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근시교정수술 후 발생한 스테로이드 유발 안압 상승의 발생률

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dc.contributor.author김찬윤-
dc.contributor.author배형원-
dc.contributor.author성공제-
dc.contributor.author홍사민-
dc.date.accessioned2016-02-04T11:35:39Z-
dc.date.available2016-02-04T11:35:39Z-
dc.date.issued2015-
dc.identifier.issn0378-6471-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/140770-
dc.description.abstractPurpose : To determine the incidence of steroid-induced ocular hypertension following myopic vision correction. Methods : This study retrospectively reviewed the medical records of 6,087 patients (12,164 eyes) who underwent myopic refractive surgery (laser-assisted in-situ keratomileusis [LASIK]/photorefractive keratectomy [PRK]/phakic intraocular lens [IOL] implantation) at Eyereum Eye Clinic between July 2011 and February 2013. Ocular hypertension was defined when post-operative intraocular pressure (IOP) was increased more than 30% compared to predicted IOP adjusted according to corneal thickness. All preoperative IOPs were measured using Goldmann applanation tonometer (GAT). Postoperative IOPs were measured using non-contact tonometer first and with GAT when the IOP was suspiciously increased. Results : Steroid-induced ocular hypertension after a myopic refractive surgery occurred in 680 eyes (5.58%) of 404 patients (6.64%). The incidence based on surgery was LASIK (0.06%, 2/3, 514 eyes) followed by PRK (7.63%, 575/7,533 eyes) and phakic IOL implantation (9.2%, 103/1,117 eyes). The average increased IOP level in patients with steroid-induced ocular hypertension was 5.62 ± 3.73 mm Hg after PRK and 9.35 ± 4.95 mm Hg after phakic IOL implantation. A statistically significantly higher change in IOP was observed in the phakic IOL group (p < 0.001). However, the PRK group had a longer treatment period for ocular hypertension and used more antiglaucoma medications than the phakic IOL group (p < 0.05). Most patients with ocular hypertension were successfully treated with cessation of topical steroid or use of antiglaucoma medications. Only 2 eyes required glaucoma surgery because IOP was not controlled. Conclusions : IOP measurements should be initiated no later than 1 week after surgery because steroid-induced ocular hypertension following myopic refractive surgery can occur in approximately 5.58% of patients and most cases of ocular hypertension can be controlled with careful follow-up and use of antiglaucoma medications.-
dc.description.statementOfResponsibilityopen-
dc.format.extent1081~1088-
dc.relation.isPartOfJOURNAL OF THE KOREAN OPHTHALMOLOGICAL SOCIETY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.title근시교정수술 후 발생한 스테로이드 유발 안압 상승의 발생률-
dc.title.alternativeIncidence of Steroid-Induced Ocular Hypertension Following Myopic Refractive Surgery-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Ophthalmology (안과학)-
dc.contributor.googleauthor김상명-
dc.contributor.googleauthor배형원-
dc.contributor.googleauthor강성용-
dc.contributor.googleauthor홍사민-
dc.contributor.googleauthor성공제-
dc.contributor.googleauthor김찬윤-
dc.identifier.doi10.3341/jkos.2015.56.7.1081-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA01035-
dc.contributor.localIdA01814-
dc.contributor.localIdA01946-
dc.contributor.localIdA04395-
dc.relation.journalcodeJ01838-
dc.identifier.eissn2092-9374-
dc.subject.keywordMyopic refractive surgery-
dc.subject.keywordSteroid induced ocular hypertension-
dc.contributor.alternativeNameKim, Chan Yun-
dc.contributor.alternativeNameBae, Hyoung Won-
dc.contributor.alternativeNameSeong, Gong Je-
dc.contributor.alternativeNameHong, Sa Min-
dc.contributor.affiliatedAuthorKim, Chan Yun-
dc.contributor.affiliatedAuthorBae, Hyoung Won-
dc.contributor.affiliatedAuthorSeong, Gong Je-
dc.contributor.affiliatedAuthorHong, Sa Min-
dc.rights.accessRightsfree-
dc.citation.volume56-
dc.citation.number7-
dc.citation.startPage1081-
dc.citation.endPage1088-
dc.identifier.bibliographicCitationJOURNAL OF THE KOREAN OPHTHALMOLOGICAL SOCIETY, Vol.56(7) : 1081-1088, 2015-
dc.identifier.rimsid30299-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers

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