중등도, 고도 근시에서 라섹과 에피라식의 단기간 임상성적

• 영문명: Short Term Clinical Results of Laser Epithelial Keratomileusis and Epi-Laser in Situ Keratomileusis for Moderate and High Myopia
• 발행기관: 대한안과학회
• 저자명: 권혁락 김권일 구본술 박혜련,Hyuk-Lak Kwon, M.D., Kwon-Il Kim, M.D., Bon-Sool Koo, M.D., Hye-Ryun Park, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume46,number10, 1711~1717쪽, 전체 7쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2005.10.31

영문 초록

Purpose: To compare the results of laser epithelial keratomileusis (LASEK) and epi-laser in situ keratomileusis (Epi-LASIK) for the treatment of moderate to high myopia. Methods: In this study, 50 patients with a manifest refraction of moderate to high myopia were assigned to two groups: 50 eyes of 25 patients treated with LASEK and 50 eyes of 25 patients treated with epi-LASIK. Uncorrected visual acuity (UCVA), manifest refraction, corneal haze, and postoperative pain were reviewed in LASEK and epi-LASIK treated eyes at 3 months after the operation. Results: At one week after surgery, UCVA was recovered more rapidly after epi-LASIK than LASEK (LASEK: 0.61±0.23, Epi-LASIK: 0.79±0.11, p<0.05), but UCVA at both 1 and 3 months showed no significant difference between the LASEK and epi-LASIK groups. However, epi-LASIK-treated eyes had lower postoperative pain scores and lower corneal haze scores (1 month; p=0.01) than those of LASEK-treated eyes. Conclusions: Epi-LASIK showed a more rapid visual recovery than LASEK at 1 week after surgery for the correction of myopia. Epi-LASIK-treated eyes also had less postoperative pain and an earlier reduction of postoperative corneal haze. These results suggest epi-LASIK could be a viable alternative procedure for the correction of moderate to high myopia.

키워드

Corneal haze, Epi-Laser in situ keratomileusis, Laser epithelial keratomileusis, Postoperative pain