Effect of wavefront optimized LASIK on higher order aberrations in myopic patients.

Autor: Khan MS; Dr. Muhammad Saim Khan, MBBS. Armed Forces Institute of Ophthalmology, Mall Road, Rawalpindi, Pakistan., Humayun S; Dr. Sadia Humayun, MBBS, MCPS, FCPS, FRCS. Armed Forces Institute of Ophthalmology, Mall Road, Rawalpindi, Pakistan., Fawad A; Dr. Aisha Fawad, MBBS, FCPS. Armed Forces Institute of Ophthalmology, Mall Road, Rawalpindi, Pakistan., Ishaq M; Prof. Dr. Mazhar Ishaq, FRC Opth, FRCS, FCPS. Armed Forces Institute of Ophthalmology, Mall Road, Rawalpindi, Pakistan., Arzoo S; Sabahat Arzoo, BSc (Hons) in Optometry and Orthoptics. Armed Forces Institute of Ophthalmology, Mall Road, Rawalpindi, Pakistan., Mashhadi F; Dr. Fawad Mashhadi, MBBS, MPH, MCPS, MPhil. Armed Forces Institute of Ophthalmology, Mall Road, Rawalpindi, Pakistan.
Jazyk: angličtina
Zdroj: Pakistan journal of medical sciences [Pak J Med Sci] 2015 Sep-Oct; Vol. 31 (5), pp. 1223-6.
DOI: 10.12669/pjms.315.7683
Abstrakt: Objective: To determine mean change induced in root mean square value of higher order aberrations in myopic patients undergoing wavefront optimized laser assisted in situ keratomileusis.
Methods: This quasi experimental study was conducted at Armed Forces Institute of Ophthalmology, Rawalpindi, Pakistan from Jan 2014 to Dec 2014. Sixty eyes of 35 myopic patients were included in the study. All patients underwent wavefront optimized (WFO) laser assisted in situ keratomileusis (LASIK) using femtosecond laser (FM 200Wavelight technologies) and excimer laser (Ew 500Wavelight technologies). Higher order aberrations (HOAs) were measured with aberrometer (Wavelight allegro analyzer version 1073) during preoperative assessment and one month after surgery.
Results: All 35 patients ranged from 20 to 32 years with a mean age of 24 ± 3.41 years. Refractive error ranged from -1.00 to -9.50 DS with a mean spherical equivalent (SE) of -3.73 ± 1.95 before surgery and - 0.36 ± 1.50DS one month after LASIK. Uncorrected visual acuity (UCVA) was improved to 0.00 or better in all 60 eyes. An increase of 1.56 fold was observed in RMS of total HOAs. Among the HOAs, a statistically significant positive correlation was observed between spherical aberrations (4(th) order aberration) and preoperative spherical equivalent.
Conclusion: In spite of excellent improvement in refractive error, significant amount of higher order aberrations were induced after WFO LASIK.
Databáze: MEDLINE
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