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. 2021 Aug;35(4):272-279.
doi: 10.3341/kjo.2020.0001. Epub 2021 Jun 21.

Cataract Surgery Practice in the Republic of Korea: A Survey of the Korean Society of Cataract and Refractive Surgery 2020

Chang Rae Rho  1 , Jin-Hyoung Kim  2 , In Kwon Chung  3 , Eun Chol Kim  4 , Young Keun Han  5 , Sang Youp Han  6 , Youngsub Eom  7 , Tae-Young Chung  8 , Do-Hyung Lee  3
Affiliations

Cataract Surgery Practice in the Republic of Korea: A Survey of the Korean Society of Cataract and Refractive Surgery 2020

Chang Rae Rho et al. Korean J Ophthalmol. 2021 Aug.

Abstract

Purpose: To describe current cataract surgery practice patterns and trends among Korean ophthalmologists.

Methods: A survey was conducted among members of the Korean Society of Cataract and Refractive Surgery in October 2020. Of the 998 questionnaires, 262 (26.3%) were received for analysis. Data were analyzed using descriptive statistics and compared with those of previous surveys.

Results: The largest percentage of respondents (39%) had <5 years of practical experience, and 40% had >11 years of practical experience. The average, median, and mode monthly volumes of cataract surgeries performed by the Korean Society of Cataract and Refractive Surgery members were 31, 20, and 10 cases, respectively. Topical anesthesia was administered by 85% of the respondents. For intraocular lens (IOL) calculations, 96% of the respondents used optical biometry. The proportion of surgeons providing femtosecond laser-assisted cataract surgery increased significantly from 5% in 2018 to 29% in 2020. This increase was accompanied by an increase in the multifocal IOLs. Those who implant multifocal IOL for >10% of their cases increased from 16% (2018) to 29% (2020). Topical nonsteroidal anti-inflammatory drugs were prescribed postoperatively by 76% of the respondents. Most respondents (70%) prescribed these anti-inflammatory drugs for 4 weeks.

Conclusions: This survey provided a comprehensive update on current cataract surgery practice in the Republic of Korea. The results highlighted the increasing use of premium IOLs, femtosecond laser-assisted cataract surgery, optical biometry, and topical anesthesia to better meet the patients' needs.

Keywords: Biometry; Cataract; Intraocular lenses; Phacoemulsification; Surveys and questionnaires.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
The longitudinal trend of preferred anesthesia techniques used in cataract surgery.
Fig. 2
Fig. 2
The longitudinal trend of the preferred incision location in cataract surgery.
Fig. 3
Fig. 3
The longitudinal trend of the preferred intraocular lens material.
Fig. 4
Fig. 4
Survey results of toric intraocular lens. (A) Response of toric intraocular lens implantation ratio to total number of cataract surgery. (B) Subgroup analysis of toric intraocular lens implantation rates by workplace. (C) Subgroup analysis of corneal astigmatism for toric intraocular lens implantation by workplace. D = diopter.
Fig. 5
Fig. 5
Survey results of multifocal intraocular lens. (A) Response of multifocal intraocular lens implantation ratio to total number of cataract surgery. (B) Subgroup analysis of multifocal intraocular lens implantation rates by workplace.
Fig. 6
Fig. 6
The complication rate of unplanned aphakia, intraocular lens (IOL) sulcus fixation, dysphotopsia, retinal detachment, clinically significant pseudophakic cystoid macular edema (CME), intraocular pressure (IOP) spikes requiring medication, and toxic anterior segment syndrome (TASS) with severe endothelial cell damage.
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References

    1. Day AC, Gore DM, Bunce C, Evans JR. Laser-assisted cataract surgery versus standard ultrasound phacoemulsification cataract surgery. Cochrane Database Syst Rev. 2016;7:CD010735. - PMC - PubMed
    1. Reddy KP, Kandulla J, Auffarth GU. Effectiveness and safety of femtosecond laser-assisted lens fragmentation and anterior capsulotomy versus the manual technique in cataract surgery. J Cataract Refract Surg. 2013;39:1297–306. - PubMed
    1. Leaming DV. Practice styles and preferences of ASCRS members: 2003 survey. J Cataract Refract Surg. 2004;30:892–900. - PubMed
    1. Pick ZS, Leaming DV, Elder MJ. The fourth New Zealand cataract and refractive surgery survey: 2007. Clin Exp Ophthalmol. 2008;36:604–19. - PubMed
    1. Oshika T, Amano S, Araie M, et al. Current trends in cataract and refractive surgery in Japan: 1999 survey. Jpn J Ophthalmol. 2001;45:383–7. - PubMed