Annie Chan1, Edward E Manche. 1. Department of Ophthalmology, Stanford University School of Medicine, Stanford, California 94305, USA.
Abstract
PURPOSE: To evaluate the effect of preoperative pupil size on quality of vision after wavefront-guided LASIK. DESIGN: Prospective study. PARTICIPANTS: One hundred two eyes. INTERVENTION: LASIK for mild to moderate myopia or astigmatism (preoperative manifest spherical equivalent, -3.99±1.42 diopters). MAIN OUTCOME MEASURES: Questionnaires evaluating specific visual symptoms before and after surgery. Each eye was evaluated before surgery, and 1 week and 1, 3, 6, and 12 months postoperatively. Pupils were stratified according to size: small (≤5.5 mm), medium (5.6-6.4 mm), or large (≥6.5 mm). Mesopic pupil size and preoperative and postoperative variables were evaluated using an analysis of variance. A regression model was also performed to determine the correlation between mean spherical equivalent and cylinder and visual symptoms. RESULTS: In the early postoperative period, there was no difference between the 3 groups with regard to any of the symptoms. At the final 12-month postoperative visit, patients with medium pupils experienced less glare at night than small pupils (P = 0.02), medium pupils had less halos than small or large pupils (P = 0.001 and P = 0.02, respectively), and medium pupils experienced greater satisfaction in visual improvement than small pupils (P = 0.014). CONCLUSIONS: Twelve months after wavefront-guided LASIK surgery, large pupil size does not positively correlate with any postoperative visual symptoms.
PURPOSE: To evaluate the effect of preoperative pupil size on quality of vision after wavefront-guided LASIK. DESIGN: Prospective study. PARTICIPANTS: One hundred two eyes. INTERVENTION: LASIK for mild to moderate myopia or astigmatism (preoperative manifest spherical equivalent, -3.99±1.42 diopters). MAIN OUTCOME MEASURES: Questionnaires evaluating specific visual symptoms before and after surgery. Each eye was evaluated before surgery, and 1 week and 1, 3, 6, and 12 months postoperatively. Pupils were stratified according to size: small (≤5.5 mm), medium (5.6-6.4 mm), or large (≥6.5 mm). Mesopic pupil size and preoperative and postoperative variables were evaluated using an analysis of variance. A regression model was also performed to determine the correlation between mean spherical equivalent and cylinder and visual symptoms. RESULTS: In the early postoperative period, there was no difference between the 3 groups with regard to any of the symptoms. At the final 12-month postoperative visit, patients with medium pupils experienced less glare at night than small pupils (P = 0.02), medium pupils had less halos than small or large pupils (P = 0.001 and P = 0.02, respectively), and medium pupils experienced greater satisfaction in visual improvement than small pupils (P = 0.014). CONCLUSIONS: Twelve months after wavefront-guided LASIK surgery, large pupil size does not positively correlate with any postoperative visual symptoms.
Authors: Miguel J Maldonado; Alberto López-Miguel; David P Piñero; José R Juberías; Juan C Nieto; Jorge L Alió Journal: Graefes Arch Clin Exp Ophthalmol Date: 2012-01-08 Impact factor: 3.117
Authors: Kaitlin T Wozniak; Sam C Butler; Xu He; Jonathan D Ellis; Wayne H Knox; Krystel R Huxlin Journal: Exp Eye Res Date: 2021-04-20 Impact factor: 3.770