Journal of the Korean Ophthalmological Society 1959;2(1):106-110.
Present View of Cataract Surgery in Korea.
Cho Yong Song
한국에 (韓國) 있어서의 백내장수술의 (白內障手術) 현황 (現況)
송조영 (宋朝永)
Abstract
During last decade especially after Korea-war a large number of new preparations have been added to our every day practice for this it seems very interesting to know the therapeutic habits of korean ophthalmologist today. As its test case, a questionaire about senile cataract extraction which they usuallyprescribed was circulated, and seventy questionaires were maled out. (1) in the culture from conjuctiva, the large number of ophthalmologist, 72%, do not or can not do because of having no such equipment or of thinking no necessary. (2) in the properative use use of mydriatics, 32% of ophthalmologists used Homatropine of atropine just before operation, and it is very interesting to note that 24% of them used Homatropine the day before operation. (3) in the akinesia, 40% of ophthalmologists ussed Van Lint or modified Van Lint type akinesia, and only 8% of them used O Brien type. (4) in the bridle or stay suture, 80% of them usually used and 20% used sometimes. (5) in the retrobulbar injection 70% of them usually prescribed, and 16% sometimes 20 of them have the experience of intraorbital hemorrhage after such injection. (6) in the corneoscleral suture, 84% of the them used such suture, and majority of them sutured 3 places, 10, 12 and 2 o'clock position and also large number of them used Mc lean type suture. (7) in the corneoscleral incision, 76% of ophthalmologist, used keratome and scissor, and also 16% used Graefes knite, and only 8% of them used Bardparker knife because of only economical reasons. (8) About iridectomy, 60% of them used perpheral button hole iridectomy and 20% used peripheral iridotomy. (9) in the lens extraction, 72% of them used intracapsular extraction including one loop extraction and majority of them used such technique since last several years. (10) After lens extraction, 52% of them injected air in the anterior chamber, and 20% used normal saline. (11) After operation, 32% of ophthalmologists employed steroid therapy and just same percent of ophthalmologists did not employed such therapy because of delayed wound healing. 36% of them gave no answeres. (12) When found binocular cataracts, 60% of them operated both in same time only because of economical reasons, and 40% of them operated seperately, because it gave too much stress to the patient physically or mentaly, and also it is safety.


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