NEWS & OPINION 42 EWAP DECEMBER 2022 저자들은 보강수술을 하기까지의 시간차, 각막절편 형성에 쓰인 도구, 성별, 그리고 연령이 EI의 위험요인이라는 주장이 뒷받침되지 않았음을 보여주었다. 본 연구는 LASIK 각막절편 박리를 조사하고 합병증 발생률이 낮은 특정 수술 기법을 기술하는 현재까지 가장 큰 후향적 연구이다. 저자들은 각막절편 박리가 첫 수술 후 수년이 경과한 후에 선호되는 보강수술 방법이 될 수 있다는 설득력 있는 주장을 제시한다. EWAP References 1. Moshirfar M, et al. LASIK enhancement: clinical and surgical management. J Refract Surg. 2017;33:116–127. 2. Cagil N, et al. Effectiveness of laser- assisted subepithelial keratectomy to treat residual refractive errors after laser in situ keratomileusis. J Cataract Refract Surg. 2007;33:642–647. 3. Carones F, et al. Evaluation of photorefractive keratectomy retreatments after regressed myopic laser in situ keratomileusis. Ophthalmology. 2001;108:1732–1737. 4. de Rojas V, et al. Infectious keratitis in 18,651 laser surface ablation procedures. J Cataract Refract Surg. 2011;37:1822–1831. 5. Schallhorn SC, et al. Flap lift and photorefractive keratectomy enhancements after primary laser in situ keratomileusis using a wavefrontguided ablation profile: Refractive and visual outcomes. J Cataract Refract Surg. 2015;41:2501–2512. 6. Caster AI. Flap-lift LASIK 10 or more years after primary LASIK. J Refract Surg. 2018;34:604–609. 7. Davis EA, et al. Lasik enhancements: a comparison of lifting to recutting the flap. Ophthalmology. 2002;109:2308–2314. 8. Rubinfeld RS, et al. To lift or recut: changing trends in LASIK enhancement. J Cataract Refract Surg. 2003;29:2306–2317. 9. Vaddavalli PK, et al. Complications of femtosecond laser-assisted re-treatment for residual refractive errors after LASIK. J Refract Surg. 2013;29:577–580. 10. Domniz Y, et al. Recutting the cornea versus lifting the flap: comparison of two enhancement techniques following laser in situ keratomileusis. J Refract Surg. 2001;17:505–510. 11. Alió Del Barrio JL, et al. Laser flap enhancement 5 to 9 years and 10 or more years after laser in situ keratomileusis: Safety and efficacy. J Cataract Refract Surg. 2019;45:1463–1469. 12. Santhiago MR, et al. Flap relift for retreatment after femtosecond laser-assisted LASIK. J Refract Surg. 2012;28:482–487. 13. Randleman JB, Shah RD. LASIK interface complications: etiology, management, and outcomes. J Refract Surg. 2012;28:575–586. 14. Wang MY, Maloney RK. Epithelial ingrowth after laser in situ keratomileusis. Am J Ophthalmol. 2000;129:746–751. 15. Letko E, et al. Influence of original flap creation method on incidence of epithelial ingrowth after LASIK retreatment. J Refract Surg. 2009;25:1039–1041. 16. Caster AI, et al. Incidence of epithelial ingrowth in primary and retreatment laser in situ keratomileusis. J Cataract Refract Surg. 2010;36:97–101. 17. Henry CR, et al. Epithelial ingrowth after LASIK: clinical characteristics, risk factors, and visual outcomes in patients requiring flap lift. J Refract Surg. 2012;28:488–492. 18. Ting DSJ, et al. Epithelial ingrowth following laser in situ keratomileusis (LASIK): prevalence, risk factors, management and visual outcomes. BMJ Open Ophthalmol. 2018;3:e000133. 19. Durrie DS, Aziz AA. Lift-flap retreatment after laser in situ keratomileusis. J Refract Surg. 1999;15:150–153. 20. Walker MB, Wilson SE. Incidence and prevention of epithelial growth within the interface after laser in situ keratomileusis. Cornea. 2000;19:170–173. 21. Chan CCK, Boxer Wachler BS. Comparison of the effects of LASIK retreatment techniques on epithelial ingrowth rates. Ophthalmology. 2007;114:640–642. Editors’ note: Dr. Mai and Dr. Murri are residents, Dr. Pettey Residency Program Director at Moran Eye Center, University of Utah, Salt Lake City, Utah. 단초점 토릭 인공수정체 repositioning의 실제 발생률 리뷰 - from page 39 마지막으로, 향후 방향성에 있어서 연구의 막바지에TECNIS 렌즈가 이미 새 디자인으로 나오게 된 점을 감안할 때, 우리는 새로 수정된 TECNIS II 렌즈와 AcrySof 렌즈를 비교하는 향후 연구에 특히 관심이 생겼다. 신세대의 TECNIS 토릭 렌즈는 본 기사에서 논의된 바로 그 문제를 해결하기 위해 회전 안정성을 향상시키도록 고안되었다. 결론 난시축에 대한 적절한 정렬은 토릭 IOL을 삽입한 환자의 시력 결과에 대단히 중요하다. IRIS 레지스트리의 실제 데이터를 사용하여 단초점 IOL의 수술적 재배치 비율을 비교한 결과, AcrySof 단초점 렌즈에 비해 TECNIS 단초점 IOL에서 재배치 빈도가 더 높다는 이전 연구 보고가 사실임을 확인했다. EWAP References 1. Anderson DF, et al. Global prevalence and economic and humanistic burden of astigmatism in cataract patients: a systematic literature review. Clin Ophthalmol. 2018;12:439–452. 2. Kessel L, et al. Toric intraocular lenses in the correction of astigmatism during cataract surgery: a systematic review and meta-analysis. Ophthalmology. 2016;123:275–286. 3. Visser N, et al. Toric intraocular lenses: historical overview, patient selection, IOL calculation, surgical techniques, clinical outcomes, and complications. J Cataract Refract Surg. 2013;39:624–637. 4. Dang S, et al. Estimating patient demand for ophthalmologists in the United States using Google Trends. Invest Ophthalmol Vis Sci. 2021;62:1724. 5. Oshika T, et al. Comparison of incidence of repositioning surgery to correct misalignment with three toric intraocular lenses. Eur J Ophthalmol. 2020;30:680–684. 6. Lee BS, Chang DF. Comparison of the rotational stability of two toric intraocular lenses in 1273 consecutive eyes. Ophthalmology. 2018;125:1325–1331. Editors’ note: Dr. Sun is Residency Program Director, Dr. Koenig a resident Weill Cornell Medicine, New York, New York.
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