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당일 라식, 라섹 수술과 기존 수술법의 수술 후 결과 비교

Comparison of Postoperative Results of One Day Laser-assisted in-situ Keratomileusis, Laser-assisted Sub-epithelial Keratectomy Surgery, and Conventional Surgery

김희선|김정섭|김진국|이인식|류익희|김욱겸
대한안과학회 (The Korean Ophthalmological Society)|2018.05|대한안과학회지 (Journal of The Korean Ophthalmological Society)|제59권 제5호|pp. 410-418

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키워드

Eye trackingPupilLaser-assisted in-situ keratomileusis (LASIK)Laser-assisted sub-epithelial keratectomy (LASEK)One day operation
주제분류안과학

초록

목적: 산동검사를 포함한 술 전 검사를 받은 당일에 수술을 진행한 당일 라식, 라섹 수술법의 수술 후 결과를 알아보고자 하였다. 대상과 방법: 2016년 1월부터 동년 12월까지 본원에서 비쥬맥스와 EX500 레이저로 라식 수술을 받은 환자 226명(226안)과 라섹 수술을 받은 환자 201명(201안)을 대상으로 하였다. 검사와 수술을 같은 날에 진행한 당일 수술군과 검사 후 다른 날에 수술을 진행한 계획 수술군의 술 후 근시, 난시 및 시력을 비교 분석하였다. 결과: 라식 수술을 받은 환자 중 당일 수술군은 109명, 계획 수술군은 117명이었으며, 술 후 근시는 각각 0.06 ± 0.37디옵터, 0.07 ± 0.36디옵터였고(p=0.91) 난시는 각각 -0.38 ± 0.24디옵터, -0.37 ± 0.24디옵터였으며(p=0.77) 시력은 각각 -0.05 ± 0.03 logMAR, -0.06 ± 0.03 logMAR였다(p=0.13). 라섹 수술을 받은 환자 중 당일 수술군은 107명, 계획 수술군은 94명이었으며, 술 후 근시는 각각 0.18 ± 0.52디옵터, 0.22 ± 0.54디옵터였고(p=0.95) 난시는 각각 -0.48 ± 0.30디옵터, -0.46 ± 0.29디옵터였으며(p=0.14) 시력은 각각 -0.05 ± 0.03 logMAR, -0.06 ± 0.03 logMAR였다(p=0.33). 결론: 산동제를 점안하고 수술 전 검사를 받은 날에 시행한 당일 라식, 라섹 수술법은 기존 수술법에 비하여 술 후 근시, 난시 및 시력에서 유의한 차이를 보이지 않았다.

Abstract

Purpose: To evaluate the postoperative results of one day laser-assisted in-situ keratomileusis (LASIK) or laser-assisted sub-epithelial keratectomy (LASEK) procedures, which were performed on the same day as preoperative examinations, including fundus examinations after dilating the pupil. Methods: This study included 226 LASIK patients (226 eyes) and 201 LASEK patients (201 eyes) who underwent surgery with Visumax and EX500 from January to December in 2016. We divided the patients into two groups. The one-day surgery group (one-day group) underwent surgery on the same day as preoperative examinations, including dilated fundus examinations. The scheduled surgery group (scheduled group) underwent surgery on the scheduled day after the preoperative examinations. In the one-day group, the surgery was usually performed 2–5 hours after instillation of the pupil dilating eye drops. Results: Among LASIK patients, the one-day group included 109 patients and the scheduled group included 117 patients. The postoperative myopic errors were 0.06 ± 0.37 diopters (D) and 0.07 ± 0.36 D, respectively (p = 0.91). The postoperative astigmatism was -0.38 ± 0.24 D and -0.37 ± 0.24 D, respectively (p = 0.77). The postoperative uncorrected visual acuity was -0.05 ± 0.03 logMAR and -0.06 ± 0.03 logMAR, respectively (p = 0.13). Among LASEK patients, the one-day group included 107 patients and the scheduled group included 94 patients. The postoperative myopic error was 0.18 ± 0.52 D and 0.22 ± 0.54 D, respectively (p = 0.95). The postoperative astigmatism was -0.48 ± 0.30 D and -0.46 ± 0.29 D, respectively (p = 0.14). The postoperative uncorrected visual acuity was -0.05 ± 0.03 logMAR and -0.06 ± 0.03 logMAR, respectively (p = 0.33). Conclusions: The postoperative results of the one-day LASIK and LASEK patients, whose surgery was performed on the same day as the preoperative examinations, were not significantly different from those using the conventional method.

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