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초고령자의 백내장 수술시 술후 시력결과에 영향을 미치는 인자
김신우,권지원,위원량,이진학-,한영근,Cinoo Kim,M,D,Ji Won Kwon,M,D,Won Ryang Wee,M,D,Jin Hak Lee,M,D,-,Young Keun Han,M,D 대한안과학회 2007 대한안과학회지 Vol.48 No.7
Purpose: To analyze the outcome of cataract surgery and to determine factors influencing the postoperative visual acuity in patients aged 85 years and older. Methods: The best corrected visual acuity before and 3 months after cataract surgery in patients aged 85 years and older was measured. Age, sex, diabetes mellitus, hypertension, astigmatism, corneal endothelial cell count, ocular comorbidity, and intraoperative complication were analyzed to determine which factors influence the postoperative visual acuity. Results: The postoperative visual acuity improved in 87% of patients, and a visual acuity of 20/40 or better was achieved in 56% of patients. Posterior capsular rupture and zonular dialysis were found as intraoperative complications in 16% of patients. Multiple regression analysis was used to determine which factors influence the postoperative visual acuity; age(p=0.009), ocular comorbidity (p=0.009), and intraoperative complication (p=0.010) were significantly associated with postoperative visual acuity. Conclusions: The postoperative visual acuity following cataract surgery in patients aged 85 years and older improved in 87% of patients, and old age, ocular comorbidity, and intraoperative complication were predictors of a poorer visual outcome.
김신우,한영근,위원량,이진학,권지원.Cinoo Kim. M.D.. Young-Keun Han. M.D.. Won-Ryang Wee. M.D.. Jin-Hak Lee. M.D.. Ji-Won Kwon. M.D. 대한안과학회 2005 대한안과학회지 Vol.46 No.12
Purpose: To evaluate the efficacy of tattooing with tissue marking dye for cosmetic repair of corneal opacity. Methods: Tattooing by the injection of tissue marking dye into the corneal stroma was performed in 67 eyes of 67 patients in whom there were no changes in visual acuity or size of corneal opacity for at least 5 years. Conjunctivalized corneal opacities and calcium deposits were removed before tattooing. All patients were followed up for a period of at least 3 months. Results: The most common causes of corneal opacity were trauma (56.6%) and infectious disease (19.4%). Combined ocular diseases included sensory exotropia (43.3%) and band keratopathy (31.3%). In this study, 98.5% of patients showed satisfactory results with cosmetic staining. Remaining opacity was observed in 1 eye (1.5%). Intraoperative complications occurred in 6 eyes (9.0%) and were resolved completely during surgery. Foreign body sensations (38.8%) and conjunctival injection (32.8%) disappeared within 2 months after surgery. Conclusions: Cosmetic repair by tattooing using tissue marking dye is an effective treatment for corneal opacity and is not associated with any significant complications.