Femtosecond laser in situ keratomileusis versus conductive keratoplasty to obtain monovision in patients with emmetropic presbyopia
- 1 June 2010
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of Cataract & Refractive Surgery
- Vol. 36 (6), 997-1002
- https://doi.org/10.1016/j.jcrs.2009.12.035
Abstract
To compare visual outcomes, complications, and patient satisfaction after femtosecond laser in situ keratomileusis (LASIK) and conductive keratoplasty (CK). Private laser clinics, Reading and Southampton, United Kingdom. In this retrospective consecutive single-surgeon comparative study, presbyopic emmetropia was treated with femtosecond LASIK or CK to achieve monovision by targeting -1.50 diopters (D) of myopia in the nondominant eye after a successful monovision contact lens trial. The CK treatments were performed with a ViewPoint CK system using the light-touch technique. The femtosecond LASIK was performed using an IntraLase FS/FS30 and EC-5000 platform with OPDCAT wavefront treatment. The mean spherical equivalent 12 months postoperatively was -1.63 D +/- 0.68 (SD) in the femtosecond LASIK group and -0.97 +/- 0.82 D in the CK group (P<.001). The mean vector value of astigmatism at 12 months was 0.32 +/- 0.32 D and 1.00 +/- 0.75 D, respectively (P<.0001). The mean induced higher-order aberration (HOA) was 0.45 +/- 0.28 microm in the femtosecond LASIK group and 1.13 +/- 0.25 microm in the CK group (P<.0001). The retreatment rate was 3% after femtosecond LASIK and 50% after CK (P<.0001). On a questionnaire administered at 12 months, 20 patients (62.5%) in the femtosecond LASIK group and 11 patients (34.4%) in the CK group reported being satisfied (P = .02). In emmetropic presbyopic cases, femtosecond LASIK monovision provided stable correction with less induced astigmatism and HOA. Eyes with CK monovision had regression and induced astigmatism.Keywords
This publication has 21 references indexed in Scilit:
- Assessment of visual performance in pseudophakic monovisionJournal of Cataract & Refractive Surgery, 2009
- Wavefront-guided laser in situ keratomileusis retreatment for consecutive hyperopia and compound hyperopic astigmatismJournal of Cataract & Refractive Surgery, 2008
- Long-term follow-up of hyperopic laser in situ keratomileusis correction using the Star S2 excimer laserJournal of Cataract & Refractive Surgery, 2008
- Conductive keratoplastyCurrent Opinion in Opthalmology, 2007
- Treatment of Presbyopia With Conductive Keratoplasty??Cornea, 2004
- Flap dimensions created with the IntraLase FS laserJournal of Cataract & Refractive Surgery, 2004
- Monovision outcomes in presbyopic individuals after refractive surgeryOphthalmology, 2001
- Heat-induced changes in the mechanics of a collagenous tissue: pseudoelastic behavior at 37°CJournal of Biomechanics, 1997
- Visual Function with Presbyopic Contact Lens CorrectionOptometry and Vision Science, 1990
- Monovision Contact Lens Wear and Occupational Task PerformanceOptometry and Vision Science, 1988