구면/비구면 레스토렌즈삽입술의 3개월 임상 경과와 환자 만족도에 관련되는 술 전 요소
Spheric, Aspheric ReSTOR Intraocular Lens: Three-month Results and Preoperative Clinical Factors Influencing Patient’s Satisfaction
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목적: 구면/비구면 레스토렌즈(ReSTORⓇ, Alcon Laboratories Inc, USA)삽입술 후의 3개월 임상경과와 환자 만족도를 분석하고 만족도와 관련되는 술 전 요소에 대해 알아보고자 한다. 대상과 방법: 본원에서 구면/비구면 레스토렌즈삽입술을 받은 환자 33명(33안)에 대해 전향적 연구를 계획하여 술 후 3개월째의 임상경과를 분석하였으며 만족도를 조사하였다. 환자의 연령, 술 전 나안시력, 교정시력, 각막난시, 구면/비구면 여부와 환자 만족도 간의상관관계를 다중 분석하였다. 결과: 술 후 3개월째 20/25 이상의 최대교정시력과 나안 근거리시력을 가진 환자는 각각 100%와 93.9%였다. 전체만족도와 추천도는비구면 레스토렌즈삽입술에서 높은 경향을 보였다. 환자의 연령이 낮을수록 전체 만족도와 추천도가 유의하게 증가하였으며(p=0.024,0.031), 55세 미만의 환자에서 55세 이상의 환자보다 전체 만족도와 추천도가 유의하게 높았다(p=0.032, 0.039). 결론: 레스토렌즈삽입술은 높은 원거리시력, 근거리시력을 나타내며 환자의 연령이 낮을수록 만족도가 증가하는 결과로 볼 때, 젊은환자에서의 레스토렌즈삽입술이 추천된다.
Abstract
Purpose: To evaluate results at three months postoperatively on patient satisfaction and preoperative clinical factors affecting patient satisfaction after implantation of an AcrySof ReSTOR intraocular lens (IOL). Methods: Thirty-three eyes of 33 patients who underwent implantation of spheric/aspheric AcrySof ReSTOR IOL at the Samsung Medical Center of Korea were enrolled in the present study. The uncorrected distance visual acuity (UCDVA), best corrected distance visual acuity (BCDVA), and refractive error were recorded preoperatively and three months after surgery. A questionnaire to assess patient satisfaction was created (score range: 1-5, 5 being the maximum score). Patient age,preoperative UCDVA, BCDVA, corneal astigmatism, and asphericity of IOL were selected as preoperative factors influencing patient satisfaction. Results: One hundred percent and 93.9% of the patients achieved UCDVA and BCDVA of 20/25 or better, respectively. The overall patient satisfaction score was 3.9±1.0/4.5±0.7 (p=0.073) and the score of intent to recommend ReSTOR IOL to others was 3.7±1.0/4.5±0.6 (p=0.013) with the spheric/aspheric IOL, respectively. The age of patients was negatively correlated with the score of overall satisfaction and the intent to recommend the procedure to others (p=0.024, 0.031). The overall patient satisfaction and intent to recommend of the patients who were less than 55 years old were significantly higher than those of the older patients (p=0.032, 0.039). Conclusions: High UCDVA and BCDVA resulted from the implantation of ReSTOR IOL. The younger the patients were, the higher the resulting patient satisfaction. Implantation of ReSTOR IOL in young patients is recommended.
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