안와골절정복술 시 사용된 에피네프린이 동공크기에 미치는 영향에 대한 고찰

• 영문명: Effect of Epinephrine in Reconstruction of an Orbital Wall Fracture
• 발행기관: 대한안과학회
• 저자명: 유성광 안민,Seong-Kwang Ryu, MD, Min Ahn, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume52,number6, 653~657쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2011.06.15

영문 초록

Purpose: To evaluate the effect of epinephrine on pupil size in reconstruction of an orbital wall fracture. Methods: The authors of the present study describe 27 patients (27 eyes) who had reconstruction of an orbital wall fracture from January to July of 2009. Patients were divided into two groups according to the use of epinephrine during surgery. Preoperative and postoperative pupil sizes, operation times, and epinephrine dosages were collected. Results: Preoperative pupil sizes were 1.80 ± 0.37 mm, 1.74 ± 0.36 mm and postoperative pupil sizes were 1.97 ± 0.43 mm (p = 0.042), 2.18 ± 0.52 mm (p = 0.003) in the group with of epinephrine and the group without epinephrine, respectively. Postoperative pupil size significantly increased in all groups. However, no significant difference was found regarding change in pupil size after surgery (p = 0.258). In the group with epinephrine, change in pupil size did not show a significant association with operation time (p = 0.228), nor did change in pupil size and epinephrine dosage (p = 0.922). Conclusions: The use of epinephrine is an effective modality for bleeding control and securing a clear view in orbital wall fracture reconstruction. J Korean Ophthalmol Soc 2011;52(6):653-657

키워드

Epinephrine, Orbital wall reconstruction, Pupil