펨토초레이저를 이용한 각막이식술과 일반적인 전층각막이식술의 임상결과 비교

• 영문명: Comparison of Outcomes of Femtosecond Laser-assisted Keratoplasty and Conventional Penetrating Keratoplasty
• 발행기관: 대한안과학회
• 저자명: 정경인 최진아 나경선 정소향 차흥원 김응권 주천기,Kyoung In Jung, MD, Jin A Choi, MD, Kyung Sun Na, MD, So Hyang Chung, MD, PhD, Hungwon Tchah, MD, PhD, Eung Kweon Kim, MD, PhD, Choun-Ki Joo, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume51,number8, 1054~1063쪽, 전체 10쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2010.08.15

영문 초록

Purpose: To compare the outcomes of IntraLase femtosecond laser-enabled keratoplasty (IEK) versus conventional penetrating keratoplasty (C-PKP). Methods: This retrospective study included 18 eyes of 17 patients who underwent C-PKP and 26 eyes of 25 patients who underwent IEK. Postoperative clinical results were compared between two groups. Results: The mean logMAR best spectacle-corrected visual acuity (BSCVA) was 0.70, 0.58, and 0.61 in the IEK group, and 1.06, 1.01, and 0.90 in the C-PKP group at postoperative 2, 4, and 6 months respectively. The difference between the two groups was statistically significant at 2 and 4 months postoperatively (p=0.033, 0.011). The mean refractive cylinder was 4.08 diopters (D), 4.01D, and 4.44D in the IEK group, while 5.75D, 5.75D, and 5.21D in the C-PKP group for each month, and the difference between the groups was statistically significant at 2 and 4 months postoperatively (p=0.037, 0.027). The complication rate showed no significant differences up to 6 months of follow-up between the two groups. Conclusions: The IEK showed better results in BSCVA and refractive astigmatism in the early postoperative period, in comparison with the C-PKP, and can be considered as a valuable method in penetrating keratoplasty. J Korean Ophthalmol Soc 2010;51(8):1054-1063

키워드

Conventional penetrating keratoplasty, Femtosecond laser-assisted keratoplasty