지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2009.1
- 수록면
- 286 - 290 (5page)
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초록· 키워드
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Purpose: To identify the prognostic factors for successful laser iridotomy for acute angle-closure glaucoma (AACG).
Methods: We retrospectively reviewed the medical records of 77 eyes of 77 patients with AACG with initial intraocular pressure (IOP) above 40 ㎜Hg. All of the patients received maximum tolerable medical therapy (MTMT) followed by laser iridotomy. In order to comparatively analyze the factors affecting successful laser iridotomy, an increase in IOP on follow-up was defined as increase in IOP greater than 21 ㎜Hg requiring medical or surgical treatment.
Results: Successful laser iridotomy was achieved in 59.7% (46/77 eyes). Thirty-one eyes (40.3%) exhibited increased IOP on follow-up, and of these, 30 eyes developed an increase in IOP within six months after the first attack. The success rate was higher (92.9%) in 42 patients who had greater than 30% IOP reduction by MTMT at the first attack compared to the 35 patients whose IOP reduction was less than 30%, of which 24 eyes (72.7%) showed more than 30% IOP reduction after intravenous hyperosmotic agent treatment (p=0.012). The success rate was higher in patients treated within seven days after the development of symptoms than in those treated after seven days (Odds ratio, 4.51; 95% confidence interval, 1.38 to 14.75).
Conclusions: Our data suggest that we can expect successful IOP control after laser iridotomy in eyes with AACG if the patient can be treated within seven days after the development of symptoms and if the IOP reduction was more than 30% by MTMT.
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등록된 정보가 없습니다.
참고문헌 (18)
참고문헌 신청
Aung T / 2001 / Acute primary angle-closure: Long-term intraocular pressure outcome in Asian eyes / Am J Ophthalmol 131 : 7 ~ 12
Buckley SA / 1994 / Acute angle-closure glaucoma: relative failure of YAG iridotomy in affected eyes and factors influencing outcome / Br J Ophthalmol 78 : 529 ~ 533
Chung JH / 2003 / Long-term IOP outcome after successful laser iridotomy for the acute primary angle-closure glaucoma / J Korean Ophthalmol Soc 44 : 1102 ~ 1106
Fleck BW / 1997 / A randomized prospective comparison of operative peripheral iridectomy and Nd:YAG laser iridotomy treatment of acute angle closure glaucoma: 3 year visual a
Gazzard G / 2003 / A prospective ultrasound biomicroscopy evaluation of changes in anterior segment morphology after laser iridotomy in Asian eyes / Ophthalmology 110 : 630 ~
Buckley SA / 1994 / Acute angle-closure glaucoma: relative failure of YAG iridotomy in affected eyes and factors influencing outcome / Br J Ophthalmol 78 : 529 ~ 533
Chung JH / 2003 / Long-term IOP outcome after successful laser iridotomy for the acute primary angle-closure glaucoma / J Korean Ophthalmol Soc 44 : 1102 ~ 1106
Fleck BW / 1997 / A randomized prospective comparison of operative peripheral iridectomy and Nd:YAG laser iridotomy treatment of acute angle closure glaucoma: 3 year visual a
Gazzard G / 2003 / A prospective ultrasound biomicroscopy evaluation of changes in anterior segment morphology after laser iridotomy in Asian eyes / Ophthalmology 110 : 630 ~
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