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A Study on the Difference of Cataract Surgery Prognosis between Adult Diseases and Non-adult Diseases

성인병 여부에 따른 백내장 수술 효과의 차이 연구

  • 조선아 (경동대학교 안경광학과)
  • Received : 2016.08.01
  • Accepted : 2016.09.21
  • Published : 2016.09.30

Abstract

Purpose: This study is intended to look into the difference in surgery effects through the analysis of risk factors on how the common adult diseases among Korean adults diseases (glaucoma, hypertension and diabetes) are affecting cataract. Methods: Cataract surgery patients' daily records at hospitals in Jeonnam were used as analysis data. Factors - which can affect the results of medical treatment before and after an operation - were classified into the input, process and outcome of medical treatment. The medical treatment and patient characteristics were reflected as the input of medical treatment, and clinical results, functional status and general status as the process of medical treatment. Results: There was a close relationship between adult diseases of glaucoma, diabetes and hypertension, and cataract. Visual acuity of adult diseases patients was 10% lower than of non-adult diseases patients. And for post-surgery it was around 16% difference in refractive error and visual acuity between two groups. Conclusions: According to a study result, the cataract has been confirmed that there is a close relationship of Adult disease patients's glaucoma, diabetes and hypertension. Depending on the type about these adult diseases, before and after cataract surgery, vision and refractive power was found to indicate a significant difference when compared with conventional low normal adult control.

목적: 본 연구는 성인 한국인에게 많이 발생하는 성인병인 녹내장, 고혈압, 당뇨가 백내장에 어느 정도 영향을 미치는 위험 요인을 분석하여 수술 효과에 따른 차이를 밝히는데 목적을 갖는다. 방법: 분석방법은 전남 지역 소재 병원에서 백내장 수술을 받은 환자를 대상으로 수술 전 후 진료 결과에 영향을 미칠 수 있는 변수로 진료의 투입적 변수인 환자 특성과 의료 특성을 진료의 과정적 변수로 기능적 상태, 일반적 상태, 임상적 결과를 분석방법에 반영하였다. 결과: 성인병 중 녹내장, 고혈압, 당뇨가 있는 환자들은 기본적으로 백내장 수술 전부터 성인병이 없는 환자보다 시력이 약 10%정도 낮은 것으로 나타났으며 수술효과 또한 상대적으로 수술 후 시력과 굴절력에서 약 16%정도의 차이가 나는 것으로 나타났다. 결론: 이상의 연구 결과를 통해 성인병 환자의 녹내장, 당뇨, 고혈압이 백내장과 밀접한 상관성을 가짐을 확인하였으며 이들 성인병의 유병 정도에 따라 백내장 또한 수술 전 후 시력 및 안구 굴절력이 기존 일반 성인 대조군과 비교할 때 낮고 큰 차이를 나타내는 것을 확인할 수 있었다.

Keywords

References

  1. Kim SG, Choi DS. Epidemiology and current status of diabetes in Korea. Hanyang Med Rev. 2009;29(2):122-129.
  2. Delcourt C, Cristol JP, Tessier F, Leger CL, Michel F, Papoz L. Risk factors for cortical, nuclear, and posterior subcapsular cataracts: the POLA study. Pathologies Oculaires Liees al'Age. Am J Epidemiol. 2000;151(5):497-504. https://doi.org/10.1093/oxfordjournals.aje.a010235
  3. Hwang IH. Risk factors analysis to effect cataracts in Korean adults. Master Thesis. Seoul National University, Seoul. 2014;5-8.
  4. Chung CE. Complex sample design effects and inference for Korea national health and nutrition examination survey data. Korean J Nutr. 2012;45(6):600-612. https://doi.org/10.4163/kjn.2012.45.6.600
  5. Durant J. Risk factors for the development of cataract. A literature review. Optometry in Practice. 2002;3(1):9-27.
  6. Prokofyeva E, Wegener A, Zrenner E. Cataract prevalence and prevention in Europe: a literature review. Acta Ophthalmol. 2013;91(5):395-405. https://doi.org/10.1111/j.1755-3768.2012.02444.x
  7. Ye J, He J, Wang C, Wu H, Shi X, Zhang H et al. Smoking and risk of age-related cataract: a meta-analysis. Invest Ophthalmol Vis Sci. 2012;53(7):3885-3895. https://doi.org/10.1167/iovs.12-9820
  8. Klein BE, Klein R, Moss SE. Incident cataract surgery: the Beaver Dam eye study. Ophthalmology. 1997;104(4):573-580. https://doi.org/10.1016/S0161-6420(97)30267-X
  9. Brilliant LB, Grasset NC, Pokhrel RP, Kolstad A, Lepkowski JM, Brilliant GE et al. Associations among cataract prevalence, sunlight hours, and altitude in the Himalayas. Am J Epidemiol. 1983;118(2):250-264. https://doi.org/10.1093/oxfordjournals.aje.a113632
  10. Park JH. The relationship between prevalence of the cataract with smoking and socioeconomic factors in Korean adults. Korean J Vis Sci. 2011;13(3):197-203.
  11. Ramachandran A, Snehalatha C, Viswanathan V. Burden of type 2 diabetes and its complications - The Indian scenario. Curr Sci. (India). 2002;83(12):1471-1476.
  12. Leske MC, Chylack LT Jr, Wu SY. The lens opacities case-control study. risk factors for cataract. Arch Ophthalmol. 1991;109(2):244-251. https://doi.org/10.1001/archopht.1991.01080020090051
  13. Ren J, Shin DH, O'Grady JM, Kim YY, Juzych MS, Hughes BA et al. Long-term outcome of primary glaucoma triple procedure with adjunctive 5-fluorouracil. Graefes Arch Clin Exp Ophthalmol. 1998;236(7):501-506. https://doi.org/10.1007/s004170050112
  14. Janghorbani M, Amini M. Cataract in type 2 diabetes mellitus in Isfahan, Iran: incidence and risk factors. Ophthalmic Epidemiol. 2004;11(5):347-358. https://doi.org/10.1080/09286580490888753
  15. Shingleton BJ, Gamell LS, O'Donoghue MW, Baylus SL, King R. Long-term changes in intraocular pressure after clear corneal phacoemulsification: normal patients versus glaucoma suspect and glaucoma patients. J Cataract Refract Surg. 1999;25(7):885-890. https://doi.org/10.1016/S0886-3350(99)00107-8
  16. Hayashi K, Hayashi H, Nakao F, Hayashi F. Effect of cataract surgery on intraocular pressure control in glaucoma patients. J Cataract Refract Surg. 2001;27(11):1779-1786. https://doi.org/10.1016/S0886-3350(01)01036-7
  17. Chung HW, Shyn KH. An epidemiological study for relationship between risk factors and types of cataract. J Korean Ophthalmol Soc. 1995;36(2):227-233.

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