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근시환자에서 당일 스마일수술과 계획 스마일수술의 결과 비교

Clinical Outcomes of One Day Small-incision Lenticule Extraction Compared with Scheduled Methods for Myopic Patients

김희선|김정섭|김진국|이인식|전가희|류익희|김욱겸
대한안과학회 (The Korean Ophthalmological Society)|2019.03|대한안과학회지 (Journal of The Korean Ophthalmological Society)|제60권 제3호|pp. 223-232

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Pupil dilationSmall incision lenticule extractionLaser refractive surgeryFundus examOne day surgery
주제분류안과학

초록

목적: 근시환자에서 산동 후 망막검사를 포함한 수술 전 검사와 수술을 하루에 진행하는 당일 스마일수술의 결과를 알아보고자 하였다. 대상과 방법: 2017년 1월부터 6월까지 본원에서 스마일수술을 받은 환자 163명(163안)을 대상으로 하였다. 수술 전 검사와 수술을 같은 날에 진행한 당일 스마일군과 검사 후 다른 날에 수술을 진행한 계획 스마일군으로 나누어 수술 후 1, 6개월의 근시, 난시 및 시력을 비교하였다. 결과: 당일 스마일군은 83명, 계획 스마일군은 80명이었으며, 수술 후 1개월에 근시는 각각 -0.07 ± 0.43디옵터, -0.09 ± 0.37디옵터였고(p=0.81), 난시는 각각 -0.48 ± 0.29디옵터, -0.46 ± 0.28디옵터였으며(p=0.57), 시력은 각각 -0.02 ± 0.11 logMAR, -0.02 ± 0.11 logMAR이었다(p=0.79). 수술 후 6개월에 당일 스마일군과 계획 스마일군의 근시는 각각 -0.06 ± 0.42디옵터, -0.08 ± 0.34 디옵터였고(p=0.81), 난시는 각각 -0.48 ± 0.25디옵터, -0.48 ± 0.30디옵터였으며(p=0.99), 시력은 각각 -0.04 ± 0.09 logMAR, -0.05 ± 0.07 logMAR이었다(p=0.45). 결론: 산동제로 동공이 약간 커진 상태에서 진행한 당일 스마일수술은 검사와 수술을 다른 날에 진행한 스마일수술법에 비하여 술 후 근시, 난시, 나안시력에서 유의한 차이를 보이지 않았다.

Abstract

Purpose: To evaluate the clinical outcomes of one day small incision lenticule extraction (SMILE), which was performed on the same day as preoperative examinations in myopic patients. Methods: This study included 163 patients (163 eyes) who underwent SMILE with Visumax from January to June in 2017. We divided the patients into two groups. The one day SMILE group underwent surgery on the same day as the preoperative examinations including dilated fundus examinations. The scheduled group underwent the surgery on a different day. Only the right eye was included in the analysis. Visual acuity and refractive results were compared between groups. Results: The one day SMILE group included 83 patients and the scheduled SMILE group included 80 patients. At postoperative 1 month, the myopic errors were -0.07 ± 0.43 diopters (D) for the one day SMILE group and -0.09 ± 0.37 D for the scheduled SMILE group (p = 0.81); the astigmatic refractions were -0.48 ± 0.29 D and -0.46 ± 0.28 D, respectively (p = 0.57), the postoperative uncorrected visual acuities were -0.02 ± 0.11 logarithm of the minimum angle of resolution (logMAR) and -0.02 ± 0.11 logMAR, respectively (p = 0.79). At postoperative 6 months, the myopic errors were -0.06 ± 0.42 D for the one day SMILE group and -0.08 ± 0.34 D for the scheduled SMILE group (p = 0.81), and the astigmatic refractions were -0.48 ± 0.25 D and -0.48 ± 0.30 D, respectively (p = 0.99); the postoperative uncorrected visual acuities were -0.04 ± 0.09 logMAR and -0.05 ± 0.07 logMAR, respectively (p = 0.45). Conclusions: The postoperative results of the one day SMILE patients, whose surgery was performed on the same day as the preoperative dilating fundus examination were not significantly different compared with patients treated with conventional scheduled SMILE.

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