전방깊이에 따른 백내장수술 전후의 각막내피세포수의 변화

• 영문명: Effect of Anterior Chamber Depth on Corneal Endothelial Change After Phacoemulsification
• 발행기관: 대한안과학회
• 저자명: 김성일 나경선 권형구 이현수 김만수,Sung Il Kim, MD, Kyung Sun Na, MD, Hyung Gu Kwon, MD, Hyun Soo Lee, MD, Man Soo Kim, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume51,number12, 1568~1572쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2010.12.15

영문 초록

Purpose: To evaluate the effects of preoperative and postoperative parameters, particularly anterior chamber depth, on corneal endothelial cell loss during cataract surgery. Methods: Eighty-two eyes of 82 patients who underwent cataract surgery by the same surgeon using the same technique were selected for the present study. Various preoperative and postoperative parameters including age, anterior chamber depth, duration and power of phacoemulsification, preoperative endothelial cell density, coefficient of variation, hexagonality, and grade of nucleosclerosis were evaluated. Endothelial cell densities were recorded preoperatively and at two months postoperatively using a noncontact specular microscope. Results: After two months, the mean central endothelial cell loss in all eyes was 8.77%. Among the pre- and post-operative parameters, patient’ age, anterior chamber depth, duration, power, and energy of phacoemulsification and grade of nucleosclerosis showed significant correlation with endothelial cell loss. Stepwise multiple linear regression analysis identified age, nucleosclerosis, anterior chamber depth, and phacoemulsification time as independent predictors for endothelial cell loss. Conclusions: The risk of endothelial cell loss increased with increases in patient’ age, nucleosclerosis, and phacoemulsification time. However, eyes with a deep anterior chamber showed a significantly lower risk of endothelial cell loss. J Korean Ophthalmol Soc 2010;51(12):1568-1572

키워드

ACD, Cataract, Cornea, Endothelial cell loss, Phacoemulsification