빛간섭단층촬영을 이용한 당뇨환자의 백내장 수술 후 황반부종의 분석

• 영문명: Analysis of Postoperative Macular Edema in Cataract Patients with Diabetes using Optical Coherence Tomography
• 발행기관: 대한안과학회
• 저자명: 김준용 송민혜 정성근,Jun Yong Kim, MD, Min Hye Song, MD, Sung Kun Chung, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume51,number3, 340~346쪽, 전체 7쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2010.03.15

영문 초록

Purpose: To evaluate the incidence and progression of macular edema (ME) and associated risk factors in diabetic patients. Methods: In a prospective study, 66 eyes were assessed by optical coherence tomography (OCT) and best-corrected visual acuity was checked before operation at one and three months after operation. ME was defined as an increase of central macular thickness (CMT) by 30% or more after surgery than before operation, as measured by OCT. Results: The incidence of ME in diabetic patients was 8.8%. The increment of CMT at three months after cataract surgery was statistically significant in the patients of diabetic duration≥10years (p=0.049). But insulin treatment, the severity of diabetic retinopathy, diabetic nephropathy and hemoglobin A1C were not significant risk factors for ME. Conclusions: The OCT might be useful to assess the ME after cataract surgery in diabetic patients. In the patients who had long been suffered from diabetes, the incidence of ME could be higher, so cataract surgery should be carefully considered. J Korean Ophthalmol Soc 2010;51(3):340-346

키워드

Cataract surgery, Diabetes, Macular edema, Optical Coherence Tomography