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홍채고정 안내렌즈 삽입술 시행 후 각막내피세포의 장기 변화

Other Titles
 Long-term Change in Corneal Endothelium After Iris-fixed Phakic Intraocular Lens Insertion 
Authors
 김성은  ;  홍사민  ;  이형근 
Citation
 JOURNAL OF THE KOREAN OPHTHALMOLOGICAL SOCIETY, Vol.50(5) : 677-683, 2009 
Journal Title
JOURNAL OF THE KOREAN OPHTHALMOLOGICAL SOCIETY(대한안과학회지)
ISSN
 0378-6471 
Issue Date
2009
Keywords
Corneal endothelial cell ; Iris-claw phakic intraocular lens ; Myopia
Abstract
Purpose: To investigate long-term endothelial changes in phakic eyes implanted with iris-claw phakic intraocular lens (IOL) (ArtisanⓇ lens Ophtec, Groningen, Netherlands) and to identify the associated factors. Methods: Thirty-one eyes of 18 patients underwent Artisan phakic IOL implantation and were followed up for over 1 year. The authors retrospectively examined the endothelial cell density, percentage of hexagonal cells and coefficient of variation using the result of non-contact specular microscope. Results: The mean endothelial cell loss was 0.9% at 23.9±9.44 months of the mean follow-up period. There was no statistically significant decrease in endothelial cell density (p=0.445). There was no statistically significant change in pleomorphism and polymegathism of the endothelial cells after the surgery. There was no statistically significant correlation between endothelial cell loss and anterior chamber depth (r2=0.0488, p=0.377). Conclusions: No clinically significant endothelial damage occurred after iris-claw phakic IOL implantation. However, special attention should be given to patients with shallow anterior chamber depth for iris-claw phakic IOL insertion to avoid unintended endothelial damage and long-term endothelial checkups using a specular microscope are critical for long-term protection of endothelial cells.
Files in This Item:
T200905051.pdf Download
DOI
10.3341/jkos.2009.50.5.677
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Lee, Hyung Keun(이형근) ORCID logo https://orcid.org/0000-0002-1123-2136
Hong, Sa Min(홍사민)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/105704
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