Literature DB >> 10334340

Corneal sensitivity after photorefractive keratectomy and laser in situ keratomileusis for low myopia.

J J Pérez-Santonja1, H F Sakla, C Cardona, E Chipont, J L Alió.   

Abstract

PURPOSE: To evaluate and compare the recovery of postoperative corneal sensitivity after laser in situ keratomileusis and photorefractive keratectomy for the correction of low myopia.
METHODS: In a prospective study, 17 consecutive eyes (17 patients) underwent laser in situ keratomileusis to correct myopia ranging from -3.25 to -6.75 diopters, and another 18 consecutive eyes (18 patients) underwent photorefractive keratectomy to correct myopia from -3.12 to -7.00 diopters. Corneal sensitivity was tested preoperatively and 1 week and 1, 3, and 6 months postoperatively using the Cochet-Bonnet esthesiometer. Corneal sensitivity was tested at the center of the cornea, and in four additional central points 2 mm from the corneal center (nasal, inferior, temporal, and superior).
RESULTS: Corneal sensitivity after laser in situ keratomileusis was reduced at the ablated zone during the first 3 months after surgery (Wilcoxon rank sum test, P < .05), and only after 6 months it returned to its preoperative values. However, corneal sensitivity recovered its preoperative values 1 month after photorefractive keratectomy (Wilcoxon rank sum test, P > .05), except for the central corneal point, where 3 months were required. Comparing both groups, corneal sensitivity was more depressed after laser in situ keratomileusis than after photorefractive keratectomy during the first 3 months (Mann-Whitney test, P < .05), except for the nasal central point, although no differences were found between both groups at 6 months (P > .05).
CONCLUSIONS: In the correction of low myopia, corneal sensitivity at the ablated zone was more depressed after laser in situ keratomileusis than after photorefractive keratectomy during the first 3 months after surgery. Only after 6 months were corneal sensitivity values similar in both groups.

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Year:  1999        PMID: 10334340     DOI: 10.1016/s0002-9394(98)00444-9

Source DB:  PubMed          Journal:  Am J Ophthalmol        ISSN: 0002-9394            Impact factor:   5.258


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