ABSTRACT
PURPOSE: This study investigates the current situation and future trends in the field of cataract and refractive surgery in Korea. METHODS: Since 1995, the members of the Korean Society of Cataract and Refractive Surgery (KSCRS) have been annually surveyed on cataract and refractive surgery. The 2004 annual survey, consisting of 128 multiple-choice questions, was mailed in February 2004 to 396 KSCRS members. Eighty-eight(22.2%) members answered. Current data were compared with those of previous annual survey and with those of the USA. RESULTS: The duration of hospitalization has decreased annually and the use of topical anesthesia (41%) was stationary. Self sealing wound construction was the main wound closure technique in phacoemulsification (51%). The most preferred intraocular lenses for small incision cataract surgery are acrylic (60%). Excimer laser keratomileusis was performed for refractive surgery by 63% of the repondents. Most respondents preferred LASIK regardless of diopter range. More respondents had experienced legal problems associated with PRK or LASIK than in the last year survey. The implantation of phakic IOL was performed by 29% of the respondents and 96% of the respondents were interested in it. CONCLUSIONS: This survey summarized current trends and changes in cataract and refractive surgery in Korea.
Subject(s)
Anesthesia , Cataract , Surveys and Questionnaires , Hospitalization , Keratomileusis, Laser In Situ , Korea , Lasers, Excimer , Lenses, Intraocular , Phacoemulsification , Postal Service , Refractive Surgical Procedures , Wound Closure Techniques , Wounds and InjuriesABSTRACT
PURPOSE: To compare the results of cataract surgery between continuous mode and WhiteStar mode the latter is known to induce less heat production in the anterior chamber METHODS: The patients were recruited prospectively since May 2003. They were consecutively assigned to the continuous mode group and the WhiteStar mode group according to preoperative lens color grading in order to equally distribute the lens color grading in both groups. Ultrasound time, operating time, and loss of endothelial cells were evaluated. RESULTS: There was a positive correlation between lens color and ultrasound time and between lens color and operating time (p<0.01). There was no significant difference between the two groups in ultrasound time, operating time or loss of endothelial cells. CONCLUSIONS: There was no remarkable advantage in cataract surgery using WhiteStar mode compared with using conventional continuous mode.
Subject(s)
Humans , Anterior Chamber , Cataract , Endothelial Cells , Phacoemulsification , Prospective Studies , Thermogenesis , UltrasonographyABSTRACT
PURPOSE: To study profiles of inpatients and eye problems evaluated and managed by the ophthalmology consultation service of a large university teaching hospital. METHODS: We evaluated one thousand fourteen patients from April 2002 through December 2002. We recorded demographic information, hospitalization information, and eye examination information, including reason for consultation, type of consultation, ophthalmologic diagnosis. RESULTS: Approximately half the patients were male. Patients in 7th decade were 199. Endocrinologic devision of internal medicine services accounted for 19.0% of all consultations. Twenty-two percent of all consultations was to rule out diabetic retinopathy. We recorded 64 primary ophthalmologic diagnoses and 40 secondary ophthalmologic diagnoses. The top five common primary ophthalmologic diagnoses were diabetic retinopathy, conjunctivitis, cataract, refractive error and dry eye. Cataract was the most common secondary ophthalmologic diagnosis. There were 266 primary hospital discharge diagnoses. The most common primary hospital discharge diagnosis was diabetes mellitus. CONCLUSIONS: . Many people requiring examination for diabetic retinopathy had no history of previous ophthalmic examination. Therefore, education for patients with diabetes mellitus is needed. This study profiled the typical patients and eye problems seen by an ophthalmologist when inpatient consultation is requested. We hope that this report provides a basic source for planning and management of consultation services in residency training programs.
Subject(s)
Humans , Male , Cataract , Conjunctivitis , Diabetes Mellitus , Diabetic Retinopathy , Diagnosis , Education , Hope , Hospitalization , Hospitals, Teaching , Inpatients , Internal Medicine , Internship and Residency , Ophthalmology , Referral and Consultation , Refractive ErrorsABSTRACT
PURPOSE: To evaluate the clinical efficacy of a simplified single suture inferior retractor tightening technique in senile entropion. METHODS: Twenty patients (26 eyes) showing no severe horizontal lid laxity underwent an operation for senile entropion between April 2001 and July 2003. After a subciliary incision, the inferior retractor was identified, and repaired by reattaching the superior edge of the inferior retractor to the inferior edge of the lower tarsus using a single 5-0 Prolene suture. RESULTS: The patients were followed up for an average of 2.8 months after surgery. Five patients showed complications: two overcorrections and three recurrences of entropion. The others all showed good cosmetic and functional results. The recurred cases underwent further operation with good results. CONCLUSIONS: The simplified single suture inferior retractor tightening gave good results in patients with senile entropion without severe horizontal lid laxity. Moreover, this procedure has short operation and recovery times. In unilateral cases, more symmetric appearances were obtained compared with combined surgeries.