| 대한안과학회 학술대회 발표 연제 초록 |
| 녹 F-020 |
| 아메드 밸브 삽입술후 발생한 맥락막 박리의 위험인자 |
가톨릭 대학교 서울 성모병원 |
| 신다영 전수지 김은경 정경인 박혜영 박찬기 |
목적 : To assess the incidence and risk factors related to choroidal detachment after glaucoma drainage device (Ahmed valve) implantation. 방법 : A total of 188 eyes of 188 glaucoma patients were enrolled who underwent Ahmed valve implantation surgery. Patients were divided into two groups according to the presence or absence of choroidal detachment. The data were analyzed for factors associated with choroidal detachment. Separately, we divided eyes with choroidal detachment into two subgroups according to severity and conducted a sub-analysis. In addition, we also analyzed the factors associated with chamber collapse. 결과 : The incidence of choroidal detachment was 35.1% according to wide fundus photography and 16.9% according to 30-degree fundus photography. The current study showed that age, CCT, axial length, etiology of glaucoma, history of cataract or glaucoma, hypertension, diabetes, and severity of the visual field (MD) were different between the choroidal detachment and nonchoroidal detachment groups. A multivariate analysis showed significant differences in age (p = 0.035), etiology of glaucoma (pseudo exfoliation; PEX) (p = 0.028), lens status (pseudophakia) (p = 0.011), and hypertension (p = 0.011). 결론 : The detection of choroidal detachment after Ahmed valve implantation can be increased according to the introduction of wide fundus photography. The risk of choroidal detachment is associated with the etiology of glaucoma (PEX), older age, pseudophakia (lens status), and hypertension. |