백내장 수술 후 발생한 음성 이상광시증의 임상 양상과 수술 만족도에 미치는 영향

• 영문명: Clinical Characteristics and Patient’s Satisfaction in Pseudophakic Negative Dysphotopsia
• 발행기관: 대한안과학회
• 저자명: 김정아 하아늘 권지원 위원량 한영근,Jeong Ah Kim, MD, Ah Nul Ha, MD, Ji Won Kwon, MD, PhD, Won Ryang Wee, MD, PhD,Young Keun Han, MD, PhD,
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume55,number5, 669~678쪽, 전체 10쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2014.05.15

영문 초록

Purpose: To investigate the clinical characteristics of patients with pseudophakic negative dysphotopsia after cataract surgery and to analyze the risk factors of pseudophakic negative dysphotopsia as well as the postoperative effects on patient's satisfaction. Methods: This study included 1,020 eyes of 690 patients who underwent phacoemulsification and posterior chamber lens insertion between January 2010 and March 2012. Retrospective chart review was conducted to evaluate the prevalence of negative dysphotopsia according to the site of clear corneal incision during cataract surgery and the type of implanted intraocular lens (IOL). The clinical outcome of Neodymium:yttrium-aluminium-garnet (Nd:YAG) laser anterior capsulotomy in negative dysphotopsia patients was evaluated. Using a telephone survey, patients were asked to subjectively answer 18 questions regarding satisfaction after cataract surgery, the severity of visual symptoms and the effect of negative dysphotopsia in their daily life. Results: Negative dysphotopsia developed in patients who underwent uneventful cataract surgery and successful implantation of IOL in the bag. The patients' vision was corrected up to 20/20 (0.00 log MAR) and HVF P60-4 showed no abnormality in their visual field. There were significantly more patients with the SN60WF IOL who reported negative dysphotopsia but no other factors associated with the prevalence of negative dysphotopsia. During the telephone survey, patients complained of difficulties in their daily life related to the negative dysphotopsia symptoms and reported decreased satisfaction after cataract surgery. Conclusions: Although negative dysphotopsia can decrease the patient's satisfaction after cataract surgery, the genesis of negative dysphotopsia and an objective method to test for negative dysphotopsia is necessary. Therefore, a prospective large study should be conducted to evaluate the cause and treatment of negative dysphotopsia. J Korean Ophthalmol Soc 2014;55(5):669-678

키워드

Cataract surgery, Negative dysphotopsia, Patient’s satisfaction, Pseudophakia