백내장 수술 후 치료콘택트렌즈와 안약 치료를 적용한 임상 결과
Clinical Outcomes of Applying Therapeutic Contact Lenses and Eye Drops after Cataract Surgery
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목적: 치료콘택트렌즈를 착용하고 항생제 점안을 시작하는 백내장 수술 후 처치 방법의 안정성을 확인하고자 하였다. 대상과 방법: 백내장 수술 후 치료콘택트렌즈를 착용하고 항생제 점안을 시작한 947안(1군)과 항생제 연고를 도포하고 거즈 안대를착용한 914안(2군)을 분석에 포함하였다. 두 군에서 수술 후 1일, 1주, 1개월째의 최대교정시력, 안압, 전방 염증의 정도, 절개창 누출여부, 안내염 발생을 포함한 임상 결과를 비교 분석하였다. 결과: 수술 전과 수술 후 1일, 1주일, 1개월째의 평균 최대교정시력과 평균 안압은 두 군 사이에 유의한 차이가 없었다. 수술 후 전방염증의 정도는 1일(p=0.302), 1주(p=0.437), 1개월째(p=0.960) 두 군 사이에 유의한 차이를 보이지 않았다. 수술 후 1일째 1군의 10안과 2군의 9안에서 절개창 누출이 있었으며(p=1.000), 두 군 모두에서 안내염은 발생하지 않았다. 결론: 치료콘택트렌즈를 착용하고 항생제 점안을 바로 시작하는 것은 항생제 연고를 도포하고 거즈 안대를 착용하는 방법에 비해수술 후 합병증의 발생 위험이 높지 않아 백내장 수술 후 처치 방법으로 비교적 안전하게 활용될 수 있을 것으로 보인다.
Abstract
Purpose: To investigate the safety of applying therapeutic contact lenses and eye drops after cataract surgery. Methods: Immediately after cataract surgery, 947 eyes (group 1) used therapeutic contact lenses and eye drops and 914 (group 2) applied antibiotic ointment and wore a gauze eye patch for the first postoperative day. Clinical outcomes including best corrected visual acuity (BCVA), IOP, degree of anterior chamber inflammation, wound leakage, and postoperative endophthalmitis were compared in the two groups 1 day, 1 week, and 1 month after surgery. Results: There were no significant differences in the mean pre- and postoperative BCVA and IOP at 1 day, 1 week, and 1 month between groups 1 and 2. There was no difference in anterior chamber inflammation between the two groups at 1 day (p = 0.302), 1 week (p = 0.437), or 1 month (p = 0.960) after surgery. On the first postoperative day, 10 eyes in group 1 and nine eyes in group 2 had wound leakage (p = 1.000). There was no endophthalmitis in either group. Conclusions: The risk of postoperative complications in group 1 was not higher than in group 2. Therefore, wearing therapeutic contact lenses and using eye drops is a relatively safe management method after cataract surgery.
참고문헌 (30)
- 위재민, "2012년 한국백내장굴절수술학회 및 대한안과학회 회원 설문 조사 - 한국에서의 백내장 수술의 최근 경향 -", 대한안과학회지, 56(8), pp.1181~1187 (2015), 대한안과학회
- Leaming DV, "Practice styles and preferences of ASCRS members-2003 survey", J Cataract Refract Surg, 30, pp.892~900 (2004)
- Linebarger EJ, "Phacoemulsification and modern cataract surgery", Surv Ophthalmol, 44, pp.123~147 (1999)
- Nicoli CM, "Experimental anterior chamber maintenance in active versus passive phacoemulsification fluidics systems", J Cataract Refract Surg, 42, pp.157~162 (2016)
- Sharif-Kashani P, "Comparison of occlusion break responses and vacuum rise times of phacoemulsification systems", BMC Ophthalmol, 14, pp.96~ (2014)
- Malik A, "Local anesthesia for cataract surgery", J Cataract Refract Surg, 36, pp.133~152 (2010)
- Hutchisson B, "Topical anesthesia-a new approach to cataract surgery", AORN J, 74, pp.339~350 (2001)
- Kershner RM, "Topical anesthesia for small incision self-sealing cataract surgery. A prospective evaluation of the first 100 patients", J Cataract Refract Surg, 19, pp.290~292 (1993)
- Jacobi PC, "A comparative study of topical vs retrobulbar anesthesia in complicated cataract surgery", Arch Ophthalmol, 118, pp.1037~1043 (2000)
- Frucht-Pery J, "Effect of eye patching on ocular surface", Am J Ophthalmol, 115, pp.629~633 (1993)
- Honda S, "Effect of eye patching on postoperative inflammation after cataract surgery", J Cataract Refract Surg, 30, pp.273~274 (2004)
- Jabs DA, "Standardization of uveitis nomenclature for reporting clinical data. Results of the first international workshop", Am J Ophthalmol, 140, pp.509~516 (2005)
- Kim HS, "Contact lens: principles and practice" (2015), Koonja
- Prat D, "Therapeutic contact lenses vs. tight bandage patching and pain following pterygium excision:a prospective randomized controlled study", Graefes Arch Clin Exp Ophthalmol, 256, pp.2143~2148 (2018)
- Asrani SG, "Management of bleb leaks after glaucoma filtering surgery. Use of autologous fibrin tissue glue as an alternative", Ophthalmology, 103, pp.294~298 (1996)
- Demers P, "Effect of occlusive pressure patching on the rate of epithelial wound healing after photorefractive keratectomy", J Cataract Refract Surg, 22, pp.59~62 (1996)
- Bainbridge JW, "Is eye padding routinely necessary after uncomplicated phacoemulsification?", Eye(Lond), 12, pp.637~640 (1998)
- Carpel EF, "The use of eye pads after cataract surgery", Am J Ophthalmol, 110, pp.318~319 (1990)
- Gazit I, "Eye patching after cataract surgery is associated with an increased risk of short-term corneal oedema", Acta Ophthalmol, 99, pp.e81~5 (2021)
- Stifter E, ""Instant vision"compared with postoperative patching : clinical evaluation and patient satisfaction after bilateral cataract surgery", Am J Ophthalmol, 143, pp.441~448 (2007)
- Fay J, "Current trends in pain management after photorefractive and phototherapeutic keratectomy", Curr Opin Ophthalmol, 26, pp.255~259 (2015)
- Creuzot-Garcher C, "Incidence of acute postoperative endophthalmitis after cataract surgery : a nationwide study in France from 2005 to 2014", Ophthalmology, 123, pp.1414~1420 (2016)
- 김수한, "Endophthalmitis after Cataract Surgery in Korea: A Nationwide Study Evaluating Incidence and Risk Factors in a Korean Population", Yonsei Medical Journal, 60(5), pp.467~473 (2019), 연세대학교의과대학[DOI]
- Pershing S, "Endophthalmitis after cataract surgery in the United States : a report from the intelligent research in sight registry, 2013-2017", Ophthalmology, 127, pp.151~158 (2020)
- Thoms SS, "Postoperative endophthalmitis associated with sutured versus unsutured clear corneal cataract incisions", Br J Ophthalmol, 91, pp.728~730 (2007)
- Wu PC, "Risk of endophthalmitis after cataract surgery using different protocols for povidone-iodine preoperative disinfection", J Ocul Pharmacol Ther, 22, pp.54~61 (2006)
- Endophthalmitis study group, "Prophylaxis of postoperative endophthalmitis following cataract surgery : results of the ESCRS multicenter study and identification of risk factors", J Cataract Refract Surg, 33, pp.978~988 (2007)
- Kessel L, "Antibiotic prevention of postcataract endophthalmitis : a systematic review and meta-analysis", Acta Ophthalmol, 93, pp.303~317 (2015)
- Matossian C, "Cataract surgery and methods of wound closure : a review", Clin Ophthalmol, 9, pp.921~928 (2015)
- Haq Z, "Infections after refractive surgery", Curr Opin Ophthalmol, 27, pp.367~372 (2016)