle closure glaucoma and co-existing cataract.
방법 : The data of 56 eyes of 45patients who had undergone phacoemulsification consecutively were analyzed after detailed chart review. Progression was defined with perimetry according to EGS guidline. The associations between progression on perimetry and various preoperative and postoperative factors were determined by chi-square and independent T-test. Risk factors of progression were determined by multivariate linear regression analysis.
결과 : Eyes that progressed on perimetry, were significantly older age, treated with more preoperative antiglaucoma drugs, showed lower preoperative BCVA and had high score of preoperative PSD(P<0.05). The number of progressed eyes of which the postoperative IOP has sustained more than 20% below preoperative IOP is fewer than the non progressed eyes, but it it is not significantly. (p=0.189) However, according to multivariate linear regression analysis, it is the risk factor of progression that the postoperative IOP has sustained more than 20% below preoperative IOP. (odd ratio 19.3, p=0.03)
결론 : In case the postoperative IOP does not sustained more than 20% below preoperative IOP for CACG with cataract eyes, it could be progress to glaucoma after phacoemulsification.
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