Literature DB >> 17533106

Long-term results of thin corneas after refractive laser surgery.

George D Kymionis1, Dimitrios Bouzoukis, Vasilios Diakonis, Nikolaos Tsiklis, Eirineos Gkenos, Aristofanis I Pallikaris, Joann A Giaconi, Sonia H Yoo.   

Abstract

PURPOSE: To report the long-term refractive results of photorefractive keratectomy (PRK) and laser in situ keratomileusis (LASIK) in patients with thin corneas.
DESIGN: A long-term, retrospective, non-randomized follow-up study.
METHODS: Sixty-three patients (124 eyes) (28 males and 35 females), who had a preoperative central corneal thickness (CCT) of less than 500 microns and completed at least one year of follow-up examinations after surgery. Thirty-five patients (68 eyes) underwent PRK and 28 patients (56 eyes) underwent LASIK.
RESULTS: Mean preoperative corneal pachymetry was 484.95 +/- 6.65 microm (range, 470 to 498 microm) and 482.38 +/- 10.73 microm (range, 453 to 499 microm) for LASIK and PRK, respectively. No intraoperative complications were found in both groups. None of the included eyes developed postrefractive corneal ectasia. The mean predictability for the PRK group was 0.08 diopters (D) with a standard deviation of 0.40 D (range, -1.38 to 1.00 D), and the mean predictability for the LASIK group was 0.14 D with a standard deviation of 0.55 D (range, -1.25 to 1.33 D).
CONCLUSIONS: Refractive laser surgery with LASIK or PRK in patients with thin corneas (less than 500 microm) seems to be a safe and predictable technique for myopic refractive corrections.

Entities:  

Mesh:

Year:  2007        PMID: 17533106     DOI: 10.1016/j.ajo.2007.04.010

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


  19 in total

1.  [Difference and distance between the central and thinnest points of the cornea: impact of refractive state, age and ocular side].

Authors:  J Steinberg; C Kohl; T Katz; G Richard; S J Linke
Journal:  Ophthalmologe       Date:  2014-04       Impact factor: 1.059

2.  Risk profiles of ectasia after keratorefractive surgery.

Authors:  Pushpanjali Giri; Dimitri T Azar
Journal:  Curr Opin Ophthalmol       Date:  2017-07       Impact factor: 3.761

3.  Treatment of keratoectasia after LASIK by intrastromal corneal ring segments in two patients who had no preoperative risk factors.

Authors:  Minoru Tomita; Naoko Inoue; Tadahiko Tsuru
Journal:  Clin Ophthalmol       Date:  2010-07-30

4.  Long-term safety of laser in situ keratomileusis in eyes with thin corneas: 5-year follow-up.

Authors:  Yao-Wen Song; Rui He; Jack X Ma; Douglas D Koch; Li Wang
Journal:  Int J Ophthalmol       Date:  2018-07-18       Impact factor: 1.779

5.  Validation of the Ectasia Risk Score System for preoperative laser in situ keratomileusis screening.

Authors:  J Bradley Randleman; William B Trattler; R Doyle Stulting
Journal:  Am J Ophthalmol       Date:  2008-03-10       Impact factor: 5.258

6.  Thin-flap (sub-Bowman keratomileusis) versus thick-flap laser in situ keratomileusis for moderate to high myopia: case-control analysis.

Authors:  Dimitri T Azar; Ramon C Ghanem; Jose de la Cruz; Joelle A Hallak; Takashi Kojima; Faisal M Al-Tobaigy; Sandeep Jain
Journal:  J Cataract Refract Surg       Date:  2008-12       Impact factor: 3.351

7.  Management of post laser in situ keratomileusis ectasia with simultaneous topography guided photorefractive keratectomy and collagen cross-linking.

Authors:  George D Kymionis; Dimitra M Portaliou; Vasilios F Diakonis; Alexandra E Karavitaki; Sophia I Panagopoulou; Mirko R Jankov Ii; Efekan Coskunseven
Journal:  Open Ophthalmol J       Date:  2011-02-11

8.  Evaluation of corneal thickness alterations during menstrual cycle in productive age women.

Authors:  Negar Amiri Ghahfarokhi; Ali Vaseghi; Negin Amiri Ghahfarokhi; Mohammad Ghoreishi; Alireza Peyman; Alireza Dehghani
Journal:  Indian J Ophthalmol       Date:  2015-01       Impact factor: 1.848

9.  Photorefractive keratectomy results in myopic patients with thin cornea eyes.

Authors:  Hassan Hashemi; Mohammad Miraftab; Soheila Asgari
Journal:  Oman J Ophthalmol       Date:  2015 Jan-Apr

10.  Corneal ectasia after myopic laser in situ keratomileusis: a long-term study.

Authors:  Leopoldo Spadea; Emilia Cantera; Magdalena Cortes; Nicole Evangelista Conocchia; Charles Wm Stewart
Journal:  Clin Ophthalmol       Date:  2012-11-02
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