비당뇨병군과 비증식성 당뇨망막병증군의 초음파 유화술 전후 황반두께의 변화

• 영문명: The Changes in Macular Thickness after Phacoemulsification in Patients with Non-diabetes and Nonproliferative Diabetic Retinopathy
• 발행기관: 대한안과학회
• 저자명: 왕선진 최시환,Seon Jin Wang, M.D., Si Hwan Choi, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume49,number1, 57~64쪽, 전체 8쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2008.01.31

영문 초록

`Purpose: To compare the changes in macular thickeness between non-diabetic group and a mild or moderate nonproliferative diabetic retinopathy group after phacoemulsification. Methods: This study consisted of 32 eyes of 22 patients who underwent phacoemulsification. The non-diabetic group included 20 eyes of 15 patients; the diabetic group (mild or moderate nonproliferative diabetic retinopathy) included 12 eyes of 7 patients. Macular thickness using optical coherence tomography (OCT) and corrected visual acuity were measured before surgery and 1 day, 1 week, 1 month, 2 months, 6 months and 12 months after surgery. Results: In the non-diabetic group, the macular thickness increased by 2.8±4.2% at 1 week, 5.9±4.5% at 1 month, 4.8±3.8% at 2 months, 0.6±0.8% at 6 months, and -0.3±1.2% at 12 months after surgery, while it increased by 4.8±5.0% at 1 week, 11.1±5.2% at one month, 9.9±6.0% at two months, 8.1±4.6% at 6 months, 3.9±3.5% at 12 months in the diabetic group. The increased amount of macular thickness was significantly higher in the diabetic group than in the non-diabetic group at 1 month, 2 months, 6 months, and 12 months. Visual acuity was not significantly different between the diabetic and non-diabetic groups. In the non-diabetic group, 2 months after the operation, LogMAR below 0.02 (Snellen 0.95) were remained with best corrected visual acuity. Similarly to non-diabetic patients, diabetic patients needed 12 months to reach best corrected visual acuity. Conclusions: Macular thickness increased in both diabetic and non-diabetic groups after phacoemulsification, and the increased amount of macular thickness was significantly greater and lasted longer in the diabetic group compared with the non-diabetic group. In cases of mild or moderate nonproliferative diabetic retinopathy, macular thickness change due to cataract surgery did not influence visual acuity.`

키워드

Diabetes mellitus, Macular thickness, Optical coherence tomography, Phacoemulsification, Visual acuity