미세각막절삭기를 이용한 라식 수술 시 각막절편 두께에 영향을 미치는 수술 전 인자

• 영문명: Preoperative Factors related to Corneal Flap Thickness in LASIK using Microkeratome
• 발행기관: 대한안과학회
• 저자명: 조우형 이동초 장무환,Woo Hyung Cho, M.D., Dong Cho Lee, M.D., Moo Hwan Chang, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume47,number4, 607~612쪽, 전체 6쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2006.04.30

영문 초록

Purpose: To identify factors that may be related to variations in corneal flap thickness in LASIK using the Moria M2 microkeratome. Methods: The charts of patients having LASIK based on steep keratometry nomogram using Moria M2 microkeratome (head : 110 ?m) and excimer laser (VISX STAR S2, USA) in our department of ophthalmology from March, 2003, to May 2005, were reviewed retrospectively. A total of 195 eyes were enrolled in the investigation. We analyzed relationship between corneal flap thickness and preoperative factors including central corneal thickness, steep keratometer, corneal diameter, suction ring using multiple regression analysis. Results: Mean corneal flap thickness was 119.37±21.21 ?m. There was a statistically significant positive correlation between flap thickness and central corneal thickness (p<0.05). No correlation was found between flap thickness and other preoperative factors including steep keratometer, corneal diameter and suction ring. Conclusions: Mean corneal flap thickness using the Moria M2 110 ?m head was 119.37±21.21 ?m, little thicker than our expectation. When surgery is performed based on steep keratometry nomogram using Moria M2 microkeratome, if intraoperative factors are excluded, there is a trend toward thicker flap thickness with thicker central corneal thickness, whereas steep keratometer, corneal diameter or suction ring have no influence on flap thickness.

키워드

Corneal flap thickness, Preoperative factors, Moria M2 microkeratome, LASIK