Laser in situ keratomileusis for high myopia with the VISX Star laser
To evaluate the results of laser in situ keratomileusis (LASIK) for spherical and spherocylindrical myopia (range, 9–22 diopters [D]) with the VISX Star laser, (VISX Inc., Santa Clara, CA). Non-comparative, single-surgeon interventional case series. Two hundred ninety eyes of 175 patients. Consecuti...
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Published in | Ophthalmology (Rochester, Minn.) Vol. 107; no. 4; pp. 653 - 661 |
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Language | English |
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Elsevier Inc
01.04.2000
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Abstract | To evaluate the results of laser in situ keratomileusis (LASIK) for spherical and spherocylindrical myopia (range, 9–22 diopters [D]) with the VISX Star laser, (VISX Inc., Santa Clara, CA).
Non-comparative, single-surgeon interventional case series.
Two hundred ninety eyes of 175 patients.
Consecutive patients who underwent LASIK in the study range with the VISX Star laser were evaluated for early (approximately 1 month) and late (after 9 months) outcomes. Both single procedure outcomes and results after reoperation for refractive enhancement were included.
Outcome measures included uncorrected visual acuity, manifest refraction, refractive predictability, refractive stability, best spectacle-corrected visual acuity (BSCVA), results of reoperations, and complications.
At the early postoperative examination, approximately 1 month after surgery, 285 of 290 eyes (98.3%) were examined. Uncorrected visual acuity of 20/40 or better occurred in 209 of 285 (73.3%) eyes, and 198 of 285 (69.5%) eyes had a manifest spheroequivalent between ±1.00 D. Subsequently, 60 eyes (20.7%) underwent reoperation for refractive enhancement. Late results, beyond 8 months from the initial surgery and including reoperations, were available in 195 of 290 eyes (67.2%). Uncorrected visual acuity results of 20/40 or better were found in 166 of 195 eyes (85.1%) and of 20/25 or better in 99 of 195 eyes (50.8%). Manifest spheroequivalent results were ±2.00 D in 187 of 195 eyes (95.9%) and ±1.00 D in 148 of 195 eyes (75.9%). In a paired-cohort analysis of 131 single-procedure eyes seen at both intervals, refractive stability (change in manifest refractive spheroequivalent of less than 1.00 D) was present in 101 of 131 eyes (77.1%) between the two observation intervals. Overall, approximately 3.6% eyes lost 2 lines or more of BSCVA, and other complications (flap wrinkling and epithelial ingrowth) were reported in 2% of eyes. Improvement in BSCVA of 1 line or more occurred in 5.6% eyes.
Laser in situ keratomileusis for high myopia with the VISX Star laser provided satisfactory refractive and visual results that compare well with other reports in the literature. Subjective results and other measures of visual function need further evaluation. |
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AbstractList | To evaluate the results of laser in situ keratomileusis (LASIK) for spherical and spherocylindrical myopia (range, 9–22 diopters [D]) with the VISX Star laser, (VISX Inc., Santa Clara, CA).
Non-comparative, single-surgeon interventional case series.
Two hundred ninety eyes of 175 patients.
Consecutive patients who underwent LASIK in the study range with the VISX Star laser were evaluated for early (approximately 1 month) and late (after 9 months) outcomes. Both single procedure outcomes and results after reoperation for refractive enhancement were included.
Outcome measures included uncorrected visual acuity, manifest refraction, refractive predictability, refractive stability, best spectacle-corrected visual acuity (BSCVA), results of reoperations, and complications.
At the early postoperative examination, approximately 1 month after surgery, 285 of 290 eyes (98.3%) were examined. Uncorrected visual acuity of 20/40 or better occurred in 209 of 285 (73.3%) eyes, and 198 of 285 (69.5%) eyes had a manifest spheroequivalent between ±1.00 D. Subsequently, 60 eyes (20.7%) underwent reoperation for refractive enhancement. Late results, beyond 8 months from the initial surgery and including reoperations, were available in 195 of 290 eyes (67.2%). Uncorrected visual acuity results of 20/40 or better were found in 166 of 195 eyes (85.1%) and of 20/25 or better in 99 of 195 eyes (50.8%). Manifest spheroequivalent results were ±2.00 D in 187 of 195 eyes (95.9%) and ±1.00 D in 148 of 195 eyes (75.9%). In a paired-cohort analysis of 131 single-procedure eyes seen at both intervals, refractive stability (change in manifest refractive spheroequivalent of less than 1.00 D) was present in 101 of 131 eyes (77.1%) between the two observation intervals. Overall, approximately 3.6% eyes lost 2 lines or more of BSCVA, and other complications (flap wrinkling and epithelial ingrowth) were reported in 2% of eyes. Improvement in BSCVA of 1 line or more occurred in 5.6% eyes.
Laser in situ keratomileusis for high myopia with the VISX Star laser provided satisfactory refractive and visual results that compare well with other reports in the literature. Subjective results and other measures of visual function need further evaluation. PURPOSETo evaluate the results of laser in situ keratomileusis (LASIK) for spherical and spherocylindrical myopia (range, 9-22 diopters [D]) with the VISX Star laser, (VISX Inc., Santa Clara, CA).DESIGNNon-comparative, single-surgeon interventional case series.PARTICIPANTSTwo hundred ninety eyes of 175 patients.METHODSConsecutive patients who underwent LASIK in the study range with the VISX Star laser were evaluated for early (approximately 1 month) and late (after 9 months) outcomes. Both single procedure outcomes and results after reoperation for refractive enhancement were included.MAIN OUTCOME MEASURESOutcome measures included uncorrected visual acuity, manifest refraction, refractive predictability, refractive stability, best spectacle-corrected visual acuity (BSCVA), results of reoperations, and complications.RESULTSAt the early postoperative examination, approximately 1 month after surgery, 285 of 290 eyes (98.3%) were examined. Uncorrected visual acuity of 20/40 or better occurred in 209 of 285 (73.3%) eyes, and 198 of 285 (69.5%) eyes had a manifest spheroequivalent between +/-1.00 D. Subsequently, 60 eyes (20.7%) underwent reoperation for refractive enhancement. Late results, beyond 8 months from the initial surgery and including reoperations, were available in 195 of 290 eyes (67.2%). Uncorrected visual acuity results of 20/40 or better were found in 166 of 195 eyes (85.1%) and of 20/25 or better in 99 of 195 eyes (50.8%). Manifest spheroequivalent results were +/-2.00 D in 187 of 195 eyes (95.9%) and +/-1.00 D in 148 of 195 eyes (75.9%). In a paired-cohort analysis of 131 single-procedure eyes seen at both intervals, refractive stability (change in manifest refractive spheroequivalent of less than 1.00 D) was present in 101 of 131 eyes (77.1%) between the two observation intervals. Overall, approximately 3.6% eyes lost 2 lines or more of BSCVA, and other complications (flap wrinkling and epithelial ingrowth) were reported in 2% of eyes. Improvement in BSCVA of 1 line or more occurred in 5.6% eyes.CONCLUSIONSLaser in situ keratomileusis for high myopia with the VISX Star laser provided satisfactory refractive and visual results that compare well with other reports in the literature. Subjective results and other measures of visual function need further evaluation. To evaluate the results of laser in situ keratomileusis (LASIK) for spherical and spherocylindrical myopia (range, 9-22 diopters [D]) with the VISX Star laser, (VISX Inc., Santa Clara, CA). Non-comparative, single-surgeon interventional case series. Two hundred ninety eyes of 175 patients. Consecutive patients who underwent LASIK in the study range with the VISX Star laser were evaluated for early (approximately 1 month) and late (after 9 months) outcomes. Both single procedure outcomes and results after reoperation for refractive enhancement were included. Outcome measures included uncorrected visual acuity, manifest refraction, refractive predictability, refractive stability, best spectacle-corrected visual acuity (BSCVA), results of reoperations, and complications. At the early postoperative examination, approximately 1 month after surgery, 285 of 290 eyes (98.3%) were examined. Uncorrected visual acuity of 20/40 or better occurred in 209 of 285 (73.3%) eyes, and 198 of 285 (69.5%) eyes had a manifest spheroequivalent between +/-1.00 D. Subsequently, 60 eyes (20.7%) underwent reoperation for refractive enhancement. Late results, beyond 8 months from the initial surgery and including reoperations, were available in 195 of 290 eyes (67.2%). Uncorrected visual acuity results of 20/40 or better were found in 166 of 195 eyes (85.1%) and of 20/25 or better in 99 of 195 eyes (50.8%). Manifest spheroequivalent results were +/-2.00 D in 187 of 195 eyes (95.9%) and +/-1.00 D in 148 of 195 eyes (75.9%). In a paired-cohort analysis of 131 single-procedure eyes seen at both intervals, refractive stability (change in manifest refractive spheroequivalent of less than 1.00 D) was present in 101 of 131 eyes (77.1%) between the two observation intervals. Overall, approximately 3.6% eyes lost 2 lines or more of BSCVA, and other complications (flap wrinkling and epithelial ingrowth) were reported in 2% of eyes. Improvement in BSCVA of 1 line or more occurred in 5.6% eyes. Laser in situ keratomileusis for high myopia with the VISX Star laser provided satisfactory refractive and visual results that compare well with other reports in the literature. Subjective results and other measures of visual function need further evaluation. |
Author | Kawesch, Gary M Kezirian, Guy M |
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Keywords | High Human Keratomileusis Vision disorder Treatment efficiency In situ Myopia Eye Eye disease Treatment Surgery Refractive error Laser Apparatus Severe Comparative study |
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References_xml | – volume: 1 start-page: 26 year: 1998 end-page: 31 ident: BIB16 article-title: Outcome databasing and nomogram development in LASIK publication-title: Operative Techniques in Cataract and Refractive Surgery contributor: fullname: Casebeer – volume: 12 start-page: 222 year: 1996 end-page: 228 ident: BIB3 article-title: Laser in situ keratomileusis (LASIK) for myopia from −7 to −18 diopters publication-title: J Refract Surg contributor: fullname: Muller – volume: 24 start-page: 758 year: 1998 end-page: 764 ident: BIB2 article-title: Laser in situ keratomileusis for myopia and astigmatism publication-title: J Cataract Refract Surg contributor: fullname: Kezirian – volume: 14 start-page: 19 year: 1998 end-page: 25 ident: BIB8 article-title: Laser in situ keratomileusis for myopia from −5.50 to −11.50 diopters with astigmatism publication-title: J Refract Surg contributor: fullname: Oscherow – volume: 24 start-page: 57 year: 1998 end-page: 65 ident: BIB19 article-title: Evaluating and reporting astigmatism for individual and aggregate data publication-title: J Cataract Refract Surg contributor: fullname: Koch – volume: 27 start-page: S517 year: 1996 end-page: S520 ident: BIB13 article-title: LASIK for high myopia publication-title: Ophthalmic Surg Lasers contributor: fullname: Pinto – volume: 18 start-page: 429 year: 1992 end-page: 443 ident: BIB18 article-title: Calculating the surgically induced refractive change following ocular surgery publication-title: J Cataract Refract Surg contributor: fullname: Koch – volume: 24 start-page: 183 year: 1998 end-page: 189 ident: BIB10 article-title: Contrast sensitivity after laser in situ keratomileusis publication-title: J Cataract Refract Surg contributor: fullname: Alio – volume: 27 start-page: S508 year: 1996 end-page: S511 ident: BIB5 article-title: Laser assisted in situ keratomileusis for high myopia publication-title: Ophthalmic Surg Lasers contributor: fullname: Jung – volume: 105 start-page: 932 year: 1998 end-page: 940 ident: BIB7 article-title: Laser in situ keratomileusis for moderate and high myopia and myopic astigmatism publication-title: Ophthalmology contributor: fullname: Liermann – volume: 105 start-page: 1194 year: 1998 end-page: 1199 ident: BIB23 article-title: Regression and its mechanisms after laser in situ keratomileusis in moderate and high myopia publication-title: Ophthalmology contributor: fullname: Montes – volume: 105 start-page: 1512 year: 1998 end-page: 1523 ident: BIB12 article-title: Photorefractive keratectomy versus laser in situ keratomileusis for moderate to high myopia. A randomized prospective study publication-title: Ophthalmology contributor: fullname: Maloney – volume: 12 start-page: 417 year: 1996 end-page: 421 ident: BIB11 article-title: Photorefractive keratectomy and laser in situ keratomileusis for myopia between 6.00 and 10.00 diopters publication-title: J Refract Surg contributor: fullname: Sidky – volume: 13 start-page: 71 year: 1998 end-page: 78 ident: BIB1 article-title: Outcomes of spherocylinder treatments in the comprehensive refractive surgery LASIK study publication-title: Semin Ophthalmol contributor: fullname: Kezirian – volume: 105 start-page: 1721 year: 1998 end-page: 1726 ident: BIB6 article-title: Diffuse lamellar keratitis. A new syndrome in lamellar refractive surgery publication-title: Ophthalmology contributor: fullname: Maloney – volume: 13 start-page: 388 year: 1997 end-page: 391 ident: BIB17 article-title: Proper method for calculating average visual acuity publication-title: J Refract Surgery contributor: fullname: Holladay – volume: 23 start-page: 372 year: 1997 end-page: 385 ident: BIB22 article-title: Laser in situ keratomileusis to correct high myopia publication-title: J Cataract Refract Surg contributor: fullname: Claramonte – volume: 12 start-page: 575 year: 1996 end-page: 584 ident: BIB4 article-title: Laser in situ keratomileusis to correct myopia of −6.00 to −29.00 diopters publication-title: J Refract Surg contributor: fullname: Seiberth – volume: 81 start-page: 199 year: 1997 end-page: 206 ident: BIB21 article-title: Laser intrastromal keratomileusis for high myopia and myopic astigmatism publication-title: Br J Ophthalmol contributor: fullname: Fulcher – volume: 23 start-page: 39 year: 1997 end-page: 49 ident: BIB14 article-title: Laser in situ keratomileusis to treat myopia publication-title: J Cataract Refract Surg contributor: fullname: Siganos – volume: 24 start-page: 190 year: 1998 end-page: 195 ident: BIB9 article-title: Mathematics of laser in situ keratomileusis for high myopia publication-title: J Cataract Refract Surg contributor: fullname: Machat |
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Snippet | To evaluate the results of laser in situ keratomileusis (LASIK) for spherical and spherocylindrical myopia (range, 9–22 diopters [D]) with the VISX Star laser,... To evaluate the results of laser in situ keratomileusis (LASIK) for spherical and spherocylindrical myopia (range, 9-22 diopters [D]) with the VISX Star laser,... PURPOSETo evaluate the results of laser in situ keratomileusis (LASIK) for spherical and spherocylindrical myopia (range, 9-22 diopters [D]) with the VISX Star... |
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SubjectTerms | Adult Biological and medical sciences Cornea - physiopathology Cornea - surgery Female Follow-Up Studies Humans Keratomileusis, Laser In Situ Male Medical sciences Myopia - physiopathology Myopia - surgery Refraction, Ocular - physiology Reoperation Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the eye and orbit Treatment Outcome Visual Acuity - physiology |
Title | Laser in situ keratomileusis for high myopia with the VISX Star laser |
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