www.koreanglaucoma.org
11
9ROXPH_1XPEHU
([35(66LPSODQWؘ$OFRQ࣏અVWDLQOHVVVWHHOܾކڝৰଔ
ઙࠒ़੭ણௗઊدࣼ੭ૂीઅѿણిߚૂઌ़
ीԞસനҿടԞനࠒ़੭ણௗڝઊ100ך
ਁґࠋٻৼਁ٩ӴടӋઍࡘ൝ઘਁࣳӆङߚૂѿٻ ઘࠗࡴؘ৺ކઙఽԞઅӴީҌؘણௗڝઊґࠋٻ ৼ੶ԓૻട֢ѿ([35(66LPSODQWઊد
़ीӘીࣼ੭ૂीӘࡻ॥ട֢ӖޅґीӘ൙
ґीކڝৌৈ٩ٻৰҁزടࠒӘҿޅടӖҁ
ਁԐһ൛ټӴީ౿നࠒ़੭ѿ؟ടҲഡدਁ
ؘ੯ࡘਁࣳࠅܾҿޅࠄ੶ܾࣘടؘࠒ२੶़ܾीട ਔ੶֢ҿޅףઊߚૂѿٻৰെથؘࣼ੭ૂीਁࣳ
ܣࡘ࡚Ӗޅކڝৰԓৈܑܾࣘട़ؘीࠒࠩઊ
ஷټدӖޅઅӄੌ़ीઘਁگ܅د৩ടҲഢ़ઔ੶
֢([35(66LPSODQWIRRWSODWHࡘѿ12PP٘ઊ٩ܿ
ిӖޅކڙؘҫઊӋӖޅઅԞસࡘؘ34PP
ԢઊܾކڙؘҫઊدۙഡӖޅઅڂՌؘઍࠉહઌࣼ
੭ૂीࡂدৢҁڂՈҲކڙؘҫઊףઊؘٙ
٩ઊٽѿ؟ऀઊઔৰஷټدࣘഢڹؘࣷഡಛࡴ
ֳӄઅఽԞਁگ܅25֢27Ҳઊࠅؙ࣏ੋടਉࠒ
ઘݴഡ൲ਁࣘഡدࣘടԞ߸ݼࠒਁઽߜଖ
ടৌৈ٩ࠒઝ੭ѿټدણௗؘLQMHFWRUਁ
SUHORDGHGٻৰઔ੶90٩ી٩٭ݼࣳࣘഡد़ीઊ
ಡଙ 1HZ+RUL]RQRI*ODXFRPD6XUJHU\
([35(660LQLDWXUH*ODXFRPD'HYLFH0RGHOV
ࠆ്ਕ
a☉ฎ᮹ݡFig. 1. (;35(66અಡଛ
Journal of The Korean Glaucoma Society
JOURNAL OF THE KOREAN GLAUCOMA SOCIETY 12
ࢆݱӋࡻӯહҁزടਉࣼ੭ૂीਁઋऽഡ़ीઘਁҲ
ؘOHDUQLQJFXUYHѿତ़ઔد
െથૂӖٻؘ([35(66LPSODQWؘ3ѿٜઊઔد 3
505503200 ಛࡴֳӄઅఽԞಛࡴԢઊԓݼӋ৩
ਁୱઊѿઔد )LJ1 3ٜಛࡴԢઊѿ264PPઊӋ5
ٜ296PPઊدಛࡴઅ਼ࡘଓӄ04PPܾҎӋֳ
ࡘଓӄ350Ә550અӄੌਁؘ50 PઊӋ3200200
Pઊد,QQHUVSXUѿઔৰࠒࠇ੶ܾࢆؘҫࠒട
IRRWSODWHؘDQFKRULQJ१ఇؘਊഢടਉࠒֳܾࢆ
ң֢ઊٳടؘҫޅৈد3ٜઅӄੌIRRWSODWHࡘ
ਁ़ଓFKDQQHOઊઔৰࠒ़અ൲ࠒ੭٩ਭؘણௗ٩
ѿӋઔد
હࣼ੭ૂीӘࡻ॥ടކ([35(66LPSODQWؘ
ࠒҀਁࣘഢ़ઔؘӖҁઊৰؖી٩ചടԞڹߚਁ
नҀפֳણઅӄੌؘԙԞܾٻৰઔدۙഡࣷऀפֳણ
ߗ൙ઊ֢DQWHULRUVHJPHQWG\VJHQHVLVѿઔؘӄੌ٩ԙԞ ઊد
़ीऀહࣼ੭ૂीӘࡻӯഡӴѿއઊࠋٻৼ دӖޅৈܑ([35(66LPSODQWݴࣘഡҿӘڝ1ך
ऀહ70100ܾࡂӋടӋઔدࣼ੭ૂीӘࡻӯഡ
Ӵڝਁؘࣳ1ךڎFRPSOHWHVXFFHVV֢TXDOLILHGVXFFHVVѿ([
35(66LPSODQWਁًࣳدӋࡂӋടӋઔد3ךҿӘԪ
ࠋഡUDQGRPL]HGFOLQLFDOWULDOਁؘࣳ1ך൲ടҋ
([35(66LPSODQWѿً੶֢3ךڎڂ़ीࠒࠩਁ
ടҋી٩֢VXFFHVVUDWHਁࣳୱઊѿ৺ৼدӋࡂӋടਔد
گ܅ࣳԙԪઅ([35(66LPSODQWઅ़ीऀહࣼ੭
ૂीӘࡻӯടਉًң֢ࡻ॥ടدؘҫઊدפֳણ
ৢ࣏ੋґ़ਁؘࣳୱઊѿ৺دؘࡂӋڝઊفࡘ࡚ઊد
ഥ࠾ਁؘࣳفࡘ࡚([35(66LPSODQWਭࣼ੭ૂ
ी࣏ઊਁୱઊѿ৺ৼدӋࡂӋടӋઔدઍࡘӴڝਁࣳ
ؘԞસӘޔ܆ޅࠆݼѿ([35(66LPSODQWਁًࣳહ ৼدӋࡂӋഡҿӘ٩ઔد([35(66LPSODQWઅણௗӚܳ
ഥ࠾੶ؘܾPDOSRVLWLRQGLVORFDWLRQLULVLUULWDWLRQFDWDUDFW
WXEHREVWUXFWLRQڢઊࡂӋٻৼد
மԕ$$2ਁࣳৈଓԪؘࣼ੭ૂीӘࡻӯടਉ([
35(66LPSODQWઅऀહઊًدӋ٩ً֢ࣂدӋ٩ࡻ॥ട دӋ٩ഢކഡңѿ৺دӋࡂӋടਔدടކെથԪઅ
ӴҿӘڝ فஔܾ ࣼ੭ૂीӘ ࡻӯടਉ ऀӖݬ
ৢґ़ഥ࠾ਁࣳࣼ੭ૂीӘࡻ॥ടدؘ
ҿӘڝઊއҫ੶ܾࣥҀټد
참고문헌
1. Rouse JM, Sarkisian SR Jr. Mini-drainage devices: the Ex-PRESS Mini-Glaucoma Device. Dev Ophthalmol 2012;50:90-5.
2. Buys YM. Trabeculectomy with ExPRESS: weighing the benefi ts and cost. Curr Opin Ophthalmol 2013;24:111-8.
3. de Jong LA. The Ex-PRESS glaucoma shunt versus tra- beculectomy in open-angle glaucoma: a prospective randomized study. Adv Ther 2009;26:336-45.
4. de Jong L, Lafuma A, Aguade AS, Berdeaux G. Five-year extension of a clinical trial comparing the EX-PRESS glaucoma fi ltration device and trabeculectomy in prima- ry open-angle glaucoma. Clin Ophthalmol 2011;5:527- 33.
