| 대한안과학회 학술대회 발표 연제 초록 |
| 백굴 F-021 |
| SMILE 수술중 발생한 흡입 소실후 시행한 즉각적 상피통과굴절교정각막절제술의 임상 결과 |
1 연세대학교 의과대학 안과학 교실 2 아이리움안과의원 |
| 정병훈1, 강성용2, 전익현1, 김응권1, 서경률1, 김강윤1, 김태임1 |
목적 : To investigate efficacy, safety, and predictability of surgical outcomes and corneal aberrations in eyes underwent underwent immediate transepithelial photorefractive keratectomy (PRK) after suction loss during SMILE procedure. 방법 : Twelve patients who underwent immediate transepithelial PRK after suction loss during lenticule cut of SMILE procedure on one eye and uneventful SMILE on the contralateral eye were included. Visual acuity assessment, manifest refraction and measurement of corneal wavefront aberration were performed preoperatively and 6 months after the surgery. 결과 : At postoperative 6 months, the mean uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), and manifest refraction spherical equivalent in the transepithelial PRK and the SMILE group were -0.04 ± 0.05, -0.09 ± 0.05, 0.23 ± 0.24 diopters (D) and -0.10 ± 0.07, -0.06 ± 0.07, -0.04 ± 0.17 D, respectively (P = 0.036, 0.109, 0.002, respectively). 92% and 100% of eyes showed postoperative 6-month Snellen UDVA better than 20/20 in the transepithelial PRK and SMILE group respectively. All eyes in both groups showed unchanged or improved CDVA after the surgery. 결론 : Immediate transepithelial PRK after suction loss during SMILE procedure showed effective, safe and predictable surgical outcomes. |