백내장 수술이 안구박동크기에 미치는 영향

• 영문명: The Effect of Cataract Surgery on Ocular Pulse Amplitude
• 발행기관: 대한안과학회
• 저자명: 김민호 양홍석 이마빈 안재홍,Min Ho Kim, MD, Hong Seok Yang, MD, PhD, Mar Vin Lee, MD, Jae Hong Ahn, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume53,number12, 1828~1834쪽, 전체 7쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2012.12.15

영문 초록

Purpose: To investigate the change of intraocular pressure (IOP) and ocular pulse amplitude (OPA) measured by dynamic contour tonometry (DCT) after cataract surgery and to identify the influencing factors related with OPA change after cataract extraction. Methods: The present study included 32 patients who underwent unilateral cataract surgery and the non-operated fellow eyes were used as control. IOP was measured by Goldman applanation tonometry (GAT) and Pascal DCT preoperatively, and 3 months postoperatively. Additionally, OPA was measured by Pascal DCT preoperatively, and 3 months postoperatively. Axial length (AL), anterior chamber depth (ACD), and central corneal thickness (CCT) were measured preoperatively. Results: After cataract surgery, IOP by GAT, IOP by DCT, and OPA decreased significantly with a mean decrement of 1.3 mm Hg, 1.6 mm Hg, and 0.5 mm Hg, respectively (p < 0.05). OPA was significantly correlated with IOP by GAT (r = 0.497, p = 0.004) and IOP by DCT (r = 0.421, p = 0.016) preoperatively. OPA was correlated with GAT (r = 0.357, p = 0.045) but not with DCT (r = 0.224, p > 0.05) postoperatively. The most important factor influencing the decrement of IOP by GAT, IOP by DCT, and OPA after cataract surgery was the preoperative level of their measurements (r = 0.382, p < 0.05 in GAT, r = 0.807, p < 0.001 in DCT, r = 0.627, p < 0.001 in OPA). In addition, the OPA decrement after cataract surgery was significantly correlated with age (r = -0.370, p = 0.037), and was not correlated with AL, ACD, and CCT. Conclusions: Both IOP and OPA decreased after cataract surgery, which appears to influence the relationship between IOP and OPA. The correlation between OPA decrement and age may be related to increased ocular rigidity with aging.

키워드

Cataract, Cataract surgery, Dynamic contour tonometry, Intraocular pressure, Ocular pulse amplitude