Meta-analysis of Six Excimer Laser Platforms for Safety and Efficacy in Myopic Laser-assisted in situ Keratomileusis

Autor: Christopher L Blanton
Rok vydání: 2015
Předmět:
Zdroj: US Ophthalmic Review. 8:23
ISSN: 1756-1752
DOI: 10.17925/usor.2015.8.1.23
Popis: Purpose:To compare excimer laser platform outcomes for myopic laser-assistedin situkeratomileusis (LASIK).Methods:A peer-reviewed literature search was conducted using the terms “myopia,” “LASIK,” and “outcomes.” Articles were selected based on inclusion/exclusion criteria. Data regarding Snellen visual acuity, refractive error ± 0.5 and 1.0 diopter (D) and loss of best-corrected acuity were extracted. US Food and Drug Administration (FDA) approval studies were used to fill in any data gaps. Statistical analysis was performed.Results:The Abbott laser outperformed the other five in multiple measures of visual acuity results at 1 and 3 months. The Nidek laser outperformed the other five lasers at the 20/16 level at 6 months. The Carl Zeiss/Meditec laser outperformed the other five at 6 months in terms of refractive outcome ± 0.5 D. The Abbott and Alcon lasers outperformed the other four lasers in the safety category (least amount of >2 line loss of best-corrected visual acuity [BCVA]) at the 1 month visit. There were no significant differences between the platforms, in the safety category, at all other time intervals.Conclusion:At all times, all lasers fell within the FDA guidelines for safety regarding loss of bestcorrected acuity.
Databáze: OpenAIRE