Department of Ophthalmology, Sato Eye Clinic, Iias Tsukuba Medical Court, Sato Eye Clinic5-19 Kenkyugakuen, Tsukuba, Ibaraki, 305-0817, Japan.
Visual Physiology, School of Allied Health Sciences, Kitasato University, Kanagawa, Japan.
Jpn J Ophthalmol. 2024 Sep;68(5):443-462. doi: 10.1007/s10384-024-01081-3. Epub 2024 Jul 13.
To evaluate changes in cataract and refractive surgery practice patterns among members of the Japanese Society of Cataract and Refractive Surgery (JSCRS) over the past 20 years.
Questionnaire survey study.
Clinical surveys were conducted annually between February and April from 2004 to 2023. Survey questions covered various areas, including cataract surgical techniques, anesthesia, endophthalmitis prophylaxis, toric and presbyopia-correcting intraocular lenses (IOLs), complications, and refractive surgery.
The highest (n=554 [36.8%]) and lowest (n=316 [19.1%]) numbers of responses were collected in 2012 and 2016, respectively. In perioperative management, the intraoperative use of polyvinyl alcohol-iodine solution and topical antibiotic prescription 3 days before surgery has increased. The use of intracameral injection at the end of surgery has also significantly increased, although it has not been established as common practice. In anesthesia, there is a clear polarization between the use of topical drops and tenon injection. The use of toric IOLs and presbyopia-correcting IOLs has significantly increased from 2010 to 2023. In the latter, the use of trifocal IOLs has particularly increased. Regarding IOL power calculations, the Barrett True K and the Barrett Universal II formulas are rapidly gaining popularity for application with and without post-laser vision correction, respectively. In refractive surgery, phakic IOLs and corneal refractive therapy have attracted considerable interest, followed by laser in situ keratomileusis.
Evaluation of annual clinical survey data over the past two decades provided valuable insights into the shifting practice patterns and clinical opinions among JSCRS members.
评估过去 20 年来日本白内障和屈光手术学会（JSCRS）成员在白内障和屈光手术实践模式方面的变化。
问卷调查研究。
2004 年至 2023 年期间，每年 2 月至 4 月进行临床调查。调查问题涵盖了白内障手术技术、麻醉、眼内炎预防、散光和多焦点人工晶状体（IOL）、并发症和屈光手术等各个领域。
2012 年和 2016 年分别收到了最多（n=554[36.8%]）和最少（n=316[19.1%]）的回复。在围手术期管理方面，术中使用聚乙烯醇-碘溶液和术前 3 天局部使用抗生素的情况有所增加。尽管尚未成为常规做法，但手术结束时的眼内注射的使用也显著增加。在麻醉方面，局部滴眼和球后注射的使用存在明显的两极分化。从 2010 年到 2023 年，散光 IOL 和多焦点 IOL 的使用显著增加。在后一种情况下，三焦点 IOL 的使用尤其增加。关于 IOL 屈光力计算，在进行激光视力矫正前后，Barrett True K 和 Barrett Universal II 公式分别得到了快速应用。在屈光手术方面，有晶状体眼 IOL 和角膜屈光治疗引起了相当大的兴趣，其次是激光原位角膜磨镶术。
对过去二十年的年度临床调查数据进行评估，为了解 JSCRS 成员的实践模式和临床观点的变化提供了有价值的见解。
