Laser in situ keratomileusis in myopic patients with congenital nystagmus
To evaluate the results of laser in situ keratomileusis (LASIK) and IntraLASIK in the treatment of myopic patients with nystagmus. Eight patients with congenital nystagmus (16 eyes), aged 23 to 49 years, had LASIK surgery. Corneal flaps were created using the Bausch & Lomb Hansatome microkeratom...
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Published in | Journal of cataract and refractive surgery Vol. 32; no. 3; pp. 464 - 467 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
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New York, NY
Elsevier Inc
01.03.2006
Elsevier Science |
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Abstract | To evaluate the results of laser in situ keratomileusis (LASIK) and IntraLASIK in the treatment of myopic patients with nystagmus.
Eight patients with congenital nystagmus (16 eyes), aged 23 to 49 years, had LASIK surgery. Corneal flaps were created using the Bausch & Lomb Hansatome microkeratome or the IntraLase femtosecond laser. The ablations were performed with the Bausch & Lomb excimer laser with an active tracking system. In some patients, the eyes were fixated with forceps or a fixation ring during laser ablation.
The refractive errors were corrected in all cases. There was no decentration or loss of best corrected visual acuity greater than 1 line. In 56% of the eyes, the postoperative uncorrected visual acuity was better than the best spectacle-corrected visual acuity (BSCVA). The BSCVA improved in 62.5% of the eyes. The overall visual performance improved in all patients. One patient who did not drive before surgery became eligible for a driver's license after surgery.
Selected patients with myopia and congenital nystagmus may benefit from laser refractive surgery. Laser refractive surgery may be safely and accurately performed using the Hansatome microkeratome or the IntraLase femtosecond laser and an active tracking system with or without mechanical fixation. The BSCVA may improve in certain patients postoperatively. |
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AbstractList | PURPOSETo evaluate the results of laser in situ keratomileusis (LASIK) and IntraLASIK in the treatment of myopic patients with nystagmus.METHODSEight patients with congenital nystagmus (16 eyes), aged 23 to 49 years, had LASIK surgery. Corneal flaps were created using the Bausch & Lomb Hansatome microkeratome or the IntraLase femtosecond laser. The ablations were performed with the Bausch & Lomb excimer laser with an active tracking system. In some patients, the eyes were fixated with forceps or a fixation ring during laser ablation.RESULTSThe refractive errors were corrected in all cases. There was no decentration or loss of best corrected visual acuity greater than 1 line. In 56% of the eyes, the postoperative uncorrected visual acuity was better than the best spectacle-corrected visual acuity (BSCVA). The BSCVA improved in 62.5% of the eyes. The overall visual performance improved in all patients. One patient who did not drive before surgery became eligible for a driver's license after surgery.CONCLUSIONSSelected patients with myopia and congenital nystagmus may benefit from laser refractive surgery. Laser refractive surgery may be safely and accurately performed using the Hansatome microkeratome or the IntraLase femtosecond laser and an active tracking system with or without mechanical fixation. The BSCVA may improve in certain patients postoperatively. To evaluate the results of laser in situ keratomileusis (LASIK) and IntraLASIK in the treatment of myopic patients with nystagmus. Eight patients with congenital nystagmus (16 eyes), aged 23 to 49 years, had LASIK surgery. Corneal flaps were created using the Bausch & Lomb Hansatome microkeratome or the IntraLase femtosecond laser. The ablations were performed with the Bausch & Lomb excimer laser with an active tracking system. In some patients, the eyes were fixated with forceps or a fixation ring during laser ablation. The refractive errors were corrected in all cases. There was no decentration or loss of best corrected visual acuity greater than 1 line. In 56% of the eyes, the postoperative uncorrected visual acuity was better than the best spectacle-corrected visual acuity (BSCVA). The BSCVA improved in 62.5% of the eyes. The overall visual performance improved in all patients. One patient who did not drive before surgery became eligible for a driver's license after surgery. Selected patients with myopia and congenital nystagmus may benefit from laser refractive surgery. Laser refractive surgery may be safely and accurately performed using the Hansatome microkeratome or the IntraLase femtosecond laser and an active tracking system with or without mechanical fixation. The BSCVA may improve in certain patients postoperatively. |
Author | Kremer, Israel Marcovich, Arie L. Nemet, Pinhas Levinger, Samuel Hirsh, Ami Mahler, Ori Barequet, Irina S. |
Author_xml | – sequence: 1 givenname: Ori surname: Mahler fullname: Mahler, Ori email: mahler4@netvision.net.il – sequence: 2 givenname: Ami surname: Hirsh fullname: Hirsh, Ami – sequence: 3 givenname: Israel surname: Kremer fullname: Kremer, Israel – sequence: 4 givenname: Irina S. surname: Barequet fullname: Barequet, Irina S. – sequence: 5 givenname: Arie L. surname: Marcovich fullname: Marcovich, Arie L. – sequence: 6 givenname: Pinhas surname: Nemet fullname: Nemet, Pinhas – sequence: 7 givenname: Samuel surname: Levinger fullname: Levinger, Samuel |
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Cites_doi | 10.1016/S0886-3350(01)00751-9 10.1002/lsm.1900100511 10.1016/S0886-3350(01)00963-4 10.1001/archopht.1996.01100140663003 10.3928/1081-597X-19981101-14 10.1001/archopht.1991.01080120083031 10.1016/S0886-3350(97)80204-0 |
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Keywords | Human Keratomileusis Congenital Vision disorder In situ Myopia Eye disease Treatment Surgery Refractive error Laser Nystagmus Ophthalmology Oculomotor syndrome |
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References | Pallikaris, Papatzanaki, Siganos, Tsilimbaris (bib2) 1991; 109 Soloway, Roth (bib8) 2002; 28 Verdon, Bullimore, Maloney (bib3) 1996; 114 Siganos, Evangelatou, Papadaki (bib6) 1998; 14 Mulhern, Foley-Nolan, O'Keefe, Condon (bib4) 1997; 23 Pallikaris, Papatzanaki, Stathi (bib1) 1990; 10 Konuk, Bilgihan, Hasanreisoglu (bib7) 2001; 27 Alkara, Genth, Seiler (bib5) 1999; 15 Siganos (R6-34-20210210) 1998; 14 Verdon (R3-34-20210210) 1996; 114 Konuk (R7-34-20210210) 2001; 27 Pallikaris (R2-34-20210210) 1991; 109 Soloway (R8-34-20210210) 2002; 28 Pallikaris (R1-34-20210210) 1990; 10 Mulhern (R4-34-20210210) 1997; 23 Alkara (R5-34-20210210) 1999; 15 |
References_xml | – volume: 28 start-page: 544 year: 2002 end-page: 546 ident: bib8 article-title: Laser in situ keratomileusis in a patient with congenital nystagmus publication-title: J Cataract Refract Surg contributor: fullname: Roth – volume: 10 start-page: 463 year: 1990 end-page: 468 ident: bib1 article-title: Laser in situ keratomileusis publication-title: Lasers Surg Med contributor: fullname: Stathi – volume: 23 start-page: 488 year: 1997 end-page: 494 ident: bib4 article-title: Topographical analysis of ablation centration after excimer laser photorefractive keratectomy and laser in situ keratomileusis for high myopia publication-title: J Cataract Refract Surg contributor: fullname: Condon – volume: 14 start-page: 649 year: 1998 end-page: 652 ident: bib6 article-title: Photorefractive keratectomy in eyes with congenital nystagmus publication-title: J Refract Surg contributor: fullname: Papadaki – volume: 27 start-page: 636 year: 2001 end-page: 638 ident: bib7 article-title: Laser in situ keratomileusis in an eye with congenital nystagmus publication-title: J Cataract Refract Surg contributor: fullname: Hasanreisoglu – volume: 114 start-page: 1465 year: 1996 end-page: 1472 ident: bib3 article-title: Visual performance after photorefractive keratectomy; a prospective study publication-title: Arch Ophthalmol contributor: fullname: Maloney – volume: 15 start-page: 436 year: 1999 end-page: 440 ident: bib5 article-title: Diametral ablation: a technique to manage decentered photorefractive keratectomy for myopia publication-title: J Refract Surg contributor: fullname: Seiler – volume: 109 start-page: 1699 year: 1991 end-page: 1702 ident: bib2 article-title: A corneal flap technique for laser in situ keratomileusis; human studies publication-title: Arch Ophthalmol contributor: fullname: Tsilimbaris – volume: 27 start-page: 636 year: 2001 ident: R7-34-20210210 article-title: Laser in situ keratomileusis in an eye with congenital nystagmus. publication-title: J Cataract Refract Surg doi: 10.1016/S0886-3350(01)00751-9 contributor: fullname: Konuk – volume: 10 start-page: 463 year: 1990 ident: R1-34-20210210 article-title: Laser in situ keratomileusis. publication-title: Lasers Surg Med doi: 10.1002/lsm.1900100511 contributor: fullname: Pallikaris – volume: 28 start-page: 544 year: 2002 ident: R8-34-20210210 article-title: Laser in situ keratomileusis in a patient with congenital nystagmus. publication-title: J Cataract Refract Surg doi: 10.1016/S0886-3350(01)00963-4 contributor: fullname: Soloway – volume: 114 start-page: 1465 year: 1996 ident: R3-34-20210210 article-title: Visual performance after photorefractive keratectomy; a prospective study. publication-title: Arch Ophthalmol doi: 10.1001/archopht.1996.01100140663003 contributor: fullname: Verdon – volume: 14 start-page: 649 year: 1998 ident: R6-34-20210210 article-title: Photorefractive keratectomy in eyes with congenital nystagmus. publication-title: J Refract Surg doi: 10.3928/1081-597X-19981101-14 contributor: fullname: Siganos – volume: 109 start-page: 1699 year: 1991 ident: R2-34-20210210 article-title: A corneal flap technique for laser in situ keratomileusis; human studies. publication-title: Arch Ophthalmol doi: 10.1001/archopht.1991.01080120083031 contributor: fullname: Pallikaris – volume: 15 start-page: 436 year: 1999 ident: R5-34-20210210 article-title: Diametral ablation: a technique to manage decentered photorefractive keratectomy for myopia. publication-title: J Refract Surg contributor: fullname: Alkara – volume: 23 start-page: 488 year: 1997 ident: R4-34-20210210 article-title: Topographical analysis of ablation centration after excimer laser photorefractive keratectomy and laser in situ keratomileusis for high myopia. publication-title: J Cataract Refract Surg doi: 10.1016/S0886-3350(97)80204-0 contributor: fullname: Mulhern |
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Snippet | To evaluate the results of laser in situ keratomileusis (LASIK) and IntraLASIK in the treatment of myopic patients with nystagmus.
Eight patients with... PURPOSETo evaluate the results of laser in situ keratomileusis (LASIK) and IntraLASIK in the treatment of myopic patients with nystagmus.METHODSEight patients... |
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SubjectTerms | Adult Biological and medical sciences Corneal Stroma - physiopathology Corneal Stroma - surgery Female Humans Keratomileusis, Laser In Situ - methods Male Medical sciences Middle Aged Myopia - physiopathology Myopia - surgery Nystagmus, Congenital - physiopathology Nystagmus, Congenital - surgery Oculomotor disorders Ophthalmology Retrospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the eye and orbit Surgical Flaps Treatment Outcome Vision disorders Visual Acuity - physiology |
Title | Laser in situ keratomileusis in myopic patients with congenital nystagmus |
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