Visual Acuity and Prognosis among Hyperopic Patients Undergoing Photorefractive Keratectomy Using Allegretto EX500 Excimer Laser
Journal of Ophthalmic and Optometric Sciences,
Vol. 6 No. 3 (2022),
14 November 2023
,
Page 1-6
https://doi.org/10.22037/joos.v6i3.43354
Abstract
Purpose: This study aims to investigate the visual acuity and prognosis after photorefractive keratectomy among hyperopic patients with and without astigmatism.
Patients and Methods: In this interventional case series study, 74 eyes from 42 hyperopia patients with and without astigmatism who underwent photorefractive keratectomy using Allegretto EX500 excimer laser at Torfeh and Negah Eye Hospitals from 2014 to 2018 were enrolled. Pre-and post-surgical visual examination findings, including uncorrected distance visual acuity, corrected distance visual acuity, manifest refraction, cyclorefraction, and slit lamp examinations to measure ocular pressure and the presence or absence of haze, were recorded.
Results: The mean age of participants was 34 ± 9 years, and 54.8 % were female. The preoperative mean uncorrected distance visual acuity was 0.55 ± 0.25 LogMAR, which significantly improved to 0.11 ± 0.14 at 6 months postoperatively (P < 0.0001). The predictive value for surgical outcomes at six months post-operation was 71.6 % within ±0.5 diopter, 89.2 % within ±1 diopter, and 97.3 % within ±2 diopters. No eye lost corrected distance visual acuity of two lines or more, and only 16.6 % (12 eyes) experienced a one-line reduction in corrected distance visual acuity. No other notable complications occurred.
Conclusion: Photorefractive keratectomy using Allegretto EX500 excimer laser is an effective and safe method for correcting mild to moderate hyperopia with or without astigmatism.
- Photorefractive Keratectomy
- Hyperopia
- Astigmatism
- Outcome
- 2022-06-22 (2)
- 2023-11-14 (1)
How to Cite
References
- Evans BJ, Rowlands G. Correctable visual impairment in older people: a major unmet need. Ophthalmic Physiol Opt. 2004;24:161-80.
- Chia E-M, Wang JJ, Rochtchina E, Smith W, Cumming RR, Mitchell P. Impact of bilateral visual impairment on health-related quality of life: the Blue Mountains Eye Study. Invest Ophthalmol Vis Sci. 2004;45(1):71-6.
- Brunette I, Gresset J, Boivin JF, Boisjoly H, Makni H. Functional outcome and satisfaction after photorefractive keratectomy. Part 1: development and validation of a survey questionnaire. Ophthalmology. 2000;107(9):1783-9.
- Marshall J, Trokel S, Rothery S, Krueger RR. A comparative study of corneal incisions induced by diamond and steel knives and two ultraviolet radiations from an excimer laser. Br J Ophthalmol. 1986;70(7):482-501.
- Resch M, Szentmáry N, Nagy ZZ, Czumbel N. Comparison of results of photorefractive keratectomy and laser in situ keratomileusis in the treatment of hyperopia using a flying spot eximer laser. Orv Hetil. 2004;145(11):573-8. (Article in Hungarian)
- O'Brart DP, Patsoura E, Jaycock P, Rajan M, Marshall J. Excimer laser photorefractive keratectomy for hyperopia: 7.5-year follow-up. J Cataract Refract Surg. 2005;31(6):1104-13.
- Randleman JB, Loft ES, Banning CS, Lynn MJ, Stulting RD. Outcomes of wavefront-optimized surface ablation. Ophthalmology. 2007;114(5):983-8.
- Tham V, Maloney R. Microkeratome complications of laser in situ keratomileusis. Ophthalmology. 2000;107(5):920-4.
- Netto MV, Wilson SE. Indications for excimer laser surface ablation. J Refract Surg. 2005;21(6):734-41.
- Pietilä J, Mäkinen P, Pajari S, Uusitalo H. Excimer laser photorefractive keratectomy for hyperopia. J Refract Surg. 1997;13(6):504-10.
- Dausch D, Klein R, Schröder E. Excimer laser photorefractive keratectomy for hyperopia. Refract Corneal Surg. 1993;9(1):20-8.
- Mrochen M, Wüllner C, Krause J, Klafke M, Donitzky C, Seiler T. Technical aspects of the WaveLight FS200 femtosecond laser. J Refract Surg. 2010;26(10):S833-40.
- Matsuura T, Ikeda H, Idota N, Motokawa R, Hara Y, Annaka M. Anisotropic swelling behavior of the cornea. J Phys Chem B. 2009;113(51):16314-22.
- Mrochen M, Donitzky C, Wüllner C, Löffler J. Wavefront-optimized ablation profiles: theoretical background. J Cataract Refract Surg. 2004;30(4):775-85.
- Mrochen M, Schelling U, Wuellner C, Donitzky C. Influence of spatial and temporal spot distribution on the ocular surface quality and maximum ablation depth after photoablation with a 1050 Hz excimer laser system. J Cataract Refract Surg. 2009;35(2):363-73.
- Liu YL, Tseng CC, Lin CP. Visual performance after excimer laser photorefractive keratectomy for high myopia. Taiwan J Ophthalmol. 2017;7(2):82-8.
- Razmju H, Attarzadeh H, Rezaei L, Ahmadian H, Nasrollahi K, Akhlaghi MR, et al. Photorefractive Keratectomy for Correction of Hyperopia Over 3 Diopters after 1 Year. Jornal of Isfahan Medical School. 2011;29(133):353-61.
- Moslehi Moghadam N, Mohammad Rabei H, Khosravi B, Sheibani K. Study of Post Operative Regression after Photorefractive Keratectomy for Treatment of Hyperopia and Hyperopic Astigmatism. Journal of ophthalmologic and Optometric Sciences. 2017;1(2):21-8.
- Adib-Moghaddam S, Arba-Mosquera S, Walter-Fincke R, Soleyman-Jahi S, Adili-Aghdam F. Transepithelial Photorefractive Keratectomy for Hyperopia: A 12-Month Bicentral Study. J Refract Surg. 2016;32(3):172-80.
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