본문 바로가기
KERD
논문KCI 등재

레이저 근시 교정술 후 장기간 만족도와 삶의 질 변화

Long-Term Quality of Life after Myopic Laser Refractive Surgery

김재훈|정선영|장은진|김태임|조은영|김응권|차흥원|현준영|나경선|김세경
대한안과학회 (The Korean Ophthalmological Society)|2011.08|대한안과학회지 (Journal of The Korean Ophthalmological Society)|제52권 제8호|pp. 922-929

1

조회

0

다운로드

5

인용

0

참고문헌

키워드

Quality of lifeLaser refractive surgeryLong-term satisfaction
주제분류안과학

초록

목적: 설문조사를 통하여 레이저 근시 교정술을 받은 사람들의 수술 후 장기간 주관적 만족도 및 삶의 질 변화에 대하여 알아보고자하였다. 대상과 방법: 2002년부터 2005년 사이에 5개 병원(신촌세브란스병원, 서울대학교병원, 서울아산병원, 서울성모병원, 강남밝은세상안과)에서 레이저 근시 교정술을 시행 받은 지 5년 이상 경과한 231명을 대상으로 수술 후 만족도 및 삶의 질에 관한 전화 설문 조사를실시하고 이를 분석하였다. 결과: 수술에 대한 만족도 점수는 10점 만점에 평균 8.12점이었으며 삶의 질이 향상되었다고 답한 경우가 91%이었다. 수술을 다시 받을의향이 있다고 답한 경우는 87.9%이었으며, 친구나 가족에게 추천할 의향이 있다고 답한 경우는 80.5%이었다. 수술 후 가장 불편하다고 답한 안과적 증상으로는 안구 건조 증상(57.1%)과 야간 번져 보임(54.3%)이 있었다. 결론: 레이저 근시 교정술은 수술 후 장기간이 지나도 높은 환자 만족도를 보였으며 환자들의 삶의 질 향상에도 매우 효과적이었음을알 수 있었다.

Abstract

Purpose: To investigate long-term satisfaction and quality of life after myopic laser refractive surgery. Methods: This study included 231 myopic patients who underwent laser refractive surgery (LASIK, LASEK or PRK) at least five years prior, between 2002 and 2005, at 5 hospitals. Using a telephone survey, patients were asked to subjectively answer 26 questions regarding satisfaction, quality of life changes, and visual symptoms. Results: The mean patient satisfaction score was 8.12 (scale of 1 to 10). Improvement in quality of life was reported by 91% of the subjects. Intention to have surgery again was reported by 87.9% of the subjects and intention to recommend refractive surgery to a friend or family was reported by 80.5% of the subjects. The most common discomfort symptoms after myopic laser refractive surgery were dry eye symptoms (57.1%), followed by night vision disturbances (54.3%). Conclusions: Long-term satisfaction and quality of life were shown to be positive in patients treated with myopic refractive surgery.

참고문헌 (52)

  1. Trokel SL, "Excimer laser surgery of the cornea", Am J Ophthalmol, 96, pp.710~715 (1983)
  2. Ambrósio R Jr, "LASIK vs LASEK vs PRK: advantages and indications", Semin Ophthalmol, 18, pp.2~10 (2003)
  3. Aizawa D, "Clinical outcomes of wavefront-guided laser in situ keratomileusis: 6-month follow-up", J Cataract Refract Surg, 29, pp.1507~1513 (2003)
  4. Knorz MC, "Laser in situ keratomileusis to correct myopia of -6.00 to -29.00 diopters", J Refract Surg, 12, pp.575~584 (1996)
  5. Pallikaris IG, "Laser in situ keratomileusis", Lasers Surg Med, 10, pp.463~468 (1990)
  6. Dastjerdi MH, "LASEK", Curr Opin Ophthalmol, 13, pp.261~263 (2002)
  7. Anderson NJ, "Epi-LASEK for the correction of myopia and myopic astigmatism", J Cataract Refract Surg, 28, pp.1343~1347 (2002)
  8. Litwak S, "Laser-assisted subepithelial keratectomy versus photorefractive keratectomy for the correction of myopia", J Cataract Refract Surg, 28, pp.1330~1333 (2002)
  9. Bailey MD, "Patient satisfaction and visual symptoms after laser in situ keratomileusis", Ophthalmology, 110, pp.1371~1378 (2003)
  10. Solomon KD, "LASIK world literature review: quality of life and patient satisfaction", Ophthalmology, 116, pp.691~701 (2009)
  11. 이종호, "레이저각막절삭성형술이 근시환자의 삶의 질에 미치는 영향", 대한안과학회지, 44(11), pp.21~2606 (2003), 대한안과학회
  12. 박경수, "고식적 라식 및 웨이브프런트 라식 수술 후 만족도 비교", 대한안과학회지, 47(6), pp.883~892 (2006), 대한안과학회
  13. Nuijts RM, "Wavefront-guided versus standard laser in situ keratomileusis to correct low to moderatemyopia", J Cataract Refract Surg, 28, pp.1907~1913 (2002)
  14. Schallhorn SC, "Pupil size and quality of vision after LASIK", Ophthalmology, 110, pp.1606~1614 (2003)
  15. Pop M, "Risk factors for night vision complaints after LASIK for myopia", Ophthalmology, 111, pp.3~10 (2004)
  16. Hammond SD Jr, "Quality of vision and patientsatisfaction after LASIK", Curr Opin Ophthalmol, 15, pp.328~332 (2004)
  17. Lee YC, "Quality of vision after laser in situ keratomileusis: influence of dioptric correction and pupil size on visual function", J Cataract Refract Surg, 29, pp.769~777 (2003)
  18. Tuan KM, "Visual experience and patient satisfaction with wavefront- guided laser in situ keratomileusis", J Cataract Refract Surg, 32, pp.577~583 (2006)
  19. Sugar A, "Laser in situ keratomileusis for myopia and astigmatism: safety and efficacy: a report by the American Academy of Ophthalmology", Ophthalmology, 109, pp.175~187 (2002)
  20. Hersh PS, "Photorefractive keratectomy versus laser in situ keratomileusis: comparison of optical side effects", Ophthalmology, 107, pp.925~933 (2000)
  21. Steinberg EP, "An index of functional impairment in patients with cataract", Arch Ophthalmol, 112, pp.630~638 (1994)
  22. Mangione CM, "Identifying the content area for the 51-item National Eye Institute Visual Function Questionnaire", Arch Ophthalmol, 116, pp.227~233 (1998)
  23. Mangione CM, "Psychometric properties of the National Eye Institute Visual Function Questionnaire", Arch Ophthalmol, 116, pp.1496~1504 (1998)
  24. Moreno-Barriuso E, "Ocular aberrations before and after myopic corneal refractive surgery", Invest Ophthalmol Vis Sci, 42, pp.1396~1403 (2001)
  25. Kahle G, "Report on psychosocial findings and satisfaction among patients 1 year after excimer laser photorefractive keratectomy", Refract Corneal Surg, 8, pp.286~289 (1992)
  26. Powers MK, "Psychosocial findings in radial keratotomy patients two years after surgery", Ophthalmology, 91, pp.1193~1198 (1984)
  27. Chen CY, "Vision-related quality of life comparison for emmetropes, myopes after refractive surgery, and myopes wearing spectacles or contact lenses", J Refract Surg, 23, pp.752~759 (2007)
  28. Pesudovs K, "A quality of life comparison of people wearing spectacles or contact lenses or having undergone refractive surgery", J Refract Surg, 22, pp.19~27 (2006)
  29. Tahzib NG, "Functional outcomes and patient satisfaction after laser in situ keratomileusis for correction of myopia", J Cataract Refract Surg, 31, pp.1943~1951 (2005)
  30. Brunette I, "Functional outcome and satisfaction after photorefractive keratectomy", Ophthalmology, 107, pp.1790~1796 (2000)
  31. Brown SM, "Night vision complaints after LASIK", Ophthalmology, 111, pp.1619~1620 (2004)
  32. Salz JJ, "Night vision complaints after LASIK", Ophthalmology, 111, pp.1620~1621 (2004)
  33. Wilson SE, "Laser in situ keratomileusis-induced neurotrophic epitheliopathy", Am J Ophthalmol, 132, pp.405~406 (2001)
  34. Savini G, "Ocular surface changes in laser in situ keratomileusis-induced neurotrophic epitheliopathy", J Refract Surg, 20, pp.803~809 (2004)
  35. Vroman DT, "Effect of hinge location on corneal sensation and dry eye after laser in situ keratomileusis for myopia", J Cataract Refract Surg, 31, pp.1881~1887 (2005)
  36. De Paiva CS, "The incidence and risk factors for developing dry eye after myopic LASIK", Am J Ophthalmol, 141, pp.438~445 (2006)
  37. Mian SI, "Effect of hinge position on corneal sensation and dry eye after laser in situ keratomileusis using a femtosecond laser", J Cataract Refract Surg, 33, pp.1190~1194 (2007)
  38. Fan-Paul NI, "Night vision disturbances after corneal refractive surgery", Surv Ophthalmol, 47, pp.533~546 (2002)
  39. Villa C, "Night vision disturbances after successful LASIK surgery", Br J Ophthalmol, 91, pp.1031~1037 (2007)
  40. Lackner B, "Glare and halo phenomena after laser in situ keratomileusis", J Cataract Refract Surg, 29, pp.444~450 (2003)
  41. Bullimore MA, "Visual performance after photorefractive keratectomy with a 6-mm ablation zone", Am J Ophthalmol, 128, pp.1~7 (1999)
  42. Haw WW, "Effect of preoperative pupil measurements on glare, halos, and visual function after photoastigmatic refractive keratectomy", J Cataract Refract Surg, 27, pp.907~916 (2001)
  43. Boxer Wachler BS, "Goldberg D. Evaluation of corneal functional optical zone after laser in situ keratomileusis", J Cataract Refract Surg, 28, pp.948~953 (2002)
  44. Schallhorn SC, "Comparison of night driving performance after wavefront-guided and conventional LASIK for moderate myopia", Ophthalmology, 116, pp.702~709 (2009)
  45. "Nerve growth factor concentration and implications in photorefractive keratectomy vs laser in situ keratomileusis", AMERICAN JOURNAL OF OPHTHALMOLOGY, 139(6), pp.965~e1 (2005)
  46. Tuisku IS, "Dry eye and corneal sensitivity after high myopic LASIK", J Refract Surg, 23, pp.338~342 (2007)
  47. Salomão MQ, "Dry eye associated with laser in situ keratomileusis: Mechanical microkeratome versus femtosecond laser", J Cataract Refract Surg, 35, pp.1756~1760 (2009)
  48. Lee JB, "Comparison of tear secretion and tear film instability after photorefractive keratectomy and laser in situ keratomileusis", J Cataract Refract Surg, 26, pp.1326~1331 (2000)
  49. Nejima R, "Corneal barrier function, tear film stability, and corneal sensation after photorefractive keratectomy and laser in situ keratomileusis", Am J Ophthalmol, 139, pp.64~71 (2005)
  50. Pérez-Santonja JJ, "Corneal sensitivity after photorefractive keratectomy and laser in situ keratomileusis for low myopia", Am J Ophthalmol, 127, pp.497~504 (1999)
  51. Matsui H, "Corneal sensation after correction of myopia by photorefractive keratectomy and laser in situkeratomileusis", J Cataract Refract Surg, 27, pp.370~373 (2001)
  52. Ambrósio R Jr, "LASIK-associated dry eye and neurotrophic epitheliopathy: pathophysiology and strategies for prevention and treatment", J Refract Surg, 24, pp.396~407 (2008)

관련 논문AI추천

근시 환자에서 노안교정 비구면 미세단안시라식 수술의 장기적인 임상 결과강경민, 김홍균, 이준훈, 정보영, 조희태대한안과학회 · 대한안과학회지2013 · 제54권 제12호중등도 및 고도 근시에서 라섹을 이용한 굴절교정수술 후 8년간의 임상성적오태훈, 정병주, 정성근대한안과학회 · 대한안과학회지2012 · 제53권 제10호중등도 및 고도근시 환자에서 라식과 각막표면연마굴절수술 후 10년간의 경과 관찰 비교김만수, 김효원, 나경선대한안과학회 · 대한안과학회지2016 · 제57권 제3호노안이 동반된 근시 환자에서 비구면 미세단안시 라식을 이용한 노안 교정수술의 임상결과금지은, 배건호, 정의상, 정태영대한안과학회 · 대한안과학회지2012 · 제53권 제1호고등각막표면굴절교정레이저절제술에서 근시교정량이 고위수차의 장기간 변화에 미치는 효과김진선, 이상범대한안과학회 · 대한안과학회지2010 · 제51권 제9호굴절교정술 후 재수술의 임상성적유자영, 이은정, 임동희, 정의상, 정태영대한안과학회 · 대한안과학회지2015 · 제56권 제2호

이 간행물의 다른 논문 (19건)

급성 또는 만성 눈물주머니염 환자에서 눈물주머니와 눈물점에서 검출된 세균의 일치도 분석정수경, 양석우, 백지선, 조원경pp. 897-901안와골절 수술 환자에서 전산화단층촬영과 수술 중 촬영한 영상의 차이에 대한 고찰양재욱, 함동식, 이충현pp. 902-909얼굴신경마비 후 얼굴연축 환자에서 보툴리눔 독소를 이용한 치료유혜린, 박종서, 이재연pp. 910-915각막이식 삼중수술 시 인공수정체 삽입 시점에 따른 각막 내피 생존 비교정연웅, 변용수, 김만수pp. 916-921메티실린 감수성 표피포도알균(MSSE) 각막염과 메티실린 내성 표피포도알균(MRSE) 각막염의 비교 연구유인천, 정진구, 권의용, 조남천pp. 930-935
원문 보기