신생혈관녹내장에서 광역학치료를 이용한 치험 1예

• 영문명: Photodynamic Therapy with Verteporfin for Anterior Segment Neovascularization in Neovascualr Galucoma
• 발행기관: 대한안과학회
• 저자명: 송유미 김준현,Yoo-Mi Song, M.D, Joon-Hyun Kim, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume46,number9, 1592~1596쪽, 전체 5쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2005.09.30

영문 초록

Purpose: To evaluate photodynamic therapy (PDT) with verteporfin for iris and angle neovascularization in eyes with neovascular glaucoma. Methods: We treat a patient who had neovascular glaucoma with iris and angle neovacularization and showed reduction of intraocular pressure (IOP) and the obliteration of neovascularization after PDT. PDT was performed following the treatment parameters used in age-related macular degeneration. The laser was directed at the anterior chamber angle and iris surface using a Goldmann three-mirror contact lens. Follow-up examination was performed 1, 2, 3, 5, 7, and 8 weeks after PDT, and included visual acuity, IOP, and iris fluorescein angiography (7 weeks after PDT). Results: Two months after PDT, we observed a reduction of IOP and the improvement of iris fluorescein leakage. IOP diminished considerably after 1 week, and showed subsequent tendency toward stabilization without additional antiglaucoma medicine. Conclusions: Photodynamic therapy can be used safely and effectively in the early phase of neovascular glaucoma to achieve the obliteration of iris and angle neovascularization and induce IOP reduction.

키워드

Neovascular glaucoma, Photodynamic therapy, Verteporfin