| 발표일자: |
2013년 04월 21일 (일) |
| 발표시간: |
10:16~10:24 |
| 발표번호: |
녹F-046 |
| 발표장소: |
C방 |
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| The Effect Of Tube Length On Postoperative Outcome After Glaucoma Drainage Implant Surgery |
| Department of Ophthalmology and Visual Science, Seoul St. Mary's Hospital,
College of Medicine, The Catholic University of Korea, Seoul, Korea |
| Kyoung In Jung, Hae-Young Lopilly Park, Chan Kee Park |
| 목적 : To investigate the effect of tube length on postoperative outcome in patients who underwent Ahmed glaucoma valve (AGV) implantation방법 : We examined 80 patients who had undergone Ahmed glaucoma drainage valve implantation. All surgeries were performed using Model FP7 AGVs (New World Medical Inc., Rancho Cucamonga, CA, USA). Tube length was measured using a ruler prior to intraoperative insertion into the anterior chamber. The day of surgery was defined as time 0. The IOP of each patient was evaluated 1 day, 2 days, and 1 month after surgery, and at the last follow-up after surgery. 결과 : The mean tube length was 11.97±0.95 mm (range, 10.00-15.00 mm) after AGV implantation. We found no significant difference in tube length according to the diagnosis. A multivariate regression analysis revealed no significant association between tube length and age, axial length, or preoperative IOP. A marginal correlation was found between tube length and IOP at the last follow-up (r=0.200, P=0.097). Tube length showed a significant positive correlation with final IOP in patients with two glaucoma medications (r=0.313, P=0.036).결론 : Our results suggest that the short tube can be related to better IOP control postoperatively. Customization of the tube length for individual patients is definitely important, and it needs attention not to be unnecessarily too long. |
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