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ISSN 1561-3070 (Electronic)

2022, Number 1

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Rev Cub Oftal 2022; 35 (1)

Refractive and visual results in photoablative surgery in myope patients

Cárdenas DT, Escobedo EJ, Pérez SRG, Guerra AM, Naranjo FRM

Language: Spanish
References: 18
Page: 1-15
PDF size: 277.52 Kb.


ABSTRACT

Objective: To evaluate refractive and visual outcomes after excimer laser corneal refractive surgery (laser-assisted subepithelial keratectomy [LASEK] or photorefractive keratectomy [PRK], with intraoperative application of mitomycin-C [MMC]) in myopic patients with or without associated astigmatism.
Methods: A preexperimental, before-and-after study was carried out with 81 patients (162 eyes) treated with LASEK-MMC (65 patients) or PRK-MMC (16 patients) and followed for three months. A complete ophthalmologic examination was done and the following variables age, sex, diagnosis and type of myopia were assessed, as well as pre-surgery and post-surgery visual acuity, sphere, cylinder and spherical equivalent. In addition, visual function and the refraction results were analyzed.
Results: The median age was 24.0 years in the LASEK-MMC group and 23.0 years in the PRK-MMC group. In both groups there was a predominance of the female sex. All treated patients had compound myopic astigmatism with mild myopia. At three months, 96.9 % of patients treated with LASEK-MMC and 93.8 % of patients treated with PRK-MMC had uncorrected visual acuity of 20/20 or better, and all had vision of 20/40 or better.
Conclusions: Laser photoablative surgery has good refractive and visual outcomes as most patients became emmetropic with marked improvement in uncorrected visual acuity and refraction postoperatively.


REFERENCES

  1. The impact of myopia and high myopia: report of the Joint World Health Organization-Brien Holden Vision Institute Global Scientific Meeting on Myopia, University of New South Wales, Sydney, Australia, 16-18 March 2015. Geneva: World Health Organization, 2017 Contract No.: Licence: CC BY-NCSA 3.0 IGO.

  2. OMS. Informe mundial sobre la visión [World Report on Vision]. Ginebra: Organización Mundial de la Salud, 2020 Contract No.: Licencia: CC BY-NC-SA 3.0 IGO.

  3. Holden B, Fricke TR, Wilson DA, Jong M, Naidoo KS, Sankaridurg P, et al. Global Prevalence of Myopia and High Myopia and Temporal Trends from 2000 through 2050. Ophthalmology. 2016;123(5):1036-42.

  4. Kuryan J, Cheema A, Chuck RS. Laser-assisted subepithelial keratectomy (LASEK) versus laser-assisted in-situ keratomileusis (LASIK) for correcting myopia (Review). Cochrane Database of Systematic Reviews [Internet]. 2017 [cited 2020 May 5th]; (2): [1-43 pp. ]. DOI: https://10.1002/14651858.CD011080.pub2

  5. Li SM, Zhan S, Li SY, Peng XX, Hu J, Law HA, et al. Laser-assisted subepithelial keratectomy (LASEK) versus photorefractive keratectomy (PRK) for correction of myopia. Cochrane Database of Systematic Reviews [Internet]. 2016 [cited 2020 May 5th]; (2):[1-52 pp.]. DOI: https://10.1002/14651858.CD009799.pub2

  6. Marshall J. The 2014 Bowman Lecture-Bowman's and Bruch's: a tale of two membranes during the laser revolution. Eye (Lond). 2015;29(1):46-64.

  7. Kim TI, Alió Del Barrio JL, Wilkins M, Cochener B, Ang M. Refractive surgery. Lancet. 2019;393(10185):2085-2098.

  8. 8 . Chraibi F. Advantages of Surface Ablation in Excimer Laser Surgery Ophthalmol Res. 2019;11(3):1-7.

  9. Refractive Errors & Refractive Surgery Pattern(r) Preferred Practice. San Francisco: Elsevier Inc; 2017 [cited 2020 May 5th]. Available from: http://dx.doi.org/10.1016/j.ophtha.2017.10.003.

  10. 10 . Lundström M, Manning S, Barry P, Stenevi U, Henry Y, Rosen P. The European registry of quality outcomes for cataract and refractive surgery (EUREQUO): a database study of trends in volumes, surgical techniques and outcomes of refractive surgery. Eye Vis (Lond). 2015;2.

  11. Di Ruggiero M. Declaración de Helsinki, principios y valores bioéticos en juego en la investigación médica con seres humanos. Rev Colomb Bioét. 2011;6(1):125-144.

  12. Kuo I, Lee B, Wang J. Outcomes of Refractive Surgery Consultations at an Academic Center: Characteristics Associated with Proceeding (or Not Proceeding) with Surgery. J Ophthalmol [Internet]. 2020 [cited 2020 May 5th]:[7 p.]. Available from: https://doi.org/10.1155/2020/4354085.

  13. Moreno R, Srura M, Nieme C. Cirugía refractiva: indicaciones, técnicas y resultados. RevMedClin CONDES. 2010;21(6):901-10.

  14. Pérez Suárez R, Gómez Díaz J, Silva hernández A, Pérez Hernández G, Cárdenas Díaz T, Guerra Almaguer M. LASEK-MITOMICINA C versus 13. PRKMITOMICINA C en pacientes con miopía o astignatismo miópico compuesto. Rev Cubana Oftalmol. 2019;32(2):e217.

  15. Hashemi H, Fotouhi A, Foudazi H, Sadeghi N, Payvar S. Prospective, randomized, paired comparison of laser epithelial keratomileusis and photorefractive keratectomy for myopia less than -6.50 diopters. J Refract Surg. 2004;20(3):217-22.

  16. 16 . American Academy of Ophthalmology. Photoablation: Techniques and Outcomes. In: American Academy of Ophthalmology, editor. Refractive Surgery (2018-2019 Basic and Clinical Science Course). 13. San Francisco: American Academy of Ophthalmology; 2018. p. 48

  17. Hashemi H, Khabazkhoob M, Pakzad R, Yekta A, Nojomi M, Nabovati P. The Characteristics of Excimer Laser Refractive Surgery Candidates. Eye Contact Lens. 2018 Sep;44 Suppl 1:S158-S162.

  18. Rajavi Z, Nassiri N, Azizzadeh M, Ramezani A, yaseri M. Orthoptic Changes following Photorefractive Keratectomy. J Ophthalmic Vis Res. 2011;6(2):92100.




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