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서 론

פֳણઅௗݑૻെથԪ଒੭ઍടҲ઒଑ټࠒࠩ੸৊৒અട ҋઊدפֳણ൝ઘڝ੸ௗݑૻਁઍࣛࣥ൞ਁࣳ૲અടਉৡഢ

ઽڝਁفടਉއ੸Ӛ७੹ѿ଒Ӌઔ੶޵ઌౡוڢ੹౿ഡࡘી

൜ഡીࡂઅ൙़ङਁࣔӋઔد৊Әઅؘ࣏ઑࣛઅܾࣳۙഡઅ ഠઘܾࣳפֳણ൝ઘਁҲਣࠅݳીࡂݴૂ१ടਉৡഢ୽ߗѿ

ઔ੶ܾ߳ઊԗਁؘࣳԕңૻ७અߚവӋ୵੹౿ടਉ੻२ࣥ൞

।Ӛ੎ٳ௃߸൞ٳઘंڢઅ/LIHVW\OHઊ৊৒Әפֳણਁ߸ௗ

ؘਕലਁفടਉીݼനࡂӋઘഡد

਺ध

ധ࣒൛ ઙੋઊ ઔؘ ੻२ߜઅ ࣽ௃ѿ פֳણઅ ࠋࣥ੹ ૵ઊ

ؘ଒ਁفനؘܾࣳࣳࣛࠉټ਌ӴҿӘѿઔدޣસࠋ೵ټ਌

Ӵؘ.DQJڢઊंઊࣛ੹فࣛ੶ܾ1XUVHV’+HDOWK6WXG\

Q  ਭ+HDOWK3URIHVVLRQDOV)ROORZXS6WXG\ Q 

અ)RRG)UHTXHQF\4XHVWLRQQDLUHҿӘݴ࡚ࣴഡҿӘઌٙ५ ޏफ़ܤҲ٩32$*અࠋࣥӘ&DURWHQRLGV9LW&9LW(9LW$ѿ

೩തټಡીӘઍ୼घ੻२Ӷઅࣽ௃ؘ੭અഡࣛӚӚӆѿ৺

ৼدઊ਌Ӵઅഡӆઽ੸فࣛӶઊઍࠉઌઊৈاҁ൑࣏ਭઅ ݑ઺ߚѿਔدؘઽઊৼدԓܟ֢ઊ൲ך&ROHPDQڢઊ

2VWHRSRURWLF)UDFWXUHV6WXG\ Q  فࣛઘڝਁࣳ१രഡ )RRG)UHTXHQF\4XHVWLRQQDLUHݴ࡚ࣴഡҿӘפֳણࠋࣥઅ

੥സ٩ؘఓ܅ڙԓݾ௿ઍؽԕࡃॄৈݴޢؘ࣏܉ڝઅӄੌ

੭અടҲ҆घടਔ੶޵ઊؘך*LDFRQLڢઊࡂӋഡ੭࣏਌

Ӵਁࣳથ൜ઌٻৼد

ധ࣒൛൭Әѿ্ܱଔࡾ࠭ݼஷ஺ߜઌ৊౸१ৈاૂૂݴৢ

ךҁࡃੋഡીࣛ৊৒פֳણӶ Q  Әࡃੋട଒ৌ੸ف૒Ӷ Q  અઅߗԞܿ੹൲ലહ੶ܾ࡚ࣴഡமԕࡂӋਁࣳ6KLPڢ੸

ࡃੋӶਁࣳ१ܲӘ१ৡઅ൑઺੹Ӛ୵ടਔد

௵ഗؘ৊৒੹ਣݼؘ൭Әѿઔ੶޵פֳણѿ૓ܲઊઔؘ࣏

܉ਁࣳפֳણઅࠋࣥ੥സ٩ݴ׬ઊؘҫ੶ܾࡂӋٻৼ੶֢د ݳഡ೟੶ܾ௵ഗؘധ࣒൛൭Әݴѿ଒Ӌઔৰפֳણ൝ઘਁࣳ

௵ഗઅࣽ௃ݴࠉڙ१ૂഡഢച੄ؘ৺੹ҫ੶ܾಹزټد

਺઱

্ఐਣࣽ௃ؘ৊৒੹ઍ१હ੶ܾ֯ஷؘ൭Әѿઔ଒ކޓઍ

੻૲ݴടؘ࣏܉੸৊৒ઊਠඥܱ׬دؘد़અ਌ӴҿӘڝઊ

ࡂӋٻৼد

൚ো

%OXH0RXQWDLQV(\H6WXG\ਁઅട޷ඛ਌ઘѿࡻඛ਌ઘਁࡻ

ന़ௗؘ߸߸ട଒ކ౿ӆહ੶ܾ৊৒ઊ׬੸ҫ੶ܾࡂӋٻৼ دۙഡඛ਌੸މ஢േ৙ा൝੹સനഢѿ؟ऀઊઔৰפֳણ൝ ઘਁؘࣳԙ਌੹ԃഢച੄ѿઔد

਍ز

%DVNDUDQ ڢ੸ ੄ѿ੎ٳઅ ഡ ઘंઌ ߜӴ֢ߗࣳԞ ઘं

6LUVDVDQDઘं ݴ௃ഢӄੌ৊৒ઊPP+Jࣛ०ത੹ࡂӋ ടਔ੶޵࡚ҁҎ੸ઘंݴ௃ഡౖࣛਁࣳ٩ࣛ०ഡ৊৒ઊ੭

଒ٻৼدઊ਌Ӵਁࣳোৈࣳધ৊৒ઊPP+Jਔ੶ܾ߳ৢ

ڂࠔી٩৊৒ઊࣛ०ഡआઊدޓઍઊ੄ѿઘंݴ௃ടؘഡ

൝ઘਁࣳ१ৡણ৘અଔരઊࡂӋټਙѿઔد9DOVDOYD٩

PP+Jކు৊৒ઊࣛ०ട޵%HQFK3UHVV٩ु੹୶Ӌഢڹ

ؘPP+Jી٩ु੹ॐ޷ࣳഢڹؘPP+Jી٩৊৒੹ਣݼ

ؘҫ੶ܾࡂӋٻৼد

ҦԞشݼԞઘ઺ң੎ٳ੸৊৒੹ઍ१હ੶ܾ֯ஷؘ൭Әѿ

ઔ੶޵৊৒ടҋી٩ؘ੎ٳઅҋ٩ਭமف७ࠆ़ਭࡻܺടؘҫ

੶ܾࡂӋٻӋઔد3K\VLFDOILWQHVVؘԞસ৊৒੹҆घ१ౄؘ

൭ӘѿઔدӋد़અ਌ӴઘਁઅനࡂӋٻৼد

़ਕ१୲ੋട़ؘӄङਁமفPP+JԪ଒અ੻৒ઊࠋ

ࣥഢ़ઔدӋࡂӋٻৼ੶޵़ӄֳ੻৒੸़ਕടؘٳ৊Ҏ੸

ಡଙפֳણઅ࠾ઌଔزௗݑ

/LIHVW\OHDQG*ODXFRPD

ࠆԞ൑

ᕽᬙݡ⦺Ʊ᮹ŝݡ⦺ᦩŝ⦺Ʊᝅ

(2)

Journal of The Korean Glaucoma Society

JOURNAL OF THE KOREAN GLAUCOMA SOCIETY 22

ކుઅ৊৒੹ࣛ०१ే़ઔ੻੹અ߸ഡد़ӄઅৗୄܫଊݴ

ૂңഡ੻৒ઊ৺ؘౖࣛਁࣳ٩PP+Jઅ৊৒ࣛ०ઊࡂӋ ٻৼدԓܟ़ܾ߳ਕ੹ૂഡടԞࡂد़ؘӄઊե૒ઊ଒ৌӋ

ߜઊڝৰѿ଒ৌؘഡ٩ֳਁࣳமفഡؖॠടҲ୲ੋഢҫ੹

ԃഡد

ઊࣛ੹ીݼനࡂ޷ҦԞشݼԞઘ઺ңౌԞѿ࠷੎ԕܲ੎ٳ

੸৊৒ਁઊܾ੎൭Әݴ૵़ઔ੶޵Ә٩ഡ%HQFKSUHVVߜ Ӵ֢ߗઘं9DOVDYD़ਕ१Ә٩ടҲ৊Ӵ૲੥ݴ৒ࠆട़ؘ

ӄ୲ੋڢ੸ഗടؘҫઊ৊৒ਁ٩੒ઊٽҫ੶ܾಹزټد

ҙঈӝো઱

மԕਁࣞघ೫ڢઅӚ৉Ԟݴ௃߸ܾ਌૲ടؘૻણך௖ઊؙ

Ӌઔ੶޵઺Ӗؘۙଓ৹੶ܾӚ৉Ԟݴ਌૲ടؘઌ੘़٩Әң ࡂد଑ѿടӋઔد6FKXPDQڢઅ਌Ӵਁઅട޷Ӛ৉Ԟݴ਌૲

ടؘٳ৊৊৒੸ࠔ଑ѿട޵ઊؘ਌૲٩ૻ೩٩ޅڂՌઅ

଑ѿਭ਌Ӛઊઔ੻੹ࡂӋടਔدۙഡ਌૲ӄܲઊԢ़ܿ१ৡ छࣛઅࠋࣥ੥സ٩ѿ׬৔د

੗ࣁ

࣏܉੸ഡ೤ࣥઅৢી٩ݴ׿੖ࣳ଒ֵدԓܟܾ߳൝ઘڝ ઊ࠾੘ਁࣳোৈࣳௐીടؘ৊৒੸५ૂ൝ઘ৊৒અԔඥઍࡘ

࡚ઊ޵ઍࣛ৊৒ૻਁࣳ֯੸৊৒੹ௐીഡҫઍ൜ݬઊ׬د

׿ੜ੹ڹ৊৒અࣛ०੸ીࣛઌࡂدפֳણ൝ઘਁࣳԓ೪ઊً

ిҫ੶্ܾܱ૊ઔ੶޵.LXFKLڢ੸ીࣛ৊৒פֳણਁࣳ׿ੜ

੹ڹ৊৒ࣛ०೪ઊહৼَ؁ਁࡻന৊৒ࣛ०೪ઊً௽َࠉ ف೟؁અ१ৡछࣛઊً७ടدؘࡂӋݴടਔӋۙدݳ਌Ӵ

ਁࣳ%X\Vڢ੸ࣛஔݴ٩׬ઌౖܾࣛઘؘӶӘۚࠅܾ׿੎

ઘंਁ़ࣳ޷ട٩ܿഡӶ੶ܾ֢׿ৰࡻӯടਔ੹ڹ൲ઘਁࣳ

़޷१৊৒ઊ੭અടҲ׬৔੻ઊࡂӋٻৼد

மԕીࣛઌ੹فࣛ੶ܾഡ਌Ӵਁࣳਗ੶ܾ٭ৈ׿ੜ੹ڹ࠭ґ

ୄਁനؽടؘৈܑୄ؁અ৊৒ઊ׿ੜ੹ڹ৊৒ࡂدًࣛ०ٻ Ӌઊ৊৒੸ࠉف೟ ੥ୄ ؁અ৊৒ࡂد੭અടҲ׬دؘҫઊ্

ܱ૏دଋਗ੶ܾ؅ؘઘंਁگ܅ࣳ৊৒ਁઅഡ१३ӄઅछࣛ

ઊ৩৊ਁدݱҲઍৰ़֧ઔؘѿ؟ऀઊૂ१ټ਌ӴҿӘਔد

સઘؘࡻف௠१ৡણ৘ݴҌؘીࣛ৊৒פֳણ൝ઘ Q  ݴ

فࣛ੶ܾഡ਌Ӵਁࣳো੸ઘं৊৒ۚࠅܾ׿੎ઘं৊৒ਗ

੶ܾ׿੎ઘं৊৒੹ௐીഡҿӘো੸ઘं৊৒੸৩৊ਁୱ ઊѿ৺ৼ੶֢१ৡણ৘ѿ७ഡୄ؁ઊৈܑܾലടҲ׿ੜ੹ӄ

ੌઅ৊৒ࣛ०ઊࠉف೟੶ܾ׿ੜ੹ڹࡂد੭અടҲ׬੻੹্

़ઔৼدۙഡٳઍഡ൝ઘڝ੹فࣛ੶ܾ१രഡࣹߚਁઅട

޷ৢી٩ѿਗ੶ܾ׿੖ઘؘ।Ӛ੹ѿ଒ӋઔৼӋઊڝૻ

ਁࣳ१ৡણ৘ѿ७ഡୄ؁੹ৈܑܾലട٩ܿਗ੶ܾ׿੖ࣳ

ચدӋടਔد 2SKWKDOPRORJ\LQSUHVV 6DZDGDڢ੸ࣼ੭૲

઻ૂीઊਗ੶ܾ٭ৈ׿ੜ੹ڹ৊৒અࣛ०೪੹੭અടҲ҆घ १఍੻੹ࡂӋടਔد५ೂഡਉӘ೩અӄੌ৊৒ࣛ०೪੸़ी

઺ܩ࠱Әٳઍഡી٩ܾٻ٭ৈҊد

ۚࠅܾ׿੎ઘंਁࡻന਀ڙܸ੹ڹઅ৊৒੸PP+Jી٩

ࣛ०ടؘҫ੶ܾࡂӋٻৼد

़޷१ઘंؘࡅઌઅઅ଒ܾ૒઻ഢ़৺ؘࡘ࡚ઊఽدԓܟ

֢ਗ੶ܾ׿੖ࣳ79֢୽੹ࡅدң֢ટ੹ஓഢڹઅઘं٩ף

ܲനࡆ़ઔؘਉ଒ѿઔدۙഡפֳણ൝ઘؘ਀ڙݾઘंਁ

ࣳބ࣏଒ݴࠊؘҫ੸ഗനৡഢҫ੶ܾࣥҀټد



맺음말

੻२ࣥ൞।Ӛ੎ٳ௃߸൞ٳઘंڢӘ৊৒൒੸פֳણઅ

Ӛӆਁفഡץߚڝ੹੥૲ܾીݼനࡅҿӘ৊৒Ӛܳ਌Ӵڝ੸

އ৔੶֢פֳણઅଔര൒੸ૻ଑٩ਭӚܳټ਌Ӵؘڙߜৼد

ല൲ઝࣹӆټઑࣛ१സ 5&7 ਌Ӵ൒੸+HDOWK6XUYH\਌Ӵҿ Әڝઊًࡂாٻৰৡട޵৊Әઅؘ࣏െથԪ଒અԕңૻ७ҿ Әڝ੹ઝऽ଒ടਉ൝ઘڝਁҲਣࠅݳࠒല੹ૂ१ടਉৡഢҫ ઊد

요 약

⧎ᔑ⪵⬉ŝaᯩ۵ᮭ᜾⪚ᮡ⧎ᔑ⪵ᱽᱽ۵ךԕᰆ⪹ᯱ

ᨱíࠥᬡᯕࢁᙹᯩ݅

ŝࠥ⦽ᮭᵝ᪡⯂ᩑᮡךԕᰆ⪹ᯱᨱí⧕೎݅

ךԕᰆ⪹ᯱᨱᕽšᦦʑᩑᵝ۵ᄲᮥḥ⧪᜽┍ᙹᯩ݅

ךԕᰆ⪹ᯱ۵ᦩᦶᮥᔢ᜚᜽┍ᙹᯩ۵ᯱᖙӹᬕ࠺ᮥ⦝

⦹۵äᯕᳬ݅

References

1. Kang JH, Pasquale LR, Willett W, Rosner B, Egan KM, Faberowski N, Hankinson SE. Antioxidant intake and primary open-angle glaucoma: a prospective study. Am J Epidemiol 2003;158:337-46.

2. Coleman AL, Stone KL, Kodjebacheva G, et al; Study of Osteoporotic Fractures Research Group. Glaucoma risk and the consumption of fruits and vegetables among older women in the study of osteoporotic fractures. Am J Ophthalmol 2008;145:1081-9.

3. Giaconi JA, Yu F, Stone KL, et al; Study of Osteoporotic Fractures Research Group. The association of consump- tion of fruits/vegetables with decreased risk of glaucoma among older african-american women in the study of os-

(3)

www.koreanglaucoma.org

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teoporotic fractures. Am J Ophthalmol 2012;154:635-44.

4. Li M, Wang M, Guo W, Wang J, Sun X. The effect of caffeine on intraocular pressure: a systematic review and meta-analysis. Graefes Arch Clin Exp Ophthalmol 2011;249:435-42.

5. Kang JH, Willett WC, Rosner BA, Hankinson SE, Pasquale LR. Caffeine consumption and the risk of primary open- angle glaucoma: a prospective cohort study. Invest Oph- thalmol Vis Sci 2008;49:1924-31.

6. Shim SH, Kim JM, Choi CY, Kim CY, Park KH. Gingko biloba extract and bilberry antocyanins improve visual function in patients with normal tension glaucoma. J Med Food 2012;15:1-6.

7. Yoshida M, Ishikawa M, Kokaze A, et al. Association of life-style with intraocular pressure in middle-aged and older Japanese residents. Jpn J Ophthalmol 2003;47:191-8.

8. Lee AJ, Rochtchina E, Wang JJ, Healey PR, Mitchell P. Does smoking affect intraocular pressure? Findings from the Blue Mountains Eye Study. J Glaucoma 2003;12:209-12.

9. Baskaran M, Raman K, Ramani KK, et al. Intraocular pressure changes and ocular biometry during Sirsasana (headstand posture) in yoga practitioners. Ophthalmology 2006;113:1327-32.

10. Gallardo MJ, Aggarwal N, Cavanagh HD, Whitson JT.

Progression of glaucoma associated with the Sirsasana (headstand) yoga posture. Adv Ther 2006;23:921-5.

11. Brody S, Erb C, Veit R, Rau H. Intraocular pressure chang- es: the influence of psychological stress and the Valsalva maneuver. Biol Psychol 1999;51:43-57.

12. Vieira GM, Oliveira HB, de Andrade DT, Bottaro M, Ritch R.

Intraocular pressure variation during weight lifting. Arch Ophthalmol 2006;124:1251-4.

13. Kiuchi Y, Mishima HK, Hotehama Y, et al. Exercise intensity determines the magnitude of IOP decrease after running.

Jpn J Ophthalmol 1994;38:191-5.

14. Qureshi IA. The effects of mild, moderate, and severe ex- ercise on intraocular pressure in glaucoma patients. Jpn J

Physiol 1995;45:561-9.

15. Wakely LA, Reeves G, Ashraff N, Wells AP. Swimming goggles suck. Br J Ophthalmol 2004;88:1600-1.

16. Ma KT, Chung WS, Seo KY, et al. The effect of swimming goggles on intraocular pressure and blood flow within the optic nerve head. Yonsei Med J 2007;48:807-9.

17. Aydin P, Oram O, Akman A, et al. Effect of wind instru- ment playing on intraocular pressure. J Glaucoma 2000;9:322-4.

18. Schuman JS, Massicotte EC, Connolly S. Increased intra- ocular pressure and visual field defects in high resistance wind instrument players. Ophthalmology 2000;107:127- 33.

19. Farag E, Sessler DI, Kovaci B, et al. Effects of crystalloid versus colloid and the -2 agonist brimonidine versus pla- cebo on intraocular pressure during prone spine surgery: a factorial randomized trial. Anesthesiology 2012;116:807- 15.

20. Kiuchi T, Motoyama Y, Oshika T. Postural response of intraocular pressure and visual field damage in patients with untreated normal-tension glaucoma. J Glaucoma 2010;19:191–3.

21. Buys YM, Alasbali T, Jin YP, et al. Effect of sleeping in a head-up position on intraocular pressure in patients with glaucoma. Ophthalmology 2010;117:1348–51.

22. Lee JY, Yoo C, Jung JH, Hwang YH, Kim YY. The effect of lateral decubitus position on intraocular pressure in healthy young subjects. Acta Ophthalmol 2012;90:e68- 72.

23. Kim KN, Jeoung JW, Park KH, Lee DS, Kim DM. Effect of lateral decubitus position on IOP in glaucoma patients with asymmetric visual field loss. Ophthalmology (in press).

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