Assuntos
Extração de Catarata/métodos , Implante de Lente Intraocular/métodos , Anestesia Local , Catarata/epidemiologia , Extração de Catarata/tendências , Terapia Combinada/tendências , Comorbidade , Análise de Falha de Equipamento , Previsões , Glaucoma/epidemiologia , Glaucoma/cirurgia , Humanos , Implante de Lente Intraocular/tendências , Lentes IntraocularesRESUMO
PURPOSE: The eighth annual survey was carried out by mail in February 2000 to investigate the current trends in cataract and refractive surgery in Japan. RESPONDENTS: Questionnaires were sent to 930 ophthalmologist members of the Japanese Society of Cataract and Refractive Surgery. Data received from 457 (49.1%) of the recipients were cross-analyzed and compared with those from the previous surveys. RESULTS: In cataract surgery, 17% of respondents were doing 51 or more cases per month, 94% preferred phacoemulsification, 58% employed the self-sealing wound closure technique, and 26% used topical anesthesia for phacoemulsification. In refractive surgery, excimer laser surgery and astigmatic keratotomy attracted notably high interest, while less attention was directed toward radial keratotomy and intrastromal corneal ring. Laser in situ keratomileusis, photorefractive keratectomy, phakic intraocular lens, intrastromal corneal ring, and radial keratotomy were judged to be useful refractive surgical procedures by 69.0%, 40.0%, 24.6%, 14.2%, and 8.0% of the respondents, respectively. CONCLUSION: There are trends toward more surgical procedures performed by a surgeon, shorter period of hospitalization, and increasing preference for small incision cataract surgery. Refractive surgery is not yet widely performed, but laser in situ keratomileusis is viewed as the most promising procedure.
Assuntos
Extração de Catarata/tendências , Ceratomileuse Assistida por Excimer Laser In Situ/tendências , Ceratotomia Radial/tendências , Ceratectomia Fotorrefrativa/tendências , Procedimentos Cirúrgicos Refrativos , Adulto , Anestesia Local/métodos , Anestesia Local/estatística & dados numéricos , Anestesia Local/tendências , Extração de Catarata/métodos , Extração de Catarata/estatística & dados numéricos , Inquéritos Epidemiológicos , Humanos , Japão , Ceratomileuse Assistida por Excimer Laser In Situ/métodos , Ceratomileuse Assistida por Excimer Laser In Situ/estatística & dados numéricos , Ceratotomia Radial/métodos , Ceratotomia Radial/estatística & dados numéricos , Lasers de Excimer , Implante de Lente Intraocular/métodos , Implante de Lente Intraocular/estatística & dados numéricos , Implante de Lente Intraocular/tendências , Pessoa de Meia-Idade , Oftalmologia , Ceratectomia Fotorrefrativa/métodos , Ceratectomia Fotorrefrativa/estatística & dados numéricos , Sociedades Médicas , Inquéritos e QuestionáriosRESUMO
A fifth annual survey was carried out by mail in February 1997 to investigate the current trends in cataract and refractive surgery in Japan. A questionnaire was sent to 867 ophthalmologist members of the Japanese Society of Cataract and Refractive Surgery. Data received from 440 (50.7%) of the recipients were cross-analyzed and compared with those from the previous surveys. For cataract surgery, there have been trends toward more surgical procedures performed by a surgeon, shorter period of hospitalization, and increased number of outpatient surgery. Ninety percent of respondents preferred phacoemulsification, 42% employed the self-sealing wound closure technique, and 26% used topical anesthesia for phacoemulsification. As for refractive surgery, surgeons remained rather conservative, with 26% and 6% of surgeons doing astigmatic keratotomy and refractive keratotomy, respectively.