Vector analysis of astigmatic correction after single-step transepithelial photorefractive keratectomy and femtosecond-assisted laser in-situ keratomileusis for low to moderate myopic astigmatism

Purpose: This study aimed to evaluate the outcomes of astigmatic correction by single-step transepithelial photorefractive keratectomy (TransPRK) and femtosecond-assisted laser in-situ keratomileusis (Femto-LASIK) surgeries. Methods: A total of 218 subjects received TransPRK or Femto-LASIK surgery f...

Full description

Bibliographic Details
Main Authors: Lixia Sun, Vishal Jhanji, Senmao Li, Jinyu Li, Ruifeng Ji, Hongqiang Zeng, Tsz Kin Ng, Mingzhi Zhang, Riping Zhang
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=10;spage=3483;epage=3489;aulast=Sun
_version_ 1797995932929753088
author Lixia Sun
Vishal Jhanji
Senmao Li
Jinyu Li
Ruifeng Ji
Hongqiang Zeng
Tsz Kin Ng
Mingzhi Zhang
Riping Zhang
author_facet Lixia Sun
Vishal Jhanji
Senmao Li
Jinyu Li
Ruifeng Ji
Hongqiang Zeng
Tsz Kin Ng
Mingzhi Zhang
Riping Zhang
author_sort Lixia Sun
collection DOAJ
description Purpose: This study aimed to evaluate the outcomes of astigmatic correction by single-step transepithelial photorefractive keratectomy (TransPRK) and femtosecond-assisted laser in-situ keratomileusis (Femto-LASIK) surgeries. Methods: A total of 218 subjects received TransPRK or Femto-LASIK surgery for the treatment of myopia and astigmatism (−2.25 to −0.25 D). Refraction errors and uncorrected (UDVA) and corrected distance visual acuity (CDVA) were examined before and at 3 months after surgery. Astigmatism changes were assessed by vector analysis. Results: Preoperative parameters of the TransPRK group were similar to the Femto-LASIK group. UDVA and CDVA at 3 months were similar between both groups. Manifest refraction (MR) spherical equivalent in the TransPRK group (0 ± 0.20 D) was slightly lower compared with the Femto-LASIK group at 3 months (0.11 ± 0.25 D, P = 0.001). MR cylinder was -0.06 ± 0.19 D in the TransPRK group and -0.02 ± 0.15 D in the Femto-LASIK group at 3 months (P = 0.135). The index of success (IS) was 0.15 ± 0.36 in the TransPRK group and 0.06 ± 0.17 in the Femto-LASIK group (P = 0.125). The correction index (CI) was 1.03 ± 0.19 in the TransPRK group and 1.01 ± 0.11 in the Femto-LASIK group (P = 0.815). Conclusion: For low to moderate myopic astigmatism, TransPRK provided a comparable astigmatic treatment effect as Femto-LASIK. Myopic astigmatism was both slightly overcorrected after TransPRK and Femto-LASIK surgeries.
first_indexed 2024-04-11T10:09:31Z
format Article
id doaj.art-652744ab698340498bc3bf2e0c3f804b
institution Directory Open Access Journal
issn 0301-4738
1998-3689
language English
last_indexed 2024-04-11T10:09:31Z
publishDate 2022-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Indian Journal of Ophthalmology
spelling doaj.art-652744ab698340498bc3bf2e0c3f804b2022-12-22T04:30:09ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892022-01-0170103483348910.4103/ijo.IJO_649_22Vector analysis of astigmatic correction after single-step transepithelial photorefractive keratectomy and femtosecond-assisted laser in-situ keratomileusis for low to moderate myopic astigmatismLixia SunVishal JhanjiSenmao LiJinyu LiRuifeng JiHongqiang ZengTsz Kin NgMingzhi ZhangRiping ZhangPurpose: This study aimed to evaluate the outcomes of astigmatic correction by single-step transepithelial photorefractive keratectomy (TransPRK) and femtosecond-assisted laser in-situ keratomileusis (Femto-LASIK) surgeries. Methods: A total of 218 subjects received TransPRK or Femto-LASIK surgery for the treatment of myopia and astigmatism (−2.25 to −0.25 D). Refraction errors and uncorrected (UDVA) and corrected distance visual acuity (CDVA) were examined before and at 3 months after surgery. Astigmatism changes were assessed by vector analysis. Results: Preoperative parameters of the TransPRK group were similar to the Femto-LASIK group. UDVA and CDVA at 3 months were similar between both groups. Manifest refraction (MR) spherical equivalent in the TransPRK group (0 ± 0.20 D) was slightly lower compared with the Femto-LASIK group at 3 months (0.11 ± 0.25 D, P = 0.001). MR cylinder was -0.06 ± 0.19 D in the TransPRK group and -0.02 ± 0.15 D in the Femto-LASIK group at 3 months (P = 0.135). The index of success (IS) was 0.15 ± 0.36 in the TransPRK group and 0.06 ± 0.17 in the Femto-LASIK group (P = 0.125). The correction index (CI) was 1.03 ± 0.19 in the TransPRK group and 1.01 ± 0.11 in the Femto-LASIK group (P = 0.815). Conclusion: For low to moderate myopic astigmatism, TransPRK provided a comparable astigmatic treatment effect as Femto-LASIK. Myopic astigmatism was both slightly overcorrected after TransPRK and Femto-LASIK surgeries.http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=10;spage=3483;epage=3489;aulast=Sunastigmatismkeratorefractive surgerylow to moderate myopiavector analysis
spellingShingle Lixia Sun
Vishal Jhanji
Senmao Li
Jinyu Li
Ruifeng Ji
Hongqiang Zeng
Tsz Kin Ng
Mingzhi Zhang
Riping Zhang
Vector analysis of astigmatic correction after single-step transepithelial photorefractive keratectomy and femtosecond-assisted laser in-situ keratomileusis for low to moderate myopic astigmatism
Indian Journal of Ophthalmology
astigmatism
keratorefractive surgery
low to moderate myopia
vector analysis
title Vector analysis of astigmatic correction after single-step transepithelial photorefractive keratectomy and femtosecond-assisted laser in-situ keratomileusis for low to moderate myopic astigmatism
title_full Vector analysis of astigmatic correction after single-step transepithelial photorefractive keratectomy and femtosecond-assisted laser in-situ keratomileusis for low to moderate myopic astigmatism
title_fullStr Vector analysis of astigmatic correction after single-step transepithelial photorefractive keratectomy and femtosecond-assisted laser in-situ keratomileusis for low to moderate myopic astigmatism
title_full_unstemmed Vector analysis of astigmatic correction after single-step transepithelial photorefractive keratectomy and femtosecond-assisted laser in-situ keratomileusis for low to moderate myopic astigmatism
title_short Vector analysis of astigmatic correction after single-step transepithelial photorefractive keratectomy and femtosecond-assisted laser in-situ keratomileusis for low to moderate myopic astigmatism
title_sort vector analysis of astigmatic correction after single step transepithelial photorefractive keratectomy and femtosecond assisted laser in situ keratomileusis for low to moderate myopic astigmatism
topic astigmatism
keratorefractive surgery
low to moderate myopia
vector analysis
url http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=10;spage=3483;epage=3489;aulast=Sun
work_keys_str_mv AT lixiasun vectoranalysisofastigmaticcorrectionaftersinglesteptransepithelialphotorefractivekeratectomyandfemtosecondassistedlaserinsitukeratomileusisforlowtomoderatemyopicastigmatism
AT vishaljhanji vectoranalysisofastigmaticcorrectionaftersinglesteptransepithelialphotorefractivekeratectomyandfemtosecondassistedlaserinsitukeratomileusisforlowtomoderatemyopicastigmatism
AT senmaoli vectoranalysisofastigmaticcorrectionaftersinglesteptransepithelialphotorefractivekeratectomyandfemtosecondassistedlaserinsitukeratomileusisforlowtomoderatemyopicastigmatism
AT jinyuli vectoranalysisofastigmaticcorrectionaftersinglesteptransepithelialphotorefractivekeratectomyandfemtosecondassistedlaserinsitukeratomileusisforlowtomoderatemyopicastigmatism
AT ruifengji vectoranalysisofastigmaticcorrectionaftersinglesteptransepithelialphotorefractivekeratectomyandfemtosecondassistedlaserinsitukeratomileusisforlowtomoderatemyopicastigmatism
AT hongqiangzeng vectoranalysisofastigmaticcorrectionaftersinglesteptransepithelialphotorefractivekeratectomyandfemtosecondassistedlaserinsitukeratomileusisforlowtomoderatemyopicastigmatism
AT tszkinng vectoranalysisofastigmaticcorrectionaftersinglesteptransepithelialphotorefractivekeratectomyandfemtosecondassistedlaserinsitukeratomileusisforlowtomoderatemyopicastigmatism
AT mingzhizhang vectoranalysisofastigmaticcorrectionaftersinglesteptransepithelialphotorefractivekeratectomyandfemtosecondassistedlaserinsitukeratomileusisforlowtomoderatemyopicastigmatism
AT ripingzhang vectoranalysisofastigmaticcorrectionaftersinglesteptransepithelialphotorefractivekeratectomyandfemtosecondassistedlaserinsitukeratomileusisforlowtomoderatemyopicastigmatism