펨토초레이저 백내장수술 도입 초기의 단기 임상경과 및고식적 백내장수술과의 비교

• 영문명: Short-term Clinical Outcomes of Femtosecond Laser-assisted Cataract Surgery: Comparison with Conventional Phacoemulsification
• 발행기관: 대한안과학회
• 저자명: 최재환(Jae Hwan Choi) 양찬민(Chan Min Yang) 정나연(Na Yeon Chung) 임동희(Dong Hui Lim) 정태영(Tae-Young Chung)
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume59,number5, 1~9쪽, 전체 9쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2018.04.30

영문 초록

Purpose: To evaluate the short-term clinical outcome of femtosecond laser-assisted cataract surgery at the initial phase and to compare it with results from conventional phacoemulsification. Methods: This retrospective study was performed on 50 eyes who underwent femtosecond laser-assisted cataract surgery and 50 eyes who underwent conventional phacoemulsification. The short-term outcomes included uncorrected and corrected distance visual acuity and spherical equivalent. The complications of femtosecond laser-assisted cataract surgery were evaluated, and the prevalences of complications between the initial 25 eyes and latter 25 eyes of the cases were compared to evaluate the importance of the learning curve. Results: There were no significant differences in uncorrected (p = 0.78) and corrected (p = 0.89) distance visual acuity between groups 1 month postoperatively. There was no difference in spherical equivalent (p = 0.09). The phacoemulsification time was not different between groups (p = 0.15). However, there was a significant decrease in cumulative dissipated energy in the femtosecond laser-assisted cataract surgery group (p = 0.04). There were complications during femtosecond laser-assisted cataract surgery, such as subconjunctival hemorrhage, miosis, early entry corneal incision, and incomplete corneal incision. The prevalence of complications in the latter 25 eyes was less than that of the first 25 eyes treated with femtosecond laser-assisted cataract surgery; the prevalence of subconjunctival hemorrhage was reduced significantly (p = 0.02). Conclusions: The short-term clinical outcomes of the femtosecond laser-assisted cataract surgery group at the initial phase were not different, and in some cases, better than those of the conventional phacoemulsification group. A learning period is therefore required during the initial phase of femtosecond laser-assisted cataract surgery. J Korean Ophthalmol Soc 2018;59(5):419-427

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키워드

Cataract surgery Clinical outcomes Femtosecond laser