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홍채고정 유수정체용 인공수정체 삽입술 시행 후 각막 내피세포의 단기 변화

Other Titles
 Short-term Change in Corneal Endothelium after Iris-Fixed Phakic Intraocular Lens Insertion 
Authors
 이은석  ;  조영재  ;  김응권 
Citation
 Journal of the Korean Ophthalmological Society (대한안과학회지), Vol.46(3) : 410-415, 2005 
Journal Title
 Journal of the Korean Ophthalmological Society (대한안과학회지) 
ISSN
 0378-6471 
Issue Date
2005
Abstract
Purpose: To investigate endothelial change in phakic eyes implanted with Artisan phakic IOL inserts and identify the associated factors. Methods: We prospectively examined the endothelial change in 11 phakic eyes implanted with Artisan phakic IOL inserts. Noncontact specular microscopy was performed preoperatively, and at 1 week and 1 month postoperatively. Results: The mean endothelial cell loss was 3.57% at 1 week, and 4.69% at 1 month. There was a statistically significant decrease in endothelial cell density and an increase in pleomorphism and polymegathism of cells after the surgery which indicate cellular damage (p<0.05). There were no statistically significant changes endothelial cell density, shape, or size between 1 week and 1 month postoperatively (p>0.05). correlation was observed between cell loss and corneal curvature, critical distance, IOL optic size, diopter, or serial order of the operation. However, there was significant negative correlation (R=-7.600;0.05) between cell loss and anterior chamber depth. Conclusions: Endothelial damage occurred primarily during the surgical procedure and special attention should be given to patients with shallow anterior chamber depth for iris-fixed phakic IOL inserts to avoid unintended endothelial damage.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Eung Kweon(김응권) ORCID logo https://orcid.org/0000-0002-1453-8042
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/147650
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