JOURNAL OF THE KOREAN GLAUCOMA SOCIETY 6

Journal of The Korean Glaucoma Society

JOURNAL OF THE KOREAN GLAUCOMA SOCIETY 6

서 론

פֳણ੸१ৡछࣛ੹ઍ੶ౄؘଔരऀ१३ӄ࠾଑੶ܾࣳ

૒Ԟࠋҽࠃહ઻ഡௗݑѿച़હઌଖ൝ઊدפֳણઅࠋ

࠾ӘଔരਁӚਉടؘਉܟ੥സઌઘૻਁࣳ৊৒ކઊ੭ઍ ഡௗݑ೵હ੶ܾ઒଑ٻৰઔد৊৒੸ઍૻ࠹ٳઊઔ੶޵

࠹ٳ೪ઊీ़ܿפֳણଔര੥സઊఽدؘҫઊ্ܱ૊ઔ د^12گ܅ࣳ଒ङહ५१ҁ৊৒ௐી੸פֳણઅଔزࠃଔ രਉࡘ೤ѿਁઔৰࣳച़હઊ֢െથઑࣛહ੶ܾ׆ݼ࣏

ੋٻؘ৊৒ӆڝ੸५१ҁ৊৒ௐીઊ࡜ѿ؟ടدؘഡӆઽ ઊઔدࡅԞӋਁؘࣳ24१ҁ৊৒ௐીઅ੭ੋऀࠃ଒ङ હ५१ҁ৊৒ௐીӘӚܳഡமԕઅ਌ӴҿӘڝਁفനץ અനࡂӋઘഡد

본 론


֣ղ੢੄
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஖ܐী
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פֳણઅࠋ࠾ӘଔരਁӚਉടؘਉܟ੥സઌઘૻਁࣳെ

થԪ଒্ܱଔࠅؘܾ৊৒ކઊ੭ઍഡௗݑ೵હ੶ܾ઒଑

ٻৰ ઔد ੘ࠋґࠒҀפֳણ ൝ઘਁࣳ ৊৒ ടҋઅ ી٩ ਭ १ৡҿछઅ ଔരઊ ৩ࠉ੾ Ӛӆਁ ઔ੻ઊ ઒଑ٻৼӋ $GYDQFHG *ODXFRPD ,QWHUYHQWLRQ 6WXG\³ીࣛ৊৒פֳણ

൝ઘਁࣳࡻܿ஢Ԟ৊৒ઊીࣛࠨ੥ਁ ڝً܅٩30અ৊

৒ടҋઊ פֳણઅଔര੹ৱૂഢ ़ઔ੻ઊ ࡂӋٻৰઔد &ROODERUDWLYH17*VWXG\⁴ଋפֳણઅଔزৢߜਁઅഡࠉ

੾ࠃ़ीહௗݑਁفഡ൭Әݴ࡚ࣴടؘٙਁઔৰࣳ৊৒

ௐી੸ޓੌૻ੄ടد


ӝઓ੄
উ঑
ஏ੿
ߑߨҗ
ೠ҅

৊৒੹ௐીടԞ੥നد৩ഡࠒࠩઊ१٩ٻৼؘٙെથઑ

ࣛਁࣳѿણઍࠉહ੶ܾ࣏ੋٻؘҫ੸ӏڙކ৒೤৊৒ӆઊ د1950ךفਁґࠋټӏڙކ৒೤৊৒ӆؘҀޅઅٳઍ޷

હ੹೤೤ടҲކڝԞ੥നച੄ഡඩ੹ௐીത੶ܾঅ৊৒੹

ௐીടؘࠒࠩ੶ܾ৊৒ӆઅ೵૴੶ܾ࣏ੋٻৰ਴دട଒

ކӏڙކ৒೤৊৒ӆؘ޼ѿ଒ഡӆઽ੹ѿଔد஑ପ৊Ӵ અӄऀઊௐીҿӘਁਕല੹߸ௗ֢ઊݴଓાહ੶ܾௐી

ഢ़ઔؘࠒࠩઊ৺دڅପૻ७ҀޅڂՌਭҀޅઘஔઅ౎

ऀਁਕല੹ࠊ੶ܾ߳Ҁޅઊࣛઊઔؘӄੌ֢Ӹ઻ӯીҀޅ

़ी੹ࠊ੸൝ઘਁؘࣳી൜ഡ৊৒ௐીઊ࡜ѿ؟ടدई ପ৊৒ௐી੹੥ന൝ઘѿޓࠤ࠾੘੹ࠒߚടਉৡട޵ௐ

ી१ބدઽ৊ބ௃ૂݴಉৢനৡഡدଋ৊৒અ଒ङહ५ १ҁௐીઊ࡜ѿ؟ടد


दр
উ঑
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೙ਃࢿ

৊৒અીࣛࠨ੥ؘ1021PP+Jઊ޵৊৒੸ીࣛઌਁࣳട ݗૻਁ٩45PP+Jી٩અ࠹ٳ੹ടӋઔد⁵פֳણ൝ઘ

ؘ৊৒࠹ٳઅ೪ઊًఽӋ৊৒࠹ٳઅ೪ઊఽ޷פֳણ

ଔരઅ੥സ٩੍ًؘ଑ѿടؘҫ੶্ܾܱ૊ઔد^26െથ

פֳણ ௗݑؘ ৊৒અ ૒઻ਁ ઺હ੶ܾ અ૔ടӋ ઔ੻ਁ٩

࡜ӴടӋפֳણ൝ઘؘࡂ౿़ґਖ਼ਁഡࠤ࠾੘ਁֳ੘ടਉ

৊৒੹ௐીടؘҫઊ౿ࣛહઊدԓܟ֢൝ઘઅ৊৒࠹ٳ੹

Ӌܱഢڹઍࠉહ੶ܾ࠾੘ࠒߚ१ഡࠤௐીടؘ৊৒੸

൝ઘઅ৊৒ౖࣛݴف೵ഢ़৺دگ܅ࣳפֳણ൝ઘઅહ

઻ഡௗݑࠃӚݼݴ੥നؘࣳ൝ઘઅ24१ҁ৊৒੹଒ङહ

੶ܾௐીഢ़ઔؘࠒࠩઅґࠋઊച੄ടد

૚ࣹ

१ҁ৊৒ௐી

ીଔ੍

ᕽᬙ᮹ݡ

www.koreanglaucoma.org

7

9ROXPH_1XPEHU


௑ఖ౟۪ૉഋ
উ঑
ࣃࢲ

৊৒અ࠹൛ܾઌനҀޅਁઙੋടؘඩઊҀޅӌݬઅ࠹

ઊݴ੭ࠋടӋઊܟഡҀޅӌݬ࠹൛ؘܫଊਁࡘ୲ټҲઊ

଒ڝਁઅന઺৒੶ܾ࠹൝ٻৰௐીٻؘ੘ݼݴઊੋഡԞी

ઊدઊԞी੸െથࣛੋ൛ѿଔരٻৰെથఒ౗ಠܫଊൌ

৊৒ऄࣳݴઊੋഡ24१ҁ৊৒ௐીਁفഡ਌ӴҿӘѿࡂ ӋٻӋઔد)LJ1^78

ԓܟ֢ઊԞी੸ఒ౗ಠܫଊ਼ࡘઅऄࣳݴധ१୲ੋനৡ

ഡدؘ࡜೟തઊઔӋఒ౗ಠܫଊ୲ੋ੶ܾઌഡࡘઙੋӘפ

ֳણ൝ઘѿ৊ৢ੹ઽ৊ഢ१ਁఒ౗ಠܫଊऄࣳݴૂңനৡ

ടؘ࡜೟തઊઔدۙഡزԞҁઅ৊৒ௐીਁؘߚૂѿ৺

੶֢ણԞહ੶ܾ৊৒੹ௐીനৡടؘӄੌਁؘઊࠒࠩ੹

࣏ੋഢ़৺دؘزઽઊઔد


੉धഋ
উ঑
ࣃࢲ

઺౿હઌ৊৒ӆݴف३ടਉ਌ङહઌ५१ҁ৊৒ௐી੹

੥ഡઊ२ൌऄࣳઅґࠋ੸1967ך&ROOLQVਁઅനࣳ஋੻१ ٩ٻৼد)LJ2ؽ१ґࠋഡ़ٳൌ৊৒ऄؘࣳ੭ݼܾټ

५ݾًൌ࠸Ә೬ݼਁफ़ౡܾټ੘ൌޅ੶ܾӴऀټੋԞֳ

ਁ҂ටѿफ़ࠒ੏੹࣏ੋടਔد৊৒ਁگ܅࠹ടؘڂґ અޅ࣏ઊઅҁһઊࣛ൑੭٩PXWXDOLQGXFWDQFH҈੹ࠅճ

ؘ੘ݼݴઊੋടਔ੶޵ߗ઺੘ࠒ२੶ܾٳߜ؁ਁઊ२५ സ੹౿നௐી৒ܲനࣛ٩ѿ01PP+Jਁشടؘҫ੶ܾ

ࡂӋٻৰઔد¹⁰

ઊ२ൌ৊৒ऄࣳਁفഡއ੸਌Ӵઅفࡘ࡚੸৊৒ਁگ

܅़ٳહ੶ܾ࠹ടؘ/&൦ܾઅӖଔ૲ಶ़ݴௐીടؘ઺

ઘ൦ܾࠒ२੹࣏ੋഡدઊૻਁࣳಡඥ6WDQJHOڢਁઅന

ૂ१ټބઊఽܾ௞ૂઙӖી੹Ԟࠉ੶ܾടؘ26PP ×26

PPఽԞઅزઍ&026௞੥ਁઊ२ൌ৊৒ऄࣳݴӴஸഡ

ࠒࠩઊف೵હઊ܅ഢ़ઔد¹¹ઊࠒ२੸઺ܲӘٙઊౡઅ

઺شࠒ२੶ܾ܅ڤਠ૲ಶ़ड३੹࣏ੋടਉߗࣷ੶ܾ৊

Ӵઅ৒ܲӘਢ٩ݴௐીടਔ੶޵ۙഡௐીټٙઊౡઅસ ણઊѿ؟ട٩ܿടӋ௞৊ਁણ୲ټڤ଒౤௷ಠ݁ܟݴ࣏

ੋടਉऄࣳѿௐીടؘ३൑ݴ૒઻ഢ़ઔҲടਔ੶֢ઊ ܡ२અ௞ઊ२ࠒࠩ੸Ԟࡅહ੶ܾ৊Ӵֳਁଓાࣘ઒ٻৰ ৡടܾ߳घൌ൛ѿച़હઊد


दр
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24१ҁ৊৒ௐીઊઊݗৰଔد޷৊৒࠹ٳೂౣ੹࡚ࣴത

੶ܾঅפֳણࠋࣥઅ੥സ٩ݴ੍ًી൜ඥ࣒஺ടਉפֳ

ણ૒Ԟଔزਁ٩੒੹૵़ઔدۙഡפֳણௗݑਁگݳ

৊৒ೂౣઅ࠹൛ݴࡂدી൜ඥ೤ѿത੶ܾঅґґઌਁސؘ

ސ஻ௗݑѿѿ؟ഢ़ઔ੹ҫ੶ܾԞفټدԓݼӋפֳણ

ௗݑਁگݳ৊৒࠹൛ݴًઘंඥઊനഢ़ઔҲٻৰ൝ઘ અௗݑा੾٩ݴ׬ઍ़ઔ੶޵৊৒ਁਕല੹߸௛़ઔ

ؘരٳઊ֢ઘं࠹൛ਁفഡઊനѿѿ؟ടҲٻৰפֳણ

൝ઘڝઅരٳ࠹൛ਁ٩ਕല੹૵़ઔ੹ҫ੶ܾԞفټد

ԓݼӋґґઌਁސؘહ઻ഡ৊৒૒઻੹౿നӿԔહ੶ؘܾ

פֳણଔരࡽ٩ݴ૵ઊӋ൝ઘઅࣖઅଖലࣛਁ٩އ੸

٩੒ઊٽ़ઔ੹ҫ੶ܾਙࣛټد

결 론

פֳણ੸१ৡछࣛ੹ઍ੶ౄ޵૚ӵਁؘ५޻ਁઊݱؘଔര

ऀ१३ӄ࠾଑੶ܾࣳ૒Ԟࠋҽࠃહ઻ഡௗݑѿച़હઌଖ൝ ઊدமԕӘഠԞीઅࠋ઺ਁඩ઒ৰد৩ഡࠒࠩ੹ઊੋഡ24 १ҁ৊৒ௐીઊѿ؟ന଒Ӌઔد଒ङહઌ৊৒ௐીઊѿ؟

ഡ५१ҁ৊৒޾إౡރ१फ़౯અґࠋ੸פֳણଔزࠃௗݑ

ਁܾࣝ੎ೂܟدઑઅ࠹൛ݴѿ૊ਣҫ੶ܾԞفټد

Fig. 1.7KH6(16,0('7ULJJHUILVKFRQWDFWOHQVVHQVRU

Fig. 2.&ROOLQVѿґࠋഡ%XEEOH7RQRPHWHUઅ޾।

Journal of The Korean Glaucoma Society

JOURNAL OF THE KOREAN GLAUCOMA SOCIETY 8

참고문헌

1. Asrani S, Zeimer R, Wilensky J, et al. Large diurnal fl uc- tuations in intraocular pressure are an independent risk factor in patients with glaucoma. J Glaucoma 2000;9:134-42.

2. Liu JH, Zhang X, Kripke DF, Weinreb RN. Twenty-four- hour intraocular pressure pattern associated with early glaucomatous changes. Invest Ophthalmol Vis Sci 2003;44:1586-90.

3. The Advanced Glaucoma Intervention Study (AGIS): 7.

The relationship between control of intraocular pressure and visual fi eld deterioration. The AGIS Investigators. Am J Ophthalmol 2000;130:429-40.

4. Comparison of glaucomatous progression between un- treated patients with normal-tension glaucoma and pa- tients with therapeutically reduced intraocular pressures.

Collaborative Normal-Tension Glaucoma Study Group.

Am J Ophthalmol 1998;126:487-97.

5. Liu JH, Kripke DF, Twa MD, et al. Twenty-four-hour pat- tern of intraocular pressure in the aging population.

Invest Ophthalmol Vis Sci 1999;40:2912-7.

6. Nouri-Mahdavi K, Hoffman D, Coleman AL, et al. Predic- tive factors for glaucomatous visual fi eld progression in

the Advanced Glaucoma Intervention Study. Ophthalmol- ogy 2004;111:1627-35.

7. Mansouri K, Liu JH, Weinreb RN, et al. Analysis of contin- uous 24-hour intraocular pressure patterns in glaucoma.

Invest Ophthalmol Vis Sci 2012;53:8050-6.

8. Mansouri K, Medeiros FA, Tafreshi A, Weinreb RN. Con- tinuous 24-hour monitoring of intraocular pressure pat- terns with a contact lens sensor: safety, tolerability, and reproducibility in patients with glaucoma. Arch Ophthal- mol 2012;130:1534-9.

9. Mansouri K, Weinreb R. Continuous 24-hour intraocular pressure monitoring for glaucoma-time for a paradigm change. Swiss Med Wkly 2012;142: w13545.

10. Collins CC. Miniature passive pressure transensor for im- planting in the eye. IEEE Trans Biomed Eng 1967;14:74- 83.

11. Stangel K, Kolnsberg S, Hammerschmidt D, et al. A pro- grammable intraocular CMOS pressure sensor system implant. IEEE Trans Solid-State Circuits 2001;36:1094- 100.

12. Mansouri K, Weinreb RN, Medeiros FA. Is 24-hour in- traocular pressure monitoring necessary in glaucoma?

Semin Ophthalmol 2013;28:157-64.