동공괄약근 마비가 발생한 급성폐쇄각녹내장 환자의 백내장수술 후 고위수차 변화

• 영문명: Higher Order Aberration Changes after Cataract Operation in Acute Angle Closure with Mid-dilated Fixed Pupil
• 발행기관: 대한검안학회
• 저자명: 서수연(Su Youn Suh) 이동현(Dong Hyun Lee) 조성호(Seong Ho Jo) 신종훈(Jonghoon Shin) 서제현(Je Hyun Seo)
• 간행물 정보: 『Annals of optometry and contact lens』Vol.17 No.2, 25~32쪽, 전체 8쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2018.06.30

영문 초록

Purpose: To investigate the change of ocular higher-order aberrations (HOA) after cataract surgery in the eyes of acute primary angle closure (PAC) attack with mid-dilated fixed pupil. Methods: This study included eyes of patients with mid-fixed dilated pupil after acute primary angle closure attack. Also, uncomplicated cataract patients were enrolled as control. All the eyes had been underwent cataract surgery with phacoemulsification. Best-corrected visual acuity (BCVA, in logMAR) and HOA (i-Trace, Tracey technologies, Houston, TX) were evaluated preoperatively and postoperatively at 1 month. Paired t-test were used to compare preoperative and postoperative HOA values, and independent t-test for comparison of postoperative HOA in PAC and control groups. Results: BCVA were significantly increased in PAC group (0.64 ± 0.51 vs. 0.43 ± 0.45, p=0.042, respectively), and in control group (0.51 ± 0.25 vs. 0.18 ± 0.15, p<0.001, respectively). Intraocular pressure were significantly decreased in both groups. In control group, coma-like, spherical-like, and high order total (HOT) aberrations were significantly changed (p=0.006, 0.008, 0.006, respectively) in internal optics aberrations. However, HOA values did not show significant changes in PAC group. HOT aberrations of entire eye after cataract surgery in PAC group were higher than those in control group (1.21 ± 1.13 vs. 0.41 ± 0.48, p=0.001). Conclusions: This result suggests that HOAs change after cataract surgery were less profound in the eyes with mid-fixed dilated pupil after acute primary angle closure attack than uncomplicated cataract group.

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키워드

Phacoemulsification Glaucoma Corneal wavefront aberration Glaucoma angle-closure