Risk Factor for Transient Hyperopic Refractive Outcome at Acute Postop…
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Risk Factor for Transient Hyperopic Refractive Outcome at Acute Postoperative Period
After Panoptix Intraocular Lens Implantation
Sohee Jeon MD, PhD, Ayoung Choi BSc Optom
Panoptix 인공 수정체 삽입 수술 후 일시적인 원시 굴절 결과에 대한 위험 인자
[카이안과 의료팀] 전소희 원장, 최아영 검안사
Methods: This was a retrospective case review conducted from July 5, 2019, to
February 28, 2020, of 203 eyes from 203 patients. The spherical equivalent (SE) on
postoperative day 1, week 1, month 1, month 2, and month 6 was evaluated, and the
difference between SE (dSE) on postoperative day 1 and month 6 was calculated. Ocular
parameters that were associated with a high dSE were evaluated.
Results: This study evaluated 203 eyes from 203 patients (mean age ± SD, 59.14 ± 5.78
years; 129 women [63.5%]). The dSE ± SD was 0.07 ± 0.30 D, 0.14 ± 0.34 D, 0.12 ± 0.35 D,
and 0.08 ± 0.35 D for postoperative week 1, month 1, month 2, and month 6, respectively.
Univariate analysis revealed that the anterior chamber depth and white-to-white (WTW)
corneal diameter were associated with a larger dSE (P = 0.048 and P = 0.03, respectively).
Multivariate analysis showed that the WTW diameter was independently associated with the
large amount of dSE at 6 months (r = –0.162; P = 0.03).
Conclusion: The results of this study suggest that a smaller WTW corneal diameter was
associated with a large dSE between postoperative day 1 and postoperative month 6.
목적 : Acrysof IQ Panoptix TFNT 인공 수정체(IOL) 이식 후 일시적인 원시 굴절 결과와 일시적 원시의 위험 인자를 평가하고자 한다.
방법 : 2019년 7월 5일부터 2020년 2월 28일까지 203명의 환자 203안을 대상으로 한 후향적 연구이다.
수술 후 1일, 1주, 1개월, 2개월, 6개월의 등가구면(SE)을 평가하고, 수술 후 1일과 6개월의 SE 차이를 계산했다. 높은 SE 차이와 관련된 안구 매개 변수를 평가했다.
결과 : 이 연구는 203명의 환자로부터 203안을 평가했다(평균 나이 59.14±5.78세, 129명의 여성[63.5%]).
수술 후 1일과 1주의 SE 차이, 1개월 SE 차이, 2개월 SE 차이, 6개월 SE 차이는 각각 0.07 ± 0.30 D, 0.14 ± 0.34 D, 0.12 ± 0.35 D 그리고 0.08 ± 0.35 D이었다.
일 변량 분석은 전방각 깊이와 각막직경(WTW)이 더 큰 SE 차이와 관련이 있었다(각각, P=0.048 그리고 P=0.03).
다 변량 분석에서는 각막직경(WTW)이 수술 후 1일과 6개월 SE 차이가 독립적으로 연관되어 있음을 보여주었다(r=-0.162; P=0.03).
결론 : 이 연구의 결과는 각막직경(WTW)이 작을수록 수술 후 1일과 수술 후 6개월 사이에서 큰 SE 차이를 보인다.
Purpose: To evaluate transient hyperopic refractive outcomes after Acrysof IQ Panoptix
TFNT intraocular lens (IOL) implantation and risk factors for transient hyperopia.
TFNT intraocular lens (IOL) implantation and risk factors for transient hyperopia.
Methods: This was a retrospective case review conducted from July 5, 2019, to
February 28, 2020, of 203 eyes from 203 patients. The spherical equivalent (SE) on
postoperative day 1, week 1, month 1, month 2, and month 6 was evaluated, and the
difference between SE (dSE) on postoperative day 1 and month 6 was calculated. Ocular
parameters that were associated with a high dSE were evaluated.
Results: This study evaluated 203 eyes from 203 patients (mean age ± SD, 59.14 ± 5.78
years; 129 women [63.5%]). The dSE ± SD was 0.07 ± 0.30 D, 0.14 ± 0.34 D, 0.12 ± 0.35 D,
and 0.08 ± 0.35 D for postoperative week 1, month 1, month 2, and month 6, respectively.
Univariate analysis revealed that the anterior chamber depth and white-to-white (WTW)
corneal diameter were associated with a larger dSE (P = 0.048 and P = 0.03, respectively).
Multivariate analysis showed that the WTW diameter was independently associated with the
large amount of dSE at 6 months (r = –0.162; P = 0.03).
Conclusion: The results of this study suggest that a smaller WTW corneal diameter was
associated with a large dSE between postoperative day 1 and postoperative month 6.
