| 발표일자: |
2018년 11월 2일(금) ~ 11월 4(일) |
| 발표번호: |
P(e-poster)-040 |
| 발표장소: |
코엑스 컨퍼런스룸 3층 301 A-B |
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| 개방각녹내장 환자에서 시신경 출혈의 지형학적 특징을 이용한 녹내장 진행 예측 노모그램. |
| 연세대학교 의과대학 안과학교실 |
| 김상아, 박찬금, 김은우, 최웅락, 이상엽, 성공제, 김찬윤, 배형원 |
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목적 : This study aims to develop a nomogram to predict the progression of glaucoma by combining topographic features of disc hemorrhage (DH) in patients with open angle glaucoma (OAG).
방법 : We reviewed the medical records of patients who were detected DH during follow up with primary open angle glaucoma, retrospectively. The patients were divided into two groups based on OCT and VF finding: Glaucoma progression group (n=55) and Glaucoma non-progression group (n=47). We compared topographic features by fundus photo and red-free photo between the two groups to find factors that could predict the glaucoma progression. Multiple logistic regression analysis was performed to select prognostic factors, and we constructed a nomogram to predict the progression of glaucoma.
결과 : DH at the border of retinal nerve fiber layer (RNFL) defect (p=0.0001) and peripapillary DH (p<0.001) were significantly higher in progression group. Angle extent of DH, location of DH, and DH type were factors associated with glaucoma progression. Based on multivariable logstic regression, we used angle extent, location, and type of DH to construct the nomogram. The area under the receiver operating characteristic curve of the nomogram for predicting glaucoma progression was 0.796.
결론 : We developed the nomogram using topographic features of DH as a novel and accurate screening method to predict the glaucoma progression in patients with OAG and aid ophthalmologists and other clinicians to decide whether to intensive care.
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