4 EyeWorld Asia-Pacific | December 2024 Graham Barrett Chief Medical Editor EyeWorld Asia-Pacific • China • Korea • India EDITORIAL BOARD Chief Medical Editor Graham Barrett, MD INDIAN EDITION Regional Managing Editor Abhay Vasavada, MD Deputy Regional Editor S. Natarajan, MD KOREAN EDITION Regional Managing Editor Hungwon Tchah, MD Deputy Regional Editor Chul Young Choi, MD APACRS Publisher: EyeWorld Asia-Pacific Edition (ISSN 1793-1835) is published quarterly by the Asia-Pacific Association of Cataract & Refractive Surgeons (APACRS), c/o Singapore National Eye Centre, 11 Third Hospital Avenue, Singapore 168751, telephone (65) 6322-7469, fax (65) 6327-8630, email ewap@apacrs.org. Printed in Singapore. Editorial Offices: EyeWorld Asia-Pacific Edition: Asia-Pacific Association of Cataract & Refractive Surgeons (APACRS), c/o Singapore National Eye Centre, 11 Third Hospital Avenue, Singapore 168751, telephone (65) 6322-7469, fax (65) 6327-8630, email ewap@apacrs.org. Advertising Office: EyeWorld Asia-Pacifi c Edition: Asia-Pacific Association of Cataract & Refractive Surgeons (APACRS), c/o Singapore National Eye Centre, 11 Third Hospital Avenue, Singapore 168751, telephone (1-703) 975-7766, email don@apacrs.org. Copyright 2021, Asia-Pacifi c Association of Cataract & Refractive Surgeons (APACRS), c/o Singapore National Eye Centre, 11 Third Hospital Avenue, Singapore 168751, telephone (65) 6322-7469, fax (65) 6327-8630, email ewap@apacrs.org. Licensed through the American Society of Cataract & Refractive Surgery (ASCRS), 4000 Legato Road, Suite 700, Fairfax, VA 22033-4003, USA. All rights reserved. No part of this publication may be reproduced without written permission from the publisher. Letters to the editor and other unsolicited material are assumed intended for publication and are subject to editorial review and acceptance. The ideas and opinions expressed in EyeWorld Asia-Pacific do not necessarily reflect those of the editors, publishers or its advertisers. Subscriptions: Requests should be addressed to the APACRS publisher, c/o Singapore National Eye Centre, 11 Third Hospital Avenue, Singapore 168751, telephone (65) 6322-7469, fax (65) 6327-8630, email ewap@apacrs.org. Back copies: Subject to availability. Contact the APACRS publisher, c/o Singapore National Eye Centre, 11 Third Hospital Avenue, Singapore 168751, telephone (65) 6322-7469, fax (65) 6327-8630, email ewap@apacrs.org. Requests to reprint, use or republish: Requests to reprint or use material published herein should be made in writing only to the APACRS publisher, c/o Singapore National Eye Centre, 11 Third Hospital Avenue, Singapore 168751, telephone (65) 6322-7469, fax (65) 6327-8630, email ewap@apacrs.org. Change of address: Notice should be sent to the APACRS publisher, c/o Singapore National Eye Centre, 11 Third Hospital Avenue, Singapore 168751, six weeks in advance of effective date. Include old and new addresses and label from a recent issue. The APACRS publisher cannot accept responsibility for undelivered copies. KDN number: PPS1766/07/2013(022955) MCI (P) 038/02/2024 CHINESE EDITION Regional Managing Editor Yao Ke, MD Deputy Regional Editor He Shouzhi, MD Zhao Jialiang, MD Assistant Editors Zhouqi, MD Shentu Xingchao, MD EDITORIAL MEMBERS Chan Wing Kwong, MD Singapore Ronald Yeoh, MD Singapore John Chang, MD Hong Kong SAR Pannet Pangputhipong, MD Thailand YC Lee, MD Malaysia Hiroko Bissen-Miyajima, MD Japan Kimiya Shimizu, MD Japan Sri Ganesh, MD India Chee Soon Phaik, MD Singapore Johan Hutauruk, MD Indonesia PUBLISHING TEAM Chief Publisher Ronald Yeoh, MD Executive Director Kathy Chen kathy.chen@apacrs.org Publishing Consultant Donald R Long don@apacrs.org Production Team Gretel Tan Aileen Bian ewap@apacrs.org EDITORIAL 임상 및 외과적 난관을 극복하는 것은 백내장 수술을 시행하는 모든 안과의에게 여전히 중요한 과제입니다. 이번 Eyeworld Asia-Pacific 호에서는 이러한 난관의 여러 예시를 다루고 있습니다. 여기에는 비문증의 관리, 고위수차의 존재, 그리고 원추각막 환자에서 만족스러운 결과를 얻는 방법 등이 포함됩니다. 개인적으로 백내장 수술 시 선행 원추각막은 특히 도전적인 문제라고 생각하지만, 신중한 계획을 통해 이 수술은 환자의 삶을 획기적으로 변화시킬 수 있습니다. 이 주제를 논의할 때는 경증의 잠재적 각막 변화에서부터 RGP 콘택트렌즈 교정을 통해서만 적절한 시력을 유지할 수 있는 경우까지 이 상태의 스펙트럼을 인식하는 것이 중요합니다. 당연히 수술 접근법은 상태의 중증도에 따라 달라질 것입니다. 환자가 한때 안경을 통해 만족스러운 시력을 얻을 수 있었는지를 확인하는 것이 매우 중요합니다. 이는 심각한 백내장이 있을 경우, 백내장 발생 이전의 시력 기록을 안경사로부터 받아야 할 수도 있습니다. 각막의 불규칙성을 해결하기 위해 소구경 인공수정체를 고려하는 경향이 있지만, 제 경험상 대부분의 환자에게는 이것이 필요하지 않습니다. 임상과 수술의 장애물 극복하기
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