Excimer laser phototherapeutic keratectomy : Indications, results and its role in the Indian scenario
PURPOSE: To report indications, technique, and results of excimer phototherapeutic keratectomy (PTK), and describe possible reasons for the small numbers of such procedures performed in a referral institute in India. METHODS: Retrospective review of case records of 10 patients (11 eyes) who underwen...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
1999-01-01
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| Series: | Indian Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=1999;volume=47;issue=3;spage=167;epage=172;aulast=Rao |
| _version_ | 1819154361859702784 |
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| author | Rao Srinivas Fogla Rajesh Seethalakshmi G Padmanabhan Prema |
| author_facet | Rao Srinivas Fogla Rajesh Seethalakshmi G Padmanabhan Prema |
| author_sort | Rao Srinivas |
| collection | DOAJ |
| description | PURPOSE: To report indications, technique, and results of excimer phototherapeutic keratectomy (PTK), and describe possible reasons for the small numbers of such procedures performed in a referral institute in India. METHODS: Retrospective review of case records of 10 patients (11 eyes) who underwent excimer PTK at our institute between February 1994 and September 1997. RESULTS: Corneal scars were the most common indication for treatment. Best-corrected visual acuity (BCVA) improved in 6 eyes (mean: 2 lines of Snellen acuity). All eyes had BCVA > or = 6/12 after treatment. None of the patients experienced loss of BCVA after treatment. Unaided visual acuity improved in 3 eyes and decreased in 2 eyes. Change in spherical equivalent refraction > or = 1 diopter occurred in 77.8% of eyes after treatment. Treating central corneal scars resulted in a significant hyperopic shift in refraction. CONCLUSIONS: Excimer PTK is a safe and effective procedure for the treatment of superficial corneal opacities. Post-treatment ametropia may require further correction with optical aids. Inappropriate referrals, deep corneal scars, and cost of the procedure could have contributed to the small numbers of PTK performed at our institute. Improved understanding of procedural strengths and limitations could lead to increased use of this procedure, with satisfying results in selected patients. |
| first_indexed | 2024-12-22T15:19:52Z |
| format | Article |
| id | doaj.art-120b9e9c26cc4aa6936f0b186e746d1d |
| institution | Directory Open Access Journal |
| issn | 0301-4738 |
| language | English |
| last_indexed | 2024-12-22T15:19:52Z |
| publishDate | 1999-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj.art-120b9e9c26cc4aa6936f0b186e746d1d2022-12-21T18:21:39ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381999-01-01473167172Excimer laser phototherapeutic keratectomy : Indications, results and its role in the Indian scenarioRao SrinivasFogla RajeshSeethalakshmi GPadmanabhan PremaPURPOSE: To report indications, technique, and results of excimer phototherapeutic keratectomy (PTK), and describe possible reasons for the small numbers of such procedures performed in a referral institute in India. METHODS: Retrospective review of case records of 10 patients (11 eyes) who underwent excimer PTK at our institute between February 1994 and September 1997. RESULTS: Corneal scars were the most common indication for treatment. Best-corrected visual acuity (BCVA) improved in 6 eyes (mean: 2 lines of Snellen acuity). All eyes had BCVA > or = 6/12 after treatment. None of the patients experienced loss of BCVA after treatment. Unaided visual acuity improved in 3 eyes and decreased in 2 eyes. Change in spherical equivalent refraction > or = 1 diopter occurred in 77.8% of eyes after treatment. Treating central corneal scars resulted in a significant hyperopic shift in refraction. CONCLUSIONS: Excimer PTK is a safe and effective procedure for the treatment of superficial corneal opacities. Post-treatment ametropia may require further correction with optical aids. Inappropriate referrals, deep corneal scars, and cost of the procedure could have contributed to the small numbers of PTK performed at our institute. Improved understanding of procedural strengths and limitations could lead to increased use of this procedure, with satisfying results in selected patients.http://www.ijo.in/article.asp?issn=0301-4738;year=1999;volume=47;issue=3;spage=167;epage=172;aulast=RaoExcimer laserphototherapeutic keratectomyresults |
| spellingShingle | Rao Srinivas Fogla Rajesh Seethalakshmi G Padmanabhan Prema Excimer laser phototherapeutic keratectomy : Indications, results and its role in the Indian scenario Indian Journal of Ophthalmology Excimer laser phototherapeutic keratectomy results |
| title | Excimer laser phototherapeutic keratectomy : Indications, results and its role in the Indian scenario |
| title_full | Excimer laser phototherapeutic keratectomy : Indications, results and its role in the Indian scenario |
| title_fullStr | Excimer laser phototherapeutic keratectomy : Indications, results and its role in the Indian scenario |
| title_full_unstemmed | Excimer laser phototherapeutic keratectomy : Indications, results and its role in the Indian scenario |
| title_short | Excimer laser phototherapeutic keratectomy : Indications, results and its role in the Indian scenario |
| title_sort | excimer laser phototherapeutic keratectomy indications results and its role in the indian scenario |
| topic | Excimer laser phototherapeutic keratectomy results |
| url | http://www.ijo.in/article.asp?issn=0301-4738;year=1999;volume=47;issue=3;spage=167;epage=172;aulast=Rao |
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