황반박리가 동반된 열공망막박리 수술 후 선택적초시력시야계를 이용한 변형시의 분석

• 영문명: An Analysis of Metamorphopsia Using Preferential Hyperacuity Perimeter Following Macular-off RRD Surgical Repair
• 발행기관: 대한안과학회
• 저자명: 박현준 이승욱 김경호 이정현 이지은 엄부섭,Hyun Jun Park, MD, Seung Wook Lee, MD, Kyung Ho Kim, MD, Jung Hyun Lee, MD, Ji Eun Lee, MD, PhD,, Boo Sup Oum, MD, PhD,
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume51,number4, 552~557쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2010.04.15

영문 초록

Purpose: To determine the efficacy of using the preferential hyperacuity perimeter (PHP) for the analysis of metamorphopsia following macular-off rhegmatogenous retinal detachment (RRD) surgical repair. Methods: PHP examination was performed in those who complained of metamorphopsia after successful surgical reattachment of RRD. The subjective symptoms were evaluated based on a scale, ranging from 0 to 10, and were compared with the results of PHP examination. Patients age, duration of retinal detachment, pre and post-operative visual acuity, postoperative presence of subretinal fluid (SRF), surgical methods, presence of epiretinal membrane, and time from operation to PHP test were analyzed to find the correlation with the PHP results. Results: Of the 19 eyes included in this study, nine eyes were found to have a hyperacuity defect upon PHP examination. In this group, the subjective level of metamorphopsia was significantly worse (p＜0.01), the age was significantly higher (p=0.02), and SRF persisted in the macula more frequently at two months postoperatively (p=0.04), as compared to those without the defect. There were no significant differences in the other factors. Conclusions: Subjectively severe metamorphopsia after surgery for RRD could be confirmed objectively using PHP. In the case of older patients and persistent submacular fluid, metamorphopsia would develop more frequently due to displacement of the photoreceptors in the process of reattachment. J Korean Ophthalmol Soc 2010;51(4):552-557

키워드

Metamorphopsia, Preferential hyperacuity perimeter, Rhegmatogenous retinal detachment