펨토초라식수술과 스마일수술 전후의 대비감도 단기간 임상결과
Comparison of Perioperative Contrast Sensitivity between Laser in situ Keratomileusis and Small-incision Lenticule Extraction
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목적: 라식수술과 스마일수술을 시행한 환자에서 수술 전과 수술 후 초기의 대비감도를 비교해보고자 하였다. 대상과 방법: 2019년 2월부터 2019년 4월까지 라식수술을 받은 환자 20명, 스마일수술을 받은 환자 21명을 대상으로 수술 전, 수술 1일 후, 수술 1주 후, 수술 한 달 후의 눈부심 유무와 명소시, 암소시 조건에 따른 대비감도를 비교하였다. 결과: 수술 후 1일째 모든 조건의 1.6, 1, 0.64 cycle per degree (이하 cpd)에서 라식수술군이 스마일수술군보다 대비감도가 더 좋았고, 수술 후 1주째에 눈부심 있는 명소시의 1.6, 1, 0.64 cpd, 눈부심 없는 명소시의 1, 0.64 cpd, 눈부심과 관계없는 암소시의 2.5, 1.6, 0.64 cpd에서 라식수술군의 대비감도가 더 좋았다(p<0.05). 경과 관찰에 따른 대비감도의 변화를 비교하였을 라식수술군은 수술 후 1주째의 대비감도가 가장 좋았고, 스마일수술군은 수술 후 1일째 대비감도가 가장 좋지 않았다. 결론: 라식수술군이 스마일수술군에 비해 수술 후 1일째, 1주째의 대비감도가 좋았으나 한 달째에는 두 군 간의 차이가 없었다. 라식수술군은 수술 후 1주째에 가장 대비감도가 좋았고, 스마일수술군은 수술 후 1일째에 가장 대비감도가 좋지 않았다가 점차 회복되었다.
Abstract
Purpose: To compare contrast sensitivity before and after surgery in patients who underwent laser in situ keratomileusis (LASIK) and small-incision lenticule extraction (SMILE). Methods: From February 2019 to April 2019, 20 patients who underwent LASIK, and 21 who underwent SMILE, were compared before, one day, one week, and one month after surgery. Results: On postoperative day (POD) 1, contrast sensitivity was better in the LASIK group than in the SMILE group under all conditions for 1.6, 1, and 0.64 cycles per degree (cpd). One week after surgery, the contrast sensitivity of the LASIK group was better than that of the SMILE group under photopic conditions with glare for 1.6, 1, and 0.64 cpd, under photopic conditions without glare for 1 and 0.64 cpd, and under all scotopic conditions for 2.5, 1.6, and 0.64 cpd (p < 0.05). There was no significant difference between the two groups, except under the scotopic conditions without glare for 0.64 cpd at one month after surgery. In the LASIK group, the contrast sensitivity was best at one week after surgery. The SMILE group showed the poorest contrast sensitivity on POD 1, but this gradually improved. Conclusions: The LASIK group had better contrast sensitivity on one day and one week after surgery than the SMILE group, but there was no significant difference at one month after surgery. In the LASIK group, the contrast sensitivity was best at one week after surgery. In the SMILE group, the contrast sensitivity was worst on POD 1.
참고문헌 (21)
- Chiche A, "Early recovery of quality of vision and optical performance after refractive surgery : small-incision lenticule extraction versus laser in situ keratomileusis", J Cataract Refract Surg, 44, pp.1073~1079 (2018)
- Sekundo W, "Small incision corneal refractive surgery using the small incision lenticule extraction(SMILE)procedure for the correction of myopia and myopic astigmatism : results of a 6 month prospective study", Br J Ophthalmol, 95, pp.335~339 (2011)
- Zhang Y, "Clinical outcomes of SMILE and FS-LASIK used to treat myopia : a meta-analysis", J Refract Surg, 32, pp.256~265 (2016)
- Ivarsen A, "Safety and complications of more than 1500 small-incision lenticule extraction procedures", Ophthalmology, 121, pp.822~828 (2014)
- Lin F, "Comparison of the visual results after SMILE and femtosecond laser-assisted LASIK for myopia", J Refract Surg, 30, pp.248~254 (2014)
- Sekundo W, "One-year refractive results, contrast sensitivity, high-order aberrations and complications after myopic small-incision lenticule extraction(ReLEx SMILE)", Graefes Arch Clin Exp Ophthalmol, 252, pp.837~843 (2014)
- Shen Z, "Small incision lenticule extraction(SMILE)versus femtosecond laser-assisted in situ keratomileusis(FS-LASIK)for myopia : a systematic review and meta-analysis", PLoS One, 11, pp.e0158176~ (2016)
- Vestergaard A, "Small-incision lenticule extraction for moderate to high myopia : Predictability, safety, and patient satisfaction", J Cataract Refract Surg, 38, pp.2003~2010 (2012)
- Denoyer A, "Dry eye disease after refractive surgery : comparative outcomes of small incision lenticule extraction versus LASIK", Ophthalmology, 122, pp.669~676 (2015)
- Kohnen T, "Measuring vision in refractive surgery", J Cataract Refract Surg, 27, pp.1897~1898 (2001)
- Pesudovs K, "Measuring visual acuity-mesopic or photopic conditions, and high or low contrast letters?", J Refract Surg, 20, pp.508~514 (2004)
- Pesudovs K, "The quality of life impact of refractive correction(QIRC)questionnaire : development and validation", Optom Vis Sci, 81, pp.769~777 (2004)
- Tumbocon JAJ, "The effect of laser in situ keratomileusis on low contrast vision", J Refract Surg, 20(5 Suppl), pp.689~692 (2004)
- Kanellopoulos AJ, "LASIK for hyperopia with the wavelight excimer laser", J Refract Surg, 22, pp.43~47 (2006)
- 이근영, "청색광차단 인공수정체와 자외선차단 인공수정체의 시기능 비교", 대한안과학회지, 58(1), pp.34~42 (2017), 대한안과학회
- Moshirfar M, "Small-incision lenticule extraction", J Cataract Refract Surg, 41, pp.652~665 (2015)
- 정호길, "스마일수술과 펨토초라식수술 후 안구건조증 지표의 단기 관찰", 대한안과학회지, 60(5), pp.407~413 (2019), 대한안과학회
- Ganesh S, "Comparison of visual and refractive outcomes following femtosecond laser-assisted LASIK with SMILE in patients with myopia or myopic astigmatism", J Refract Surg, 30, pp.590~596 (2014)
- Agca A, "Corneal backscatter analysis by in vivo confocal microscopy: fellow eye comparison of small incision lenticule extraction and femtosecond laser-assisted LASIK", J Ophthalmol (2014)[DOI]
- Donate D, "Lower energy levels improve visual recovery in small incision lenticule extraction(SMILE)", J Refract Surg, 32, pp.636~642 (2016)
- Liu M, "Clinical outcomes after SMILE and femtosecond laser-assisted LASIK for myopia and myopic astigmatism : a prospective randomized comparative study", Cornea, 35, pp.210~216 (2016)