레이저 홍채절개술에 의한 수포성 각막병증 환자의 특성과 인공수정체 수포성 각막병증과의 비교

• 영문명: Laser Iridotomy-Induced Bullous Keratopathy in Korea: Clinical Features and Comparison with Pseudophakic Bullous Keratopathy
• 발행기관: 대한안과학회
• 저자명: 최승용(Seung Yong Choi) 최순일(Soon Il Choi) 임성아(Sung A Lim) 김만수(Man Soo Kim)
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume57,number1, 14~19쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2016.01.30

영문 초록

Purpose: To investigate the clinical features and prevalence of patients with laser iridotomy-induced bullous keratopathy in Korea. Methods: Using a retrospective study, the patients with laser iridotomy-induced bullous keratopathy who underwent penetrating keratoplasty were selected. We investigated the duration from iridotomy to corneal decompensation, preoperative anterior chamber depth, axial length, keratometry, and survival time of the grafted cornea. The data were compared with the data of patients with pseudophakic bullous keratopathy as controls. Results: Laser iridotomy-induced bullous keratopathy was found in 17 eyes, which represented 2.3% of penetrating keratoplasty cases (727) and 8.5% of bullous keratopathy cases (201), with a mean age of 66.9 years. The laser iridotomy-induced bullous keratopathy group showed a higher female ratio (15 out of 17), shorter mean axial length (22.09 ± 0.79 mm) and anterior chamber depth (1.91 ± 0.36 mm) than the control group (15 out of 50, 24.30 ± 2.54 mm and 3.27 ± 0.66 mm, respectively) with a statistical significance (p = 0.002, p < 0.001 and p < 0.001, respectively). Mean survival time of the grafted cornea was 39.9 ± 8.6 months in the group of laser iridotomy-induced bullous keratopathy, which was shorter than the control group (47.8 ± 3.1 months) without statistical significance (p = 0.47). Conclusions: In Korea, laser iridotomy-induced bullous keratopathy shows non-negligible prevalence and should be further investigated.

키워드

Bullous keratopathy Laser iridotomy Penetrating keratoplasty