J Korean Ophthalmol Soc > Volume 57(8); 2016 > Article
Journal of the Korean Ophthalmological Society 2016;57(8):1248-1253.
DOI: https://doi.org/10.3341/jkos.2016.57.8.1248    Published online August 15, 2016.
Preferences and Trends in the Treatment of Diabetic Retinopathy in Korea and Japan.
Jung Yup Kim, Jae Pil Shin, Young Joon Jo, Tae Kwann Park, Seung Young Yu, Woo Hyok Chang, Jae Ryung Oh, Ji Eun Lee, Joo Eun Lee
1Department of Ophthalmology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea. jooeun2@paik.ac.kr
2Department of Ophthalmology, Kyungpook National University School of Medicine, Daegu, Korea.
3Department of Ophthalmology, Chungnam National University School of Medicine, Daejeon, Korea.
4Department of Ophthalmology, Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea.
5Department of Ophthalmology, Kyung Hee University School of Medicine, Seoul, Korea.
6Chang's Retina Center, Daegu, Korea.
7Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea.
8Department of Ophthalmology, Pusan National University School of Medicine, Yangsan, Korea.
한국과 일본의 당뇨망막병증 치료에 대한 경향 비교
인제대학교 의과대학 해운대백병원 안과학교실1, 경북대학교 의학전문대학원 안과학교실2, 충남대학교 의학전문대학원 안과학교실3, 순천향대학교 의과대학 부천병원 안과학교실4, 경희대학교 의과대학 안과학교실5, 장우혁안과6, 고려대학교 의과대학 안과학교실7, 부산대학교 의학전문대학원 안과학교실8
Correspondence:  Joo Eun Lee,
Email: jooeun2@paik.ac.kr
Received: 21 April 2016   • Revised: 15 June 2016   • Accepted: 14 July 2016
To evaluate preferences and trends in the management of diabetic retinopathy in Korea and Japan. METHODS: An Internet survey comprised of 49 questions was sent to the members of Korean Retina Society (KRS) and Japanese Society of Ophthalmic Diabetology (JSOD). The survey was conducted during the period between June 2012 and July 2012. RESULTS: Ninety-one of 210 members of the KRS (43%) and 120 of 754 members of the JSOD (16%) participated in the survey. For diffuse diabetic macular edema, 'intravitreal injection of anti-vascular endothelial growth factor (anti-VEGF) followed by focal laser treatment' was the most preferred treatment in Korea (48%), while 'sub-tenon steroid injection followed by focal laser treatment' was the most common procedure in Japan (33%). Vitrectomy was the second most common procedure in Japan (18%). In contrast, none of the KRS members preferred vitrectomy in this situation. For refractory diabetic macular edema, however, vitrectomy with or without the use of anti-VEGF was chosen in 75% of the KRS members. In Japan, vitrectomy without the use of intravitreal injection of anti-VEGF or steroid was relatively more preferred. Small-gauge (G) vitrectomy using either a 23 G or 25 G needle was popular in both countries (90% in Korea, 64% in Japan). CONCLUSIONS: Although the trends in diagnostic and surgical environments were similar in Korea and Japan, the preferred treatment approaches for diabetic macular edema were different. Sub-tenon steroid injection and vitrectomy were preferred in Japan, while anti-VEGF injection was most commonly employed in Korea.
Key Words: Diabetic retinopathy;Japan;Korea;Preferences and trends survey

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