J Korean Ophthalmol Soc.  2015 Aug;56(8):1181-1187. 10.3341/jkos.2015.56.8.1181.

2012 Survey of KSCRS and KOS Member: Current Trends in Cataract Surgery in Korea

• Wi JM
• Moon HS
• Kim KH
• Shyn KH

• KMID: 2215068
• DOI: http://doi.org/10.3341/jkos.2015.56.8.1181

Abstract

PURPOSE
This study investigated the current trends and changes in the field of cataract surgery in Korea.
METHODS
The members of the Korean Society of Cataract and Refractive Surgery (KSCRS) and the members of the Korean Ophthalmological Society (KOS) participated in a survey on cataract surgery in 2012, the 16th survey, consisting of 108 multiple-choice questions, mailed in July 2013 to 301 KSCRS and KOS members. Sixty two (20.6%) members answered the questions. Current data were compared with previous surveys performed in 2006 and 2009.
RESULTS
Most of the respondents (46%) were in the fourth decade, 43% in the fifth decade and 10% in the sixth decade of life. The duration of hospital stay had decreased annually and the use of topical anesthesia (69%) was the most preferred. Self-sealing wound construction was the main wound closure technique in phacoemulsification (72%). The most preferred intraocular lens (IOL) for cataract surgery was hydrophobic acrylic (76%) which showed an increasing trend. The implantation of phakic IOL was performed by 41% of the respondents and interest in the value added IOLs such as presbyopia IOL and toric IOL had increased annually. In addition, to minimize astigmatism following cataract surgery, several methods were performed according to the degree of astigmatism. However, there was little interest in new cataract surgery techniques such as femtosecond laser and many respondents were skeptical whether to adopt the femtosecond laser cataract surgery system.
CONCLUSIONS
This survey summarized current trends and changes in the field of cataract surgery in Korea.

Keyword

Cataract surgery; KOS; KSCRS; Survey

MeSH Terms

Anesthesia
Astigmatism
Cataract*
Surveys and Questionnaires
Korea*
Length of Stay
Lenses, Intraocular
Phacoemulsification
Postal Service
Presbyopia
Refractive Surgical Procedures
Wound Closure Techniques
Wounds and Injuries

Figure

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  Figure 1. Duration of admission for cataract surgery. Less than 1 day of hospitalization is 87%. KOR = Research for Korean Ophthalmological Society Members and Korean Society of Cataract and Refractive Surgery Members.

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  Figure 2. Preferred methods of anesthesia for cataract operation. Topical anesthesia (69%) is the most popular method. R/B = fe-trobulbar anesthesia; Peribul = reribulbar anesthesia; Ten = subtenon anesthesia; Topical = topical anesthesia; KOR = Research for Korean Ophthalmological Society Members and Korean Society of Cataract and Refractive Surgery Members.

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  Figure 3. Preferred size of incision in phacoemulsification. Small incision is preferred annually. KOR = Research for Korean Ophthalmological Society Members and Korean Society of Cataract and Refractive Surgery Members.

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  Figure 4. Incision modes in phacoemulsification. Temporal incision (56%) is preferred. KOR = Research for Korean Ophthalmological Society Members and Korean Society of Cataract and Refractive Surgery Members; o/c = o'clock.

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  Figure 5. Wound closure techniques in phacoemulsification. KOR = Research for Korean Ophthalmological Society Members and Korean Society of Cataract and Refractive Surgery Members.

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  Figure 6. Causes of intraocular lens (IOL) removal. IIOP = increased intraocular pressure; KOR = Research for Korean Ophthalmological Society Members and Korean Society of Cataract and Refractive Surgery Members.

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  Figure 7. Preferred site for phakic intraocular lens implantation. KOR = Research for Korean Ophthalmological Society Members and Korean Society of Cataract and Refractive Surgery Members; Ant chamb = anterior chamber; Post chamb = posterior chamber.

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  Figure 8. Preferred multifocal intraocular lens.

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  Figure 9. Techniques for astigmatism correction according to severity of astigmatism. IOL = intraocular lens; LRI = limbal relaxing incision; AK = astigmatic keratotomy.

Reference

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