Clinical Outcomes After Femtosecond Laser-Assisted Arcuate Corneal Incisions versus Manual Incisions
| Autor: | Richard Potvin, Clayton Blehm |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
cylinder
medicine.medical_specialty genetic structures medicine.medical_treatment Astigmatism law.invention 03 medical and health sciences 0302 clinical medicine law Ophthalmology Cornea corneal arcuate incisions Medicine Diamond knife Prospective cohort study LenSx femtosecond Original Research Keratometer business.industry Clinical Ophthalmology cataract surgery Cataract surgery Nomogram Laser assisted medicine.disease eye diseases Verion astigmatism medicine.anatomical_structure 030221 ophthalmology & optometry sense organs business 030217 neurology & neurosurgery |
| Zdroj: | Clinical Ophthalmology (Auckland, N.Z.) |
| ISSN: | 1177-5483 |
| Popis: | Clayton Blehm,1 Richard Potvin2 1Gainesville Eye Associates, Gainesville, GA, USA; 2Science in Vision, Bend, OR, USACorrespondence: Richard PotvinScience in Vision, 127 NW Revere Ave, Bend, OR, 97703, USATel +1 407-697-6008Email rick@scienceinvision.comPurpose: To compare the relative effectiveness of Verion-LenSx guided femtosecond arcuate incisions and manual incisions in reducing postoperative refractive astigmatism.Patients and Methods: This was a contralateral eye, prospective study that included subjects with 0.50 D to 1.75 D of corneal astigmatism who wanted less refractive astigmatism post cataract surgery. The surgeon used anterior keratometry and the Woodcock astigmatism nomogram for preoperative planning, while the LenSx femtosecond laser with the Verion Image Guided System was used to create all laser arcuate incisions. Manual incisions were planned using the Donnenfeld nomogram and made with a fixed-depth diamond knife. The primary outcome measure was the residual refractive astigmatism at 3 months postoperative. Secondary outcome measures included the manifest refraction, uncorrected distance visual acuity and the change in corneal astigmatism from 1 to 3 months postoperative.Results: Forty-one subjects were successfully enrolled in the study, with data from 38 subjects available at 3 months. There were no statistically significant differences in refractive astigmatism, corneal astigmatism, uncorrected distance visual acuity or manifest refraction between the Manual and Femto groups at either 1 month or 3 months. Significant changes in refractive and corneal astigmatism were noted between 1 months and 3 months. Ninety percent of eyes in both groups had ⤠0.50 D of refractive astigmatism at 3 months. Two minor non-serious adverse events (full-thickness incisions of the cornea) occurred in two eyes of two different subjects in the Manual group; they were resolved without incident.Conclusion: Laser arcuate incisions appear to be an effective means of reducing postoperative refractive astigmatism at the time of cataract surgery. No significant clinical differences were observed between incisions made manually and those made with an image-guided femto-second laser system. The lower number of minor adverse events experienced with the femtosecond laser system is an apparent advantage.Keywords: Verion, LenSx, cylinder, femtosecond, cataract surgery, corneal arcuate incisions, astigmatism |
| Databáze: | OpenAIRE |
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