대한안과학회지 (Journal of The Korean Ophthalmological Society)

  • 제51권5호
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  • Pages.670-676
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  • 2010
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  • 0378-6471(pISSN)
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  • 2092-9374(eISSN)
대한안과학회 (The Korean Ophthalmological Society)
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두 구면수차 제거 비구면 인공수정체 삽입안에서 임상결과 비교

Comparison of Clinical Results Between Two Spherical Aberraion-Free Intraocular Lenses

문귀형;임성규;박홍용;윤경철
Mun, Gui-Hyeong;Im, Seong-Kyu;Park, Hong-Yong;Park, Hong-Yong

  • 발행 : 20100000
⟨ 이전 논문 다음 논문 ⟩

초록

목적: 백내장수술 시 2.2 mm 미세절개를 통한 Akreos MI60 삽입과 2.8 mm 소절개를 통한 Akreos Adapt-AO 삽입술을 시행한 환자에서 수술 전후의 임상결과에 대하여 조사하였다. 대상과 방법: 백내장제거술 및 인공수정체삽입술을 시행받은 55명 55안(Akreos MI60, 30안; Akreos Adapt-AO, 25안)에서 수술 전과 후 1주, 1개월, 3개월째 시력, 구면대응치, 안압, 각막두께, 각막내피세포수, 수술유발난시, 굴절률예측도를 측정하였고, 술 후 1개월, 3개월째 고위수차 및 대비감도를 측정하여 두 군을 비교하였다. 결과: 시력, 구면대응치, 안압, 각막두께, 각막내피세포수, 수술유발난시, 고위수차, 대비감도는 두 군 간에 차이를 보이지 않았으나 (p>0.05), 굴절률예측도는 Akreos MI60에서 -0.05${\pm}$0.69D, Akreos Adapt-AO에서 -0.57${\pm}$0.22D로 두 군 간 유의한 차이가 있었다(p=0.02). 결론: Akreos Adapt-AO에서 근시로의 이동이 있었으나, 두 Akreos 비구면 인공수정체 사이에 시기능의 차이는 없었다.

Purpose: To compare the postoperative outcomes between Akreos MI60 and Akreos AO intraocular lens (IOLs) after cataract surgery. Methods: A prospective analysis among 55 eyes of 55 patients who had undergone microcoaxial phacoemulsification and implantation of aspheric IOLs (Akreos MI60, 30 eyes; Akreos Adapt-AO, 25 eyes) was performed. The best corrected visual acuity (BCVA), spherical equivalent, intraocular pressure (IOP), corneal thickness, endothelial cell density (ECD), surgically induced astigmatism (SIA), predictability of postoperative spherical equivalent, higher order aberrations, and contrast sensitivity test were evaluated during the follow-up period of 3 months. Results: There were no significant differences in BCVA, spherical equivalent, IOP, corneal thickness, ECD, SIA, higher order aberrations and contrast sensitivity test (p>0.05). The predictability of postoperative spherical equivalent in the Akreos Adapt-AO (-0.57${\pm}$0.22D) represented statistically significant myopic shift compared with the Akreos MI60 group (-0.05${\pm}$0.69D) (p=0.02). Conclusions: Both the Akreos MI60 and the Akreos Adapt-AO implantation groups performed similiarly, following cataract surgery, showed similar visual function.

키워드

참고문헌

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  2. Comparison of Six-Month Outcomes in Eyes with Two Hydrophilic Aspheric Intraocular Lenses after Cataract Surgery vol.53, pp.6, 2010, https://doi.org/10.3341/jkos.2012.53.6.767
  3. 근시도와 고위수차와의 상관관계 vol.19, pp.2, 2014, https://doi.org/10.14479/jkoos.2014.19.2.199
  4. Effect of Aberrations and Contrast Sensitivity due to the Amount of Astigmatism on Vision vol.22, pp.2, 2010, https://doi.org/10.14479/jkoos.2017.22.2.159
  5. Changes in Spherical Aberration and Coma Aberration after Wearing Aspheric Soft Contact Lens in Young Myopes vol.20, pp.4, 2010, https://doi.org/10.17337/jmbi.2018.20.4.469