Femtosecond laser-assisted sub-Bowman keratomileusis versus laser-assisted subepithelial keratomileusis to correct myopic astigmatism.

Autor:	Gros-Otero J; Clínica Rementería, C/Almagro 36, 28010 Madrid, Spain; Hospital Universitario 'Príncipe de Asturias,' University of Alcalá, Carretera de meco s/n, Alcalá de Henares, Madrid, Spain. Electronic address: juangros@gmail.com., Garcia-Gonzalez M; Clínica Rementería, C/Almagro 36, 28010 Madrid, Spain; Clínica Novovisión, C/Castellana 54, 28046 Madrid, Spain., Teus MA; Hospital Universitario 'Príncipe de Asturias,' University of Alcalá, Carretera de meco s/n, Alcalá de Henares, Madrid, Spain; Clínica Novovisión, C/Castellana 54, 28046 Madrid, Spain., Iglesias-Iglesias M; Vissum Madrid, C/Santa Hortensia, 58, 28002 Madrid, Spain., Gimenez-Vallejo C; Vissum Madrid, C/Santa Hortensia, 58, 28002 Madrid, Spain.
Jazyk:	angličtina
Zdroj:	Journal of optometry [J Optom] 2018 Jan - Mar; Vol. 11 (1), pp. 33-39. Date of Electronic Publication: 2016 Oct 14.
DOI:	10.1016/j.optom.2016.09.002
Abstrakt:	Purpose: To compare femtosecond laser-assisted sub-Bowman keratomileusis (FSBK) versus laser-assisted subepithelial keratomileusis (LASEK) to correct moderate to high myopic astigmatism. Methods: Retrospective, nonrandomized, interventional, comparative case series. A total of eight hundred and fifty-two eyes with myopic astigmatism of -1.5 diopters (D) or higher were included in the study. We compared 427 eyes treated with FSBK versus 425 eyes treated with LASEK with or without mitomycin C. Visual and refractive results were evaluated 1 day, 1 week, 3 and 6 months postoperatively. Results: Six months postoperatively, the residual spherical defect was slightly but significantly higher in the LASEK group (+0.15±0.62D) than in the FSBK group (+0.09±0.35D) (P=0.05). The postoperative residual astigmatism was also slightly but significantly higher in the LASEK group (-0.38±0.52D) than in the FSBK group (-0.26±0.45D) (P=0.0005). No significant differences were found in the efficacy (0.98±0.17 versus 0.98±0.36, P=0.6) and safety indexes (1.04±0.16 versus 1.05±0.37, P=0.1) between FSBK and LASEK. The enhancement rate was significantly higher in the FSBK group (22.6%) than in the LASEK group (15.5%) (P=0.01). Conclusions: Both FSBK and LASEK are safe and effective procedures to correct moderate to high myopic astigmatism. Slightly better visual and refractive results were observed in FSBK-treated eyes in a 6-month follow-up. (Copyright © 2016 Spanish General Council of Optometry. Published by Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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