www.koreanglaucoma.org
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9ROXPH_1XPEHU
1. 서론
פֳણ़ी൲ਉܟѿഥ࠾ઊࣥԢ़ઔ੶ઊૻ
७Ҁഡഥ࠾અӄੌؘ१ܲ१ৡछࣛઊઔ़٩ઔӋף ७࣏ടࣳԞدܱৡടؘӄੌ٩ઔӋથ़ीઊചഡ
ӄੌѿઔدًӴ֢ࠉفઊ५ഡౖࣛઊӋ़ीഡ
અ१ৡछࣛઊ७ഡӄੌਁפֳણӖട़ؘीઅ७ ઘણਁ़ؘࣳी൲ഥ࠾ઊҤીٻԞਁًҁزඥഢ
़ઔ੶़ीഥ࠾ઊِࠋࣥട़ؘीࠩઊґࠋٻԢӋ فടӋઔد
2. iStent impant
L6WHQW7UDEHFXODU0LFUR%\SDVV6WHQW0RGHO*761005/ؘ
ઍઅ߸إಛࡴܾҀޅઅઊௐાԕࠩ੶ܾҀޅґݴഡ
൲ֳௐ੶ܾ DELQWHUQR ાԕടਉࣘടؘણௗઊدനࡘ ഠહ੶ܾL6WHQWؘࣼ੭ݴৰৰࠒ़੭ѿ१ఇ
ࣳ֯ஷؘݼઊدஷൌ੶ܾࣥԠࡘ VQRUNHO
ࠒਁףٻ٩ࣹܿӆٻৼ੶ֳӄ120Pઊدࠒ़ѿ
VQRUNHOܾڝৰѿࣳ॓ܭӚਁௗഡࡘܾ֢ѿࣳࣥݼહ੭
१ఇد )LJ1
L6WHQWؘಮౌؓ੶ܾކڝৰઔ੶഼ಶݾ੶ܾ٘ਉઔ دفܛԢઊؘ1PPઊઊؘ03PPઊدੌੋ
ੋ2ݩઅL6WHQWѿઔدL6WHQWؘӴਁࣳࡻௐਁڂ٩ࣹܿ
ӆٻৰઔ੶॓ܭӚࡘѿ൝ઘઅࠋୄࡂ٩ܿௗ१ె
د )LJ2
3ґઅӋીੋৈௗൌൖીહ੶ܾௗടؘٙ٩
ԞୱԢ৩અࣹӆؘ॓ܭӚਁҿٻؘҫٱؘد
L6WHQWؘ1൦࣏ੋٻؘLQVHUWHUਁSUHORDGHGٻৰઔد )LJ3
,QVHUWHUઅEXWWRQݱL6WHQWѿ֢ਠҲټد१ઙ
߸ऽ੶ܾL6WHQWѿࢉݼ֢ਠң֢ઝ߆ௗടҲٻLQVHUWHU
ܾ൦़ടټدL6WHQWઅણઽ੶ؘܾҿޅӘӖޅVDYH ഢ़ઔدؘઽઊدگ܅ࣳஷ൲ਁࣼ੭ૂीઊ֢WXEH
VXUJHU\ടҲٽࡘ࡚ഗനࣳӴઅࡻௐਁௗ१ౄؘҫ ಡଙ 1HZ+RUL]RQRI*ODXFRPD6XUJHU\
L6WHQWLPSODQW
ࣳૂെ
ᇡᔑ᮹ݡ
Fig. 1. L6WHQW२٩ Fig.2. ,QVHUWHUਁORDGLQJټL6WHQW
Journal of The Korean Glaucoma Society
JOURNAL OF THE KOREAN GLAUCOMA SOCIETY 26
ઊدۙഡL6WHQWؘઘऀ۾ؘԙङऀ࡚ઊৈإ܅ࣳ05,ݴ
ടً܅٩ടد
થଖ൞ऀऀ࡚અಮౌؓ੶ܾघ٪ټౖܾࣛӖԚټد
ਁ഼ಶݾ੶਼ܾࡘਭֳࡘѿFRDWLQJઊٻৰઔد
ઊܟഡઽVHOISULPLQJ٩़ઔ੶ࠒ੶ܾࡘౡࠒ
़ࠔணଔ१ే़ઔدഡࠤ഼ಶݾL6WHQWਁࠅݱ
ؘҫઊ݀હ੶ܾ३ਁਕല֚ௗؘৌؘد,QVHUWHUؘ
छ੶ܾഡछ੶ܾॕҲઠ़ઔҲٻৰઔ੶ઊҫدݳ
़ीԞӴਭ੭࣏ടد
J4UFOU*OEJDBUJPOTGPS6TF
L6WHQW7UDEHFXODU0LFUR%\SDVV6WHQW0RGHO*761005/
פֳણௗݑૂݴӋઔؘԞਭૻԞઅґࠒҀפֳણ൝ઘ ڝઅࠕֳણ़ी१ਁ࠾രടؘҫઊࣛહઌࠒࠩ੶ܾૂ१ ടਔدઍઅE\SDVV़ीઊԞڹߚਁઑഓ܇ಠѿڝৰѿؘ
നࡘഠહઌӴѿӄੌ֢Ӵѿछࣛઊઔؘӄੌଋ
नҀפֳણઊ֢ ઊୱפֳણ ३ࣥേӚפֳણ ކऀ೩٩ޅ ਐ ৩҇ࣛࣷଖ൝फ़ౡਫ਼ࠢ൲Ӷਁؘ࣏ࣳੋടؘҫ
ࠅ܉ଓടৌدࠕֳણ़ी१ਁ࠾രടؘӄੌ܅٩ࠕ
ֳણ़ी१ਁઍৰ֥Ҁޅ൛ࣛઊࣥԞң֢੭ݼஔૂी
ٳ१ਁടң֢ࠒܫଊݴؘӄੌਁؘL6WHQWݴ࣏ੋട
ৌ٩ܿԃણഡد
J4UFOU4VSHFSZ
ࠕֳણ़ी൲ࠒֳஸٳૂݴৰஸٳ१ఇࣳࠒҀ
ઝࡆ़ઔؘౖࣛਁ़ࣳीଔരഡدL6WHQWؘӴઅ
ࡻௐਁ٩ࣹܿӆٻৰઔԞڹߚਁࠕֳણ़ीઊௐҀޅ
ґݴനৡഡد़ीെ߸ӄीઘୄ੶ܾ30٩ਁࣳ35٩
Ԟਉࣳ൝ઘઅࣼ੭ѿઝࡂઊ٩ܿഡدL6WHQW೩ણ൜
Fig.5. ࣼ੭ਁࣘټL6WHQW
,QVHUWHU
Fig. 3. L6WHQWؘചઠڡઊઠ੶ټد
Fig. 4. *RQLRSULVPҀޅਁڄܾL6WHQWݴࣼ੭ਁࣘടؘӘી
www.koreanglaucoma.org
27
9ROXPH_1XPEHU
ઌഡ൲Ӵਁސؘ ੌੋੋ L6WHQWઌ൜ઌടӋ೩ણ
ࠪԠدL6WHQWਭLQVHUWHUݴ%66ܾंനدࠒਁઽ
ߜଖ൲JRQLRSULVPҀޅਁௗഡ൲ࣼ੭ݴ
൜ઌഡد ࣼ੭ڎਁ॓ܭӚઊௗടӋઔد ചઠڡઊ
LQVHUWHUݴଁڎਁPDLQLQFLVLRQ੶ܾLQVHUWHUݴٳӖࡘਁ
ௗ१ెدઊ൲ਁJRQLRSULVPҀޅਁڂӋࣼ੭ݴ
ؘد७फ़ܤҲL6WHQWݴࣼ੭ਁௗ१ెد )LJ4 ޡߡ ңݼേઊࣥԢ़ઔӋԓܟ़ीઊ५ೂഢ़٩ઔد
़ी१ਁસധ৺ઊࡘڙܤҲڝৰѿৡૂفܾڝৰҁҫ ઊد७ഡસധઝ߆ټӕ੶ܾڝৰҁҫઅ߸ടܾ߳७ ഡસധઊؖՒ़ीަஷӋ2१ࠒലৈܑୄਁࣳد१
१٩നࡅدࣼ੭ਁௗടҲٻLQVHUWHUઅࠢಢܟࣳ
VWHQWѿਯඥௗടҲഡدઊ൲ਁࠒLUULJDWLRQടਉઽ
ߜଖૂңഡدL6WHQWѿૂفܾௗഡ।ઊد )LJ5
3. 정리하며
2012ך)'$ਁࣳಮౌؓಛࡴܾކڛL6WHQWਁفടਉ࣏ੋ
०ઌടਔ੶߸घౌفഠӯઅ'U7KRPDV6DPXHOVRQڢ ઊ१രഡઑࣛ५സҿӘݴ2011ך٩2SKWKDOPRORJ\ਁࡂӋ ഡࠅѿઔد1فࣛன240અԞૻԞפֳણઊ
ઊ24PP+Jઊടઌ൝ઘݴفࣛ੶ܾࠕֳણӘL6WHQWݴ१ര ഡӶӘفӶ੶ܾࠕֳણކഡӶࡻӯടਔدࠤପ൭ Әؘ1ך൲ઊ21PP+JઊടઍڹऀӖઊ܅Ӌࡂ
੶ઊԞ੶ؘܾL6WHQW࠾രഡӶਁࣳ72ѿކടਔ੶
ࠕֳણز٪Ӷ50ѿކടਔ੶੭અഡୱઊѿ֭
دڂࠤପ൭Әؘܾടҋઊ20ઊࣛ੶ܾીઅട ਔؘٙ१ीӶઅ66ѿടҋ൭Әѿઔৼ੶ࠕֳણز٪Ӷ
48ਔӋઊਊ१੭અഡୱઊѿઔৼدઊӴҿӘؘࠕ
ֳણ़ी१ਁ1ךٳفӶਁࡻടਉ൭Әѿઔৼدԓ ܟ֢1ךઊࣛઅણԞҁ൭ӘਁفഡӴѿചടԞૻ
ԞઅґࠒҀפֳણ൝ઘਁҲ१ीഡدؘૂഡઽઊઔد
ઊୱऀґࠒҀפֳણਁࣳL6WHQWѿ੭ੋഡѿਁفടਉઅߚ ઽઊگݳد%XFKDFUDڢઊӴഡࠅਁگݱઊୱऀґࠒ Ҁפֳણ10અ൝ઘݴفࣛ੶ܾL6WHQW१രഡ൲1ךҁӄ ӘӚ୵ടਔӋ़ीઅEDVHOLQHਁࡻടਉ1 ך൲ਁ٩66±54PP+Jી٩ܾ҆घٻৰઔৼ੶ഥ࠾
़ी൲ઍ१હ੶ܾEORRGFORWઊL6WHQWֳӄਁޅോ੶֢સ
ܾ৺ৰࣳઊୱऀפֳણਁࣳ٩੭ੋടدֳؘੋࡂӋ
ഡࠅѿઔد2فґؘ1ךҁઅ൭ੋऀࡂؘٙԓઊࣛઅણ Ԟҁ࣏ੋഢڹऀࠃ൭ੋਁفഡӴܾ19અ൝ઘ ݴفࣛ੶ܾ3ךઊࣛӚ୵യڹ़ीਁࡻടਉी
ਁࡻടਉ3ך൲ઊ1633҆घടਔ੶فࣛઘૻ
42ਁ़ؘࣳी൲ടਉפֳણৌ
Ӌفࣛઘஔਁࣳ७Ҁഡഥ࠾ઊ৺ৼدؘҫࡂӋ ഡࠅѿઔد3ઊڝӋفࣛ੶ܾࠕֳણ़ी१
L6WHQWݴ࣏ੋഡҿӘݴࠋയ़ؘٙी൲3568҆
घടਔ੶़ी൲ৢ࣏ੋҗ़ѿ҆घടਔӋઊڝૻ
75़ؘी൲פֳણৢ࣏ੋടৌ੶Ҁޅֳഗं
೩़़ؘी൲1ך൲ਁ٩1986±520FHOOPP2ܾిߚૂѿ
৺ৼدӋࡂӋടਔد4
ીݼടࣳԞفയَԞઅഥ࠾ઊઔ़ઔؘԞ
અפֳણ़ीفஔടԞਁؘઊݱدӋࡂކৈଓԪ
ૂഡټґࠒҀפֳણਁ࣏ࣳੋઊࡂӋٻӋઔ੶ല൲ਁ
د৩ഡӴҿӘڢઊીݼٻৰFRVWHIIHFWLYHQHVVѿٻৰ
ࣳഡӵਁࣳ٩L6WHQWѿહഥഡ൝ઘਁҲ१ीഢ़ઔؘ֧
Ӌفനࡅد
참고문헌
1. Samuelson TW, Katz LJ, Wells JM, Duh YJ, Giamporcaro JE; US iStent Study Group. Randomized evaluation of the trabecular micro-bypass stent with phacoemulsifi cation in patients with glaucoma and cataract. Ophthalmology 2011;118:459-67.
2. Buchacra O, Duch S, Milla E, Stirbu O. One-year analysis of the iStent trabecular microbypass in secondary glau- coma. Clin Ophthalmol 2011;5:321-6.
3. Arriola-Villalobos P, Martínez-de-la-Casa JM, Díaz-Valle D, et al. Combined iStent trabecular micro-bypass stent implantation and phacoemulsification for coexistent open-angle glaucoma and cataract: a long-term study.
Br J Ophthalmol. 2012;96:645-9.
4. Arriola-Villalobos P, Martínez-de-la-Casa JM, Díaz-Valle D, et al. Mid-term evaluation of the new Glaukos iStent with phacoemulsifi cation in coexistent open-angle glau- coma or ocular hypertension and cataract. Br J Ophthal- mol 2013;97:1250-5.
