| 발표일자: |
2019년 4월 5일(금)~7(일) |
| 발표번호: |
P(e-poster)-011 |
| 발표장소: |
벡스코 전시장 1홀 내 |
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| 제 2형 당뇨를 동반한 개방각 녹내장 환자에서 사상판 전층의 두께 분석 |
| (1) 가톨릭대학교 의과대학 안과학교실 성빈센트병원
(2) 가톨릭대학교 의과대학 내과학교실 성빈센트병원
(3) 가톨릭대학교 의과대학 안과학교실 서울성모병원 |
| 심윤섭 (1), 이지영 (1), 고승현 (2), 박찬기 (3), 정연웅 (1), 권진우 (1),조양경 (1), 나태윤 (1), 지동현 (1), 최진아 (1) |
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목적 : The characteristics of the optic nerve head (ONH) in open angle glaucoma (OAG) patients with diabetes have not been reported. This study aimed to characterize the ONH structures and glaucomatous damage in diabetic OAG patients, using age-matched non-diabetic OAG patients and control subjects.
방법 : The locations of visual field defects of OAG patients were classified and the prelaminar thickness and lamina cribrosa depth were measured in 64 OAG patients with type 2 diabetes (OAG+DM), 68 OAG patients without diabetes (OAG-DM), and 36 controls. All participants were scanned by spectral domain-optical coherence tomography. The anterior prelaminar depth and lamina cribrosa depth were measured at the center of the reference line. The prelaminar tissue thickness was obtained by subtracting the anterior prelaminar depth from the anterior lamina cribrosa depth.
결과 : The visual field defects in the OAG+DM group were more commonly found in the inferior hemifield (P=0.010), and tended to involve the central visual field compared to the OAG-DM group (P=0.044). In the comparison of ONH parameters, the prelaminar thickness was highest in the OAG+DM group, followed by the control subjects and the OAG-DM group (P=0.035). Post-hoc testing showed that prelaminar thickness was significantly greater in the OAG+DM group than in the OAG-DM group (P=0.033).
결론 : Diabetic and non-diabetic OAG patients exhibit different characteristics of glaucoma, particularly increased prelaminar thickening in diabetics.
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