전안부 빛간섭단층촬영으로 측정한 백내장 수술 후 전방깊이와 전방각의 변화

• 영문명: Changes in Anterior Chamber Depth and Angle After Phacoemulsification measured by Anterior Segment Optical Coherence Tomography
• 발행기관: 대한안과학회
• 저자명: 신철진 이주은 김재용 차흥원,Chul Jin Shin, MD, Joo Eun Lee, MD, Jae Yong Kim, MD, PhD, Hung Won Tchah, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume51,number3, 353~358쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2010.03.15

영문 초록

Purpose: To evaluate changes in anterior chamber depth (ACD) and angle after phacoemulsification and intraocular lens implantation using anterior segment optical coherence tomography (AS-OCT). Methods: Seventy-eight eyes of 69 patients had uneventful phacoemulsification and IOL implantation using a clear corneal incision. Anterior segment OCT images of nasal and temporal angle quadrants were obtained before and at one month after surgery. The angle-referenced (ACD1), pupil-referenced (ACD2), lens-referenced (ACD3) ACDs, crystalline lens rise (CLR), nasal and temporal iridocorneal angles, angle opening distance at 500 μm (AOD500), and trabecular iris surface area at 750 μm (TISA750) were measured. Preoperative and postoperative measurements were compared using paired sample t-tests. Results: The mean ACD1 was 3.19±0.24 mm preoperatively and 3.22±0.21 mm at one month postoperatively (P=0.21); ACD2 was 2.99±0.40 mm preoperatively and 3.56±0.28 mm at one month postoperatively (P＜0.05); ACD3 was 2.75±0.41 mm preoperatively and 4.00±0.27 mm at one month postoperatively (P＜0.05). The mean iridocorneal angles, AOD500, and TISA750 for both nasal and temporal sides increased significantly at the postoperative examinations (P＜0.05). Conclusions: Changes in anterior chamber angle after cataract surgery can be objectively quantified by anterior segment OCT. Deepening of the anterior chamber and widening of the nasal and temporal angles after cataract extraction were shown on AS-OCT. J Korean Ophthalmol Soc 2010;51(3):353-358

키워드

Angle, Anterior chamber depth, Anterior segment optical coherence tomography, Phacoemulsification