PURPOSE: To report the safety and predictability of an alternate sequence of the bioptics procedure. METHODS: In this prospective study of 50 eyes, phakic intraocular lenses (IOLs) and pseudophakic IOLs were implanted, followed by LASIK. The corneal flap was created, followed by lens implantation 3 days later. Laser ablation was performed to the stromal bed 3 months later. Fifty eyes with varying degrees of refractive error (range of manifest refraction spherical equivalent [MRSE], -19.50 to +8.50 diopters [D]) were treated. Follow-up ranged from 3 months to 4 years postoperatively. RESULTS: No intra- or postoperative complications occurred. Postoperatively, MRSE ranged from -0.75 to +0.50 D. Mean residual refractive astigmatism ranged from +0.25 to +1.50 D postoperatively. Postoperative uncorrected visual acuity was 20/20 or better in 82% (41/50) of eyes and 20/40 or better in 98% (49/50) of eyes. No eyes experienced a loss of best spectacle-corrected visual acuity postoperatively. CONCLUSIONS: This modification of the sequence of procedures for bioptics provided safe and predictable outcomes.
PURPOSE: To report the safety and predictability of an alternate sequence of the bioptics procedure. METHODS: In this prospective study of 50 eyes, phakic intraocular lenses (IOLs) and pseudophakic IOLs were implanted, followed by LASIK. The corneal flap was created, followed by lens implantation 3 days later. Laser ablation was performed to the stromal bed 3 months later. Fifty eyes with varying degrees of refractive error (range of manifest refraction spherical equivalent [MRSE], -19.50 to +8.50 diopters [D]) were treated. Follow-up ranged from 3 months to 4 years postoperatively. RESULTS: No intra- or postoperative complications occurred. Postoperatively, MRSE ranged from -0.75 to +0.50 D. Mean residual refractive astigmatism ranged from +0.25 to +1.50 D postoperatively. Postoperative uncorrected visual acuity was 20/20 or better in 82% (41/50) of eyes and 20/40 or better in 98% (49/50) of eyes. No eyes experienced a loss of best spectacle-corrected visual acuity postoperatively. CONCLUSIONS: This modification of the sequence of procedures for bioptics provided safe and predictable outcomes.
Authors: Majid Moshirfar; Robert J Thomson; William B West Jnr; Shannon E McCabe; Thomas M Sant; Margaret H Shmunes; Yasmyne C Ronquillo; Phillip C Hoopes Journal: Clin Ophthalmol Date: 2020-12-09