JOURNAL OF THE KOREAN GLAUCOMA SOCIETY 10

Journal of The Korean Glaucoma Society

JOURNAL OF THE KOREAN GLAUCOMA SOCIETY 10

1. 서론

घৈפֳણ൝ઘઅௗݑ޿೵ؘ৊৒੹૒઻ടӋפֳણઅഥ

࠾଑੹மघ൛ത੶ܾঅ१ܲӘ१ৡݴࡂ઺ടӋીࣛહઌ१ Ҁӆઅࠋش੹٩޾ടؘҫઊد)LJ1ऀઌӘشݼ१Ҁӆ ݴࠋش१ఇࣳ೤ࣥઅ१ܲ੹ࡂ૔ടܱ޷஢Ԟਁࢉݼ৊৒૒

઻੹ടਉӴ૒હઌछࣛ੹மघ൛ടӋ৊৒ઊ૒઻ټ൲ਁ

٩Ӹ઻ઊࣛ੹ӯીട޷ࣳહԔહઌৢ१ௗݑݴടؘҫઊച

੄ടد৊৒૒઻੹੥നࣳSULPDU\FRQJHQLWDOJODXFRPDਁࣳ

ؘઍୱહ੶़ܾीઊച੄ടӋৢߜ੸ࡂ૒હ़زઊ଒ކ

VHFRQGDU\JODXFRPDਁؘࣳৢߜઊ૲੄ௗݑࠩઊټد

ऀઌਁࣳ঴ઊؘפֳણௗݑৢڝઊघৈפֳણਁࣳ٩އ ઊ঴ઊӋઔ଒ކ൭Әਭ৊઺ऀڢਁࣳऀઌӘؘدݳઽڝ ઊઔدפֳણ൝ৈਁࣳއઊ঴ઊؘৢڝӘࡘઙੋۙघ

ৈפֳણઅ१ܲਙ൲ਁفനҁزඥࣔೞࡂӋઘഡد

2. 소아녹내장의 약물치료

घৈਁؘࣳEORFNHU WLPRORO EHWD[RORO FDUERQLF

DQK\GUDVHLQKLELWRUGRU]RODPLGH2DJRQLVWEULPRQLGLQHਭ

SURVWDJODQGLQDQDORJODWDQRSURVW4Ӷઅৢઊ঴ઊӋઔدघ

ৈפֳણઅமੌࣷࣷ౗ৢߜ੸WLPROROܾPRQRWKHUDS\ܾࡘ

૓ഢӄੌਁؘ‘WLPROROടݗഡࠤGRU]RODPLGHടݗڂࠤ’

અ૒ഥઊ൭Әѿઔد%ULPRQLGLQH੸घৈਁࣳ७Ҁഡഥ

࠾଑અѿ؟ऀઊઔৰࣳ2ंઊടਁؘࣳԙԞઊدघৈਁࣳ

ODWRQRSURVWؘऀઌࡂد৊৒ടҋઅ൭ӘѿৢടدӋ্ܱ૏੶

֢MXYHQLOHRSHQDQJOHJODXFRPD6WXUJH:HEHUV\QGURPHӘ

਌Ӛټפֳણಡඥ֢ઊѿއ੸ӄੌDSKDNLFJODXFRPDਁࣳ

੭અഡ৊৒ടҋ൭ӘѿઔدӋࡂӋٻৼد¹

ӵघહ੶ܾ࣏ੋടؘ৊ৢ٩઺३ਁඛ़ٻৰ઺३હઌࡘ ઙੋ੹ઍ੶ే़ઔد৊ৢઅੋܞ੸घৈਁސஷৰ૊ઔ

଒ৌৈࣳघৈؘ઺३હઌࡘઙੋઅ੥സऀઊً׬੸ٙ३

ࣥৈਭਕৈઅӄੌؘಡඥEORRGEUDLQEDUULHUѿ߸ऀऽടӋ

ৢ੹ف࣏ടؘ؟ܲઊۅৰ૊੍ًࣳ઺३હઌࡘઙੋਁ௃ৢ

ടد²३ࣥৈઅ৊Ӵੋહ੸ऀઌઅࠉી٩ܾކ2ंી٩޷

ৰݳӘࡻ॥ന଒ؘٙࡻന३ࣥৈઅേ৙ܞ੸ৰݳਁࡻനޓ

ੌહد৊Ӵੋહઊࣛفહ੶ܾ௵ࣳORFDOWKHUDSHXWLFOHYHO

ਁઊݱԞ੥നؘࣳৰݳੋܞӘࡻ॥ഡ৩અઽ৊৙੹࣏ੋ

നৡഢ़ઔؘٙઊৢߜઊ઺३હ੶ܾඛ़ٻ޷ޓੌહ

੸৩અേ৙ਁඟࣴٻܾ߳઺३હઌৢߜઅ׫٩ؘޓੌ׬

ৈଔد¹گ܅ࣳ৊ৢ੹࣏ੋഢڹ٩ৰݼӋஔૻઊѿ࠷੎

ৈઊઍ़ܿѿ؟ഡഡ൭Әѿઔؘமघ׫٩અҫ੹঴Ӌઽ

৊൲׿ઽ੹؃ܟ૲Ӌ؁੹҆Ҳടң֢৵Ӹਁߛ੸ਉ࡚અ

৊ৢ੹رৈֳؘڢ઺३હઌඛ़ݴ҆घ१ౄԞ੥ഡףܲઊ

Fig. 1.(QODUJHGFRUQHDGXHWRFRQJHQLWDOJODXFRPD

ಡଙ7KH'LIIHUHQW9LHZVIRU*ODXFRPD0DQDJHPHQW

घৈפֳણ൝ઘઅௗݑ

ࠕ०ඟ ʡᦩŝᄲᬱ

www.koreanglaucoma.org

11

9ROXPH_1XPEHU

ച੄ടد

EORFNHUݴघৈਁࣳষڹؘऀઌਁࣳࡂد઺३ඛ़ܾ

ઌഡ ഥ࠾଑ਁ فഡ ૲અѿ ੍ً ച੄ടد घৈਁࣳ05

WLPROROઽ৊৙੹࣏ੋയ੹ڹ઺३હઌേણৢߜ׫٩ѿ઺

३હઌ WKHUDSHXWLF OHYHO੹ ർূ ׉Ҳ ٽ ़ѿ ઔৰࣳ ३ࣥ

ৈਁࣳ025WLPRORO੹ടݗڂࠤઽ৊യ੹ڹ&KH\QH

6WRNHVEUHDWKLQJӘ30஢ਁઊݱؘߗ൑ඛࠋઙ੹ઍ੶఍دؘ

ࡂӋ٩ઔӋ஍२੹৐Ӌઔؘ18ґਖ਼घৈѿWLPROROઽ৊৙

੹࣏ੋടӋ஍२ઊ৉൛ٻӋEUDG\FDUGLDਭઅ२घ५ܾ઒

੘നৡ യدؘ ࡂӋ٩ ઔد³ گ܅ࣳ FDUGLDF DUUK\WKPLD֢

EURQFKRVSDVPઊઔؘ൝ৈਁؘ࣏ࣳੋനؘࣳ৊ٻӋીࣛહ ઌৈઊਁࣳ٩ѿ؟ഡ01֢025અ֯੸׫٩અઽ৊৙੹

࣏ੋടؘҫઊ૝੶޵DSQHDઅѿ؟ऀڹߚਁ३ࣥৈਁؘࣳ

Ԕඥ૒७ടਉ࣏ੋനৡഡد

&DUERQLFDQK\GUDVHLQKLELWRUઌGRU]RODPLGHਭEULQ]RODPLGH

ૻ घৈਁؘࣳ GRU]RODPLGHѿ ઘԔ଑ࣛઊ ِടਉ ࣷ൑ټ د घৈਁࣳ DFHWD]RODPLGHઅ ԃણੋܞ੸ ӄസહઌ ҫ੶

ܾ540PJNJGD\࣏ઊਁࣳد৩ടҲ࣏ੋټدFDUERQLF

DQK\GUDVH LQKLERWRUઅ ԙԞؘ K\SRNDOHPLD K\SRQDWUHPLD

K\SHUFKORUHPLFDFLGRVLVVXOIRQDPLGHK\SHUVHQVLWLYLW\ڢ੶ܾ

ಡඥӄӴৢ੹࣏ੋഢڹ૲અѿًച੄ടد३Ԟ؟ણ৘֢

७ഡҁԞ؟ણ৘ѿઔؘӄੌؘഗടؘҫઊ૝ӋӋੋܞৈ

फ़ഗݾ੹࣏ੋടӋઔؘ൝ઘਁؘࣳҎઊঌ੹ӄੌDQRUH[LD

WDFK\SQHDFRPDԪ଒ࡂӋټࠅѿઔ੶ܾ߳ޓੌ૲અݴ੄ഡ د³३ࣥৈਁࣳWRSLFDOGRU]RODPLGHݴশҫކ੶ܾPHWDEROLF

DFLGRVLVѿࠋࣥټҫઊࡂӋټࠅઔ੶ܾ߳३ࣥৈਁࣳઊ৊

ৢ੹ষڹؘৈԞѿઝޢӋ߄ߗҲѿઝ଑ѿടӋઔؘ଒૲

અԩҲࣔೞৡടӋઅ७ٽڹؘPHWDEROLFDFLGRVLVઅ଑ࣛઍ

़ઔ੶ܾ߳ଋ१ৢ੹֑Ӌച੄ഡҩ࣏ݴ१രനৡഡد^1

%ULPRQLGLQH੸UHODWLYH2VSHFLILFDJRQLVWܾ೥Ԟ؟ઊ֢७ ࠆ़ ҆घݴ ஢ܑട଒ؘ ৌؘد घৈਁࣳઅ ৊৒ടҋ൭Ә

ؘ઒଑ٻৼ੶֢௙੭ऀઊޓੌҋടਉ३ࣥৈਭਕৈઅ߸

ऀऽഡEORRGEUDLQEDUULHUݴॕҲ౿ӘടӋײਁ׬੸߼٩

ܾ૔થടؘ2UHFHSWRUݴ౿ടਉૻஷ३ӄӆ٪ऀ੹֢ౌ

़ֶઔدਕৈਁࣳEUDG\FDUGLDK\SRWHQVLRQK\SRWKHUPLD

K\SRWRQLDѿ ࡂӋټ ࠅ ઔӋ घৈਁࣳ EULPRQLGLQH৊ৢ੹

࣏ੋടӋ3060ֳ࡚ਁVRPQROHQFHUHVSLUDWRU\GHSUHVVLRQ

DSQHD७଒ৰFRPDԪ଒ࡂӋټࠅѿઔৰࣳৢ੹֑Ӌ൲੭

଑৺ઊ൦ࡃٻԞؘടਔ଒ކ²2ं߸ކघৈਁ࣏ࣳੋടؘ

ҫ੸ԃણٻ଒ৌؘد¹७ഡ૕ހെࣛઊ֢ߗԞܲ଑Ҏ੸ૻ

ஷ३ӄӆӚܳࡘઙੋ੸ஔૻઊѿ࠻ң֢<20NJ֢ઊѿৰ

ݾघৈ<6ंਁࣳއઊࠋࣥടਔدؘ਌Ӵѿઔد⁴

3URVWDJODQGLQDQDORJૻਁؘࣳODWDQRSURVW0005ѿघৈਁ

࣏ੋٻӋઔدघৈਁࣳઅ৊઺ऀӘ൭ӘؘࡂӋټҫઊއ

଒ৌ੸ٙ޾ڛӄੌਁ൭Әѿઔ଒ؘৌӋ੭અഡ৊৒ട ҋ൭Әѿઔؘӄੌؘ֢ઊѿއ੸ӄലઊӋMXYHQLOHRSHQ

DQJOHJODXFRPD6WXUJH:HEHUV\QGURPHӘ਌Ӛټפֳણಡ ඥ֢ઊѿއ੸ӄੌDSKDNLFJODXFRPDڢ੶ܾࡂӋٻৼد

घৈਁࣳODWDQRSURVWઅࡘઙੋࡂӋؘڙߜدҿޅாേ৊ҩ ਐഗࡘ࠹ࣞ؁ঋઊڂՂ੖଒ӋԢৰ଒ؘҫڙߜҲ़޷ણ

৘ࠋഡ൑ඛӍ܇Ә஍२৉൛ѿࡂӋٻৼ੶֢ൠࠉࡘ૚અ

ࡂӋؘ৺د¹

3. 소아녹내장의 시력예후

ৰ֢ؖઊਁ֢ࣳפֳણ੸५޻ਁઊݴ़ઔؘ࠾ઊ଒ކ

घৈਁؘࣳࠋشૻઌ१Ҁӆਁفഡछࣛ੶ܾ૚૚ऀઌࡂ دً֢ࣃҿӘݴ஢ܑടҲټدघৈפֳણ൝ઘਁࣳਕӴ હઌ१ܲघ५અѿણඕഡ੘ઌૻടؘ֢ৢ१ઊ޵פֳણ

੶ܾઌഡ१३ӄछࣛҀޅ࠾࠹७ഡӸ઻ઊ࣏ࣛ१ਁًട ਉؘۙઊୱહ੶ܾࠋࣥഢ़ઔد৊৒ઊ૒઻ټҫઊௗݑ અ֙ઊৈإ܅હԔહઌৢ१ௗݑѿച੄ടӋ೤ࣥஷહӚ

୵ઊച੄ടدࣷ஍פֳણ੶ܾઌഡEXSKWKDOPLFH\Hؘѿ࠷

੎਼ࣛਁ٩௃ৢടਉ़ࣳીஔ౏Ӵ৊ֳ஺േ৊Ӵಶ਍ޏ ޅࠆݼѿઍৰ़֧ઔӋৰؖ१ઽਁ֢ࣳ৊৒૒઻ਁߚૂ

ѿࣥԢ़ઔ੶޵ऀӖહઌ़ी൲़ךઊ଒֥൲ਁ٩ഥ

࠾଑ઊࣥԢ़ઔد⁵

घৈפֳણ൝ઘઅ ம૚१ܲ੸ ӠҀߗਁࣳ10Ԫ଒د৩ട Ҳ֢ౌ़֧ઔ଒ކ઺ࠉહ੶ܾघৈפֳણ൝ৈઅ१ܲਙ

൲ؘ૝଒߆ടਉࣳ615ઊࣛઅ१ܲ੹ࡂઊؘӄੌѿ40

50612ઊࣛઅ१ܲ੹ࡂઊؘӄੌؘ2040ી٩ܾࡂӋ ٻӋઔدघৈઅીࣛ৊৒ઊৰݳࡂد֯੶ܾ߳19PP+J

ઊടܾ৊৒੹૒઻ടؘҫ੹޿೵ܾ16ंઊ઺ਁפֳણ੹

ଔزࠊ੸126޻੹೤ԑ116ךஷહӚ୵ഡ਌Ӵਁࣳ٩66

612અ૝੸१ܲ੸29ਁࣳކѿ؟ടਔӋ૝੸१ܲ੹ش

ऀഡࡻੰ੸SULPDU\LQIDQWLOHJODXFRPDѿ46ܾѿણ׬Ӌ

VHFRQGDU\ JODXFRPD 40V\QGURPHDVVRFLDWHGJODXFRPD

22DSKDNLFJODXFRPD10અाઊৼد⁶घৈઅפֳણ੸

$[HQIHOG5LHJHUV\QGURPH3HWHUV’DQRPDO\DQLULGLD6WXUJH

:HEHUV\QGURPHSHUVLVWHQWSULPDU\K\SHUSODVWLFYLWUHRXV߸

ऽৈޏޅ࠾଑ڢدݳઊࣛઊઔؘ؁ਁࣳࠋࣥടؘӄੌѿ

އ੶ܾ߳פֳણਁઅഡ१३ӄछ਼ࣛਁ٩دݳٳࠉټઊ

Journal of The Korean Glaucoma Society

JOURNAL OF THE KOREAN GLAUCOMA SOCIETY 12

ࣛ੶ܾઌഡ१ܲ҆घѿઔ੹़ઔدפֳણઊઝ૒઻ٻӋ

دݳٳࠉټ؁અઊࣛઊ१ܲਁ߸ௗؘਕലઊહ੹़ܿৢ

१ਁઅഡ१ܲ҆घݴ੭અനৡഡد

4. 맺는 말

घৈઅ৊Әଖ൝੹فടؘ৊Әઅؘ࣏ऀઌӘشݼࠋشૻ

ઌघৈ१Ҁӆઅಡ़ऀ੹҆৊ടਉৢ१અਙࠒӘৢ१અௗ

ݑݴധࣛਐڂਁڂৰৡކഡدघৈઅפֳણ੸१३ӄઊ

֢ҀޅڢઅӴ૒હ࠹൛਼ਁԕ१֢֥१ڢӸ઻ઊࣛ੹஢

ܑടؘӄੌѿއӋઊܟഡӄੌӸ઻ࡘڢڢӸ઻ઊࣛਁઅ ഡԞ؟હઌৢ१ѿࠋࣥഢ़ઔدৢ१ؘௗݑѿѿ؟ഡଖ

൝੶ܾפֳણ੶ܾઌഡ৊Ӵ࠹൛ѿઔৰ٩Ԟ؟હৢ१ѿ

અ७ٻؘӄੌӸ઻ઊࣛઅӯીӘѿހௗݑ܅ؘઍࠉહઌৢ

१ௗݑѿ12޻ૻ10޻ਁࣳऀӖહઊৼدؘࡂӋ٩ઔد⁷घ

ৈפֳણ൝ৈਁࣳીԞહ੶ܾ৊৒൜ઌࢻৈإ܅Ӹ઻ҩ࣏

ਭ१ܲ೤ѿݴ१രടਉԞ؟હઌৢ१ݴ૒ԞࠋҽടӋહԔ હ੶ܾௗݑݴ१രടؘҫઊ൝ৈઅ१ܲਙ൲ݴ൑઺१ౄؘ

ٙԞਉഢ़ઔ੹ҫઊد

참고문헌

1. Coppens G, Stalmans I, Zeyen T, Casteels I. The safety and efficacy of glaucoma medication in the pedi- atric population. J Pediatr Ophthalmol Strabismus 2009;46:12-8.

2. Levy Y, Zadok D. Systemic side effects of ophthalmic drops. Clin Pediatr (Phila) 2004;43:99-101.

3. Wallace DK, Steinkuller PG. Ocular medications in chil- dren. Clin pediatr 1998;37:645-52.

4. Al-Shahwan S, Al-Torbak AA, Turkmani S, et al. Side- effect profile of brimonidine tartrate in children. Oph- thalmology 2005;112:2143.

5. Papadopoulos M, Khaw PT. Childhood glaucoma. In: Taylor D, Hoyt CS, eds. Pediatric Ophthalmology and Strabismus.

3rd ed. Edinburgh: Elsevier Ltd; 2005:458-71.

6. Kargi SH, Koc F, Biglan AW, Davis JS. Visual acuity in chil- dren with glaucoma. Ophthalmology 2006;113:229-38.

7. Kushner BJ. Successful treatment of functional amblyo- pia associated with juvenile glaucoma. Graefes Arch Clin Exp Ophthalmol 1988;226:150-3.