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21 ± 0.44D. Although there was a marginal increase in the blur thresholds postoperatively, the difference was not statistically significant (DB P = 0.320; BB P = 0.229; NB P = 0.054).
All three blur thresholds showed an insignificant minimal increase at 1 month post-operatively suggesting that patients adapt to the induced blur following refractive surgery. A longer follow up would reveal how the adaptation to blur would change with time.
All three blur thresholds showed an insignificant minimal increase at 1 month post-operatively suggesting that patients adapt to the induced blur following refractive surgery. A longer follow up would reveal how the adaptation to blur would change with time.
To calculate a modified percentage tissue altered (mPTA) in post laser-assisted in-situ keratomileusis (LASIK) eyes and to validate its role as an independent factor to evaluate ectasia in the Indian population.
A total of 333 consecutive eyes with normal preoperative corneal topography by combined placido and scheimpflug imaging-based topography system (SIRIUS) who underwent LASIK using a microkeratome between 2011 and 2014 at a tertiary level teaching hospital in south India, were retrospectively analyzed. Preoperatively patient's refraction, flap thickness (FT), ablation depth (AD), residual stromal bed (RSB), and thinnest corneal thickness (TCT) were recorded. The formula used was mPTA = (FT + AD)/TCT. mPTA was grouped into <0.4 (low risk), 0.40 - 0.45 (moderate risk), and >0.45 (high risk). All patients were called for follow-up and underwent a topography to look for ectasia.
In total 60.1%, 29.1%, and 10.8% patients had mPTA of <0.4, 0.40 - 0.45 and >0.45, respectively. However, after a minimum follow-up of 2 years, none of the patients had any sign of ectasia.
Careful selection of patients is mandatory before proceeding for LASIK. Factors like corneal thickness, RSB, degree of myopia, and AD are more important. this website The role of mPTA >0.4 as an independent risk factor for post LASIK ectasia is questionable in Indian eyes. Other factors or a modified formula suitable for Indian eyes needs to be investigated. A larger follow-up period is also required as ectasia has been known to develop even after 2 years.
0.4 as an independent risk factor for post LASIK ectasia is questionable in Indian eyes. Other factors or a modified formula suitable for Indian eyes needs to be investigated. A larger follow-up period is also required as ectasia has been known to develop even after 2 years.
The aim of this study was to analyze the effect of timolol maleate (0.5%) eye drops in the treatment of myopic regression after laser-assisted in-situ keratomileusis (LASIK).
The study was conducted at a tertiary care eye hospital in north India between April 2017 & March 2018 as a prospective interventional study. Patients who underwent uneventful myopic LASIK with hansatome mechanical keratome and presented with regression were included in the study. Baseline demographic characteristics, time to presentation with regression best-corrected visual acuity (BCVA), refraction, intraocular pressure, central corneal thickness and keratometry were recorded at baseline and at each follow-up visit. The enrolled patients were prescribed timolol maleate (0.5%) eyedrops twice daily. They were followed up every month till 3 months on timolol maleate (0.5%) eyedrops and at 6 months post stopping the treatment.
Twenty-nine eyes of 15 patients were enrolled in the study. Mean pre LASIK spherical equivalent (SE) wa post LASIK circumventing the need for laser re-treatment in such patients. The most probable mechanism is reversal of the anterior bowing of the cornea in response to intraocular pressure changes.
The aim of this study was to compare the predictability and accuracy of the American Society of Cataract and Refractive Surgery (ASCRS) online calculator with the Haigis-L formula for intraocular lens (IOL) power calculation in post myopic laser-assisted in-situ keratomileuses (LASIK) eyes undergoing cataract surgery and also to analyze the postoperative refractive outcome among the ASCRS average, maximum and minimum values.
A retrospective study was conducted on post myopic LASIK eyes which underwent cataract surgery between June 2017 and December 2019. IOL power was calculated using both Haigis-L & ASCRS methods. Implanted IOL power was based on the ASCRS method. The expected postoperative refraction for IOL power based on the Haigis-L formula was calculated and compared with the Spherical Equivalent (SE) obtained from the patient's actual refraction. Prediction error (PE) & Mean Absolute Error (MAE) was calculated. Intragroup analysis of ASCRS values was done.
Among the 41 eyes analyzed, pre-operative and post-operative mean best-corrected visual acuity was 0.58 ± 0.21 and 0.15 ± 0.26 logMAR, respectively. In the ASCRS method, 36 (87.8%) and 40 (97.6%) eyes had PE within ± 0.5D and ± 1.0 D, respectively, whereas, in the Haigis-L method, 29 (70.7%) eyes, and 38 (92.7%) eyes had PE within ± 0.5D and ± 1.0 D, respectively. Among the ASCRS subgroups, ASCRS average, maximum and minimum values had 83%, 80.6%, and 48.8% eyes with SE within ± 0.5D, respectively.
ASCRS method can be considered as an equally efficient method of IOL power calculation as the Haigis-L method in eyes which have undergone post myopic LASIK refractive surgery. ASCRS maximum & average values gave better emmetropic results.
ASCRS method can be considered as an equally efficient method of IOL power calculation as the Haigis-L method in eyes which have undergone post myopic LASIK refractive surgery. ASCRS maximum & average values gave better emmetropic results.
To evaluate the long-term contrast sensitivity (CS) after laser in-situ keratomileusis (LASIK) for myopia.
This retrospective, single-center, cohort study involved 190 eyes of 95 patients who underwent bilateral LASIK between January 2001 and October 2007. This study includes patients who underwent CS and higher-order aberration (HOA) measurements in a five-year postoperative period. For all enrolled patients, visual acuity, refractive error (RE) in diopters (D), CS at 3-, 6-, 12-, and 18-cycles per degree (cpd), and HOA in a 4 mm area of the dilated pupil were measured before surgery and 6 months, 1 year, and 5 years after it.
The mean RE measured before the surgery and after 6 months, 1 year, and 5 years after was -6.08 ± 2.50D, -0.26 ± 0.65D, -0.28 ± 0.65D, and -0.48 ± 0.80D, respectively. There were no clinically significant changes between preoperative results and the measures taken 6 months, 1 year, and 5 years after surgery. The slight increase in HOA had little effect on CS over the mid to long-term postoperative period.
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