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Guilherme Novoa Colombo-Barboza,1– 4 Marcello Novoa Colombo-Barboza,1– 3 Luiz Roberto Colombo-Barboza,1 Maria Margarida Colombo-Barboza,1 Fernanda Daroz Paulo Colombo-Barboza,1 Adamo Lui-Netto,2 José Eduardo Lutaif Dolci,2 Bernardo Kaplan Moscovici,1– 3 Denise de Freitas3 1Department of Ophthalmology, Hospital Visão Laser, Santos, Brazil; 2Department of Ophthalmology, Santa Casa de São Paulo, São Paulo, Brazil; 3Department of Ophthalmology and Vision Sciences, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil; 4Department of Ophthalmology, Universidade Metropolitana de Santos (UNIMES), Santos, BrazilCorrespondence: Guilherme Novoa Colombo-Barboza, Av. Conselheiro Nebias 355, Santos, SP, CEP 11015-001, Brazil, Tel +55 13 2104-5000, Email Guilhermecolombo@hotmail.comAim: To evaluate the vision-related quality of life with the National Eye Institute Refractive Error Quality of Life (NEI-RQL) questionnaire in patients with astigmatism secondary to radial keratotomy surgery who underwent topography-guided photorefractive keratectomy.Methods: Prospective non-randomized clinical trial. This study included 15 patients (30 eyes) aged > 21 years, mean age 55.1 (SD, 3.5) years, 53.3% female, with astigmatism ≤ - 6.00 D resulting from radial keratotomy, which could have been associated with hyperopia ≤ + 6.00 D. Photorefractive keratectomy with topography-guided custom ablation treatment was used in all cases. The patients answered the NEI-RQL questionnaire preoperatively and at 4 and 48 months after topography-guided photorefractive keratectomy. The following data were collected: age, sex and education level, pre-operative refraction data, visual acuity with or without correction, pachymetry, and keratometry.Results: There was a significant difference between pre-and postoperative NEI-RQL scores for the domains clarity of vision, near vision, far vision, diurnal fluctuation, activity limitations, glare, symptoms, correction dependence, appearance, and satisfaction with correction (p < 0.001).Conclusion: Topography-guided photorefractive keratectomy improved vision-related quality of life in patients with a history of irregular astigmatism secondary to radial keratotomy.Keywords: quality of life, radial keratotomy, NEI-RQL, topography-guided photorefractive keratectomy |
