Refractive Astigmatism Outcomes of Femtosecond Laser-Assisted Arcuate Keratotomies Combined with Femtosecond Laser-Assisted Cataract Surgery: Two-Year Results.

Autor:	Sandhu U; College of Medicine, University of Oklahoma, Oklahoma City, OK, USA.; Dean McGee Eye Institute, University of Oklahoma, Oklahoma City, OK, USA., Osborn AR; Dean McGee Eye Institute, University of Oklahoma, Oklahoma City, OK, USA.; Missouri Eye Institute, Springfield, MO, USA., Dang DH; Dean McGee Eye Institute, University of Oklahoma, Oklahoma City, OK, USA., Murphy DA; Dean McGee Eye Institute, University of Oklahoma, Oklahoma City, OK, USA., Langenbucher A; Institute of Experimental Ophthalmology, Saarland University, Homburg, Germany., Wendelstein JA; Institute of Experimental Ophthalmology, Saarland University, Homburg, Germany.; Department for Ophthalmology and Optometry, Kepler University Hospital, Linz, Austria.; Institut für Refraktive und Ophthalmo-Chirurgie (IROC), Zurich, Switzerland., Riaz KM; Dean McGee Eye Institute, University of Oklahoma, Oklahoma City, OK, USA.
Jazyk:	angličtina
Zdroj:	Current eye research [Curr Eye Res] 2024 Sep; Vol. 49 (9), pp. 961-971. Date of Electronic Publication: 2024 May 23.
DOI:	10.1080/02713683.2024.2353268
Abstrakt:	Purpose: To evaluate the effectiveness and stability of refractive astigmatism reduction after penetrating femtosecond laser-assisted arcuate keratotomy performed at the time of femtosecond laser-assisted cataract surgery. Methods: Non-randomized retrospective data analysis of all patients that underwent femtosecond laser-assisted cataract surgery with femtosecond laser-assisted arcuate keratotomy over a 4-year period with a non-toric monofocal intraocular lens (2017-2021) at a tertiary care academic center. Postoperative visual acuity, manifest refraction, and predicted residual refractive error were also recorded at 1 month, 3-6 months, 12-18 months, and 2 years postoperatively. Preoperative keratometric astigmatism was compared to postoperative refractive astigmatism using vector calculations and the ASCRS double-angle plot tool. Results: This study comprised 266 eyes (179 patients) that met inclusion criteria. The mean preoperative keratometric astigmatism magnitude was 0.99 ± 0.53 D. At 1 month, 3-6 months, 12-18 months, and 2 years postoperatively, the mean refractive cylinder was 0.49 ± 0.45 D, 0.49 ± 0.45 D, 0.55 ± 0.54 D, and 0.52 ± 0.46 D, respectively. Horizontal against-the-rule astigmatism showed a higher tendency toward undercorrection than vertical with-the-rule astigmatism, which had a slightly higher tendency toward overcorrection. With-the-rule astigmatism had smaller difference vectors between target-induced astigmatism and surgically induced astigmatism. Conclusions: Femtosecond laser-assisted arcuate keratotomy performed at the time of femtosecond laser-assisted cataract surgery was an effective option for correcting low-to-moderate corneal astigmatism for up to 2 years.
Databáze:	MEDLINE
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