백내장 수술 후 발생하는 안구건조증의 임상양상 및 영향을 미치는 요인에 대한 분석

• 영문명: Changes in Clinical Manifestations of Dry Eye Syndrome after Cataract Surgery and the Affecting Factors
• 발행기관: 대한안과학회
• 저자명: 노영래 이상목 한영근 김미금 위원량 이진학 ,Young Rae Roh, MD, Sang Mok Lee, MD,,, Young Keun Han, MD,, Mee Kum Kim, MD,, Won Ryang Wee, MD,, Jin Hak Lee, MD,,
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume52,number9, 1030~1038쪽, 전체 9쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2011.09.15

영문 초록

Purpose: To evaluate the changes in the clinical signs and symptoms of dry eye syndrome before and after cataract surgery according to the main incision location and the type of artificial tears. Methods: Twenty-four eyes of 17 patients who underwent phacoemulsification and posterior chamber lens insertion from May 2009 to July 2009 were enrolled in the present study prospectively. The main incision location (temporal or superior incision) was determined according to the axis of astigmatism and the postoperative artificial tears (sodium hyaluronate with or without preservatives) were determined randomly. The tear film break-up time (TF-BUT), Schirmer test, esthesiometer, corneal surface grading with Oxford system and ocular surface disease index (OSDI) questionnaire before and 1, 2 and 6 months after surgery were evaluated. The corneal nerve was also analyzed using corneal confocal microscopy (Confoscan 4, Nidek, Italy) before, and 1 and 6 months after surgery. Results: The TF-BUT was significantly longer (p = 0.010) and the OSDI score was significantly lower (p = 0.007) in the patient group with preservative-free sodium hyaluronate than the group with sodium hyaluronate containing preservatives at 6 months after cataract surgery. There were no statistically significant differences according to the main incision location in the sodium hyaluronate without preservatives group. Conclusions: Symptoms and several signs of dry eye syndrome triggered by cataract surgery decreased with preservative- free artificial tears compared to tears with preservatives. J Korean Ophthalmol Soc 2011;52(9):1030-1038

키워드

Artificial tears, Cataract surgery, Corneal nerve, Dry eye syndrome, Preservatives