Concurrent laser-assisted in situ keratomileusis with high-fluence cross-linking versus laser-assisted in situ keratomileusis only in treatment of hyperopia
Purpose To compare refractive and corneal structural stability after laser-assisted in situ keratomileusis (LASIK) with and without concurrent prophylactic high-fluence cross-linking in the treatment of hyperopia. Patients and methods In an interventional prospective nonrandomized comparative study,...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2019-01-01
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| Series: | Journal of the Egyptian Ophthalmological Society |
| Subjects: | |
| Online Access: | http://www.jeos.eg.net/article.asp?issn=2090-0686;year=2019;volume=112;issue=4;spage=117;epage=121;aulast=Eid |
| _version_ | 1818926664628830208 |
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| author | Ahmed M Eid Ahmed A Abdelghany Ahmed S Abdelhalim Ahmed M Sabry |
| author_facet | Ahmed M Eid Ahmed A Abdelghany Ahmed S Abdelhalim Ahmed M Sabry |
| author_sort | Ahmed M Eid |
| collection | DOAJ |
| description | Purpose To compare refractive and corneal structural stability after laser-assisted in situ keratomileusis (LASIK) with and without concurrent prophylactic high-fluence cross-linking in the treatment of hyperopia.
Patients and methods In an interventional prospective nonrandomized comparative study, 50 eyes of 25 patients with hyperopia (+1 D to +6 D) or hyperopic astigmatism (up to 4 D) underwent customized LASIK with concurrent prophylactic high-fluence cross-linking in the right eye (group A) and customized LASIK only in the left eye (group B). Main outcome measures included postoperative uncorrected visual acuity (UCVA), manifest and cycloplegic refractive spherical equivalent, keratometric readings, and spherical aberrations throughout the 2 years of postoperative follow-up.
Results There were statistically significant changes in all studied parameters between preoperative and postoperative follow-up at 3 months, 1 year, and 2 years in both groups, and these changes remained stable in group A throughout the follow-up period. UCVA was statistically significantly better in group A compared with group B at 3 months (P=0.02). In group B, UCVA was highly statistically significant better at 1 year compared with that at 3 months (P=0.005).
Conclusion LASIK with concurrent prophylactic high-fluence has better visual outcomes and stability compared with LASIK alone in the treatment of hyperopia. |
| first_indexed | 2024-12-20T03:00:43Z |
| format | Article |
| id | doaj.art-897b386eabb3474aa3a9c540ab9c3b12 |
| institution | Directory Open Access Journal |
| issn | 2090-0686 2314-6648 |
| language | English |
| last_indexed | 2024-12-20T03:00:43Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of the Egyptian Ophthalmological Society |
| spelling | doaj.art-897b386eabb3474aa3a9c540ab9c3b122022-12-21T19:55:45ZengWolters Kluwer Medknow PublicationsJournal of the Egyptian Ophthalmological Society2090-06862314-66482019-01-01112411712110.4103/ejos.ejos_38_19Concurrent laser-assisted in situ keratomileusis with high-fluence cross-linking versus laser-assisted in situ keratomileusis only in treatment of hyperopiaAhmed M EidAhmed A AbdelghanyAhmed S AbdelhalimAhmed M SabryPurpose To compare refractive and corneal structural stability after laser-assisted in situ keratomileusis (LASIK) with and without concurrent prophylactic high-fluence cross-linking in the treatment of hyperopia. Patients and methods In an interventional prospective nonrandomized comparative study, 50 eyes of 25 patients with hyperopia (+1 D to +6 D) or hyperopic astigmatism (up to 4 D) underwent customized LASIK with concurrent prophylactic high-fluence cross-linking in the right eye (group A) and customized LASIK only in the left eye (group B). Main outcome measures included postoperative uncorrected visual acuity (UCVA), manifest and cycloplegic refractive spherical equivalent, keratometric readings, and spherical aberrations throughout the 2 years of postoperative follow-up. Results There were statistically significant changes in all studied parameters between preoperative and postoperative follow-up at 3 months, 1 year, and 2 years in both groups, and these changes remained stable in group A throughout the follow-up period. UCVA was statistically significantly better in group A compared with group B at 3 months (P=0.02). In group B, UCVA was highly statistically significant better at 1 year compared with that at 3 months (P=0.005). Conclusion LASIK with concurrent prophylactic high-fluence has better visual outcomes and stability compared with LASIK alone in the treatment of hyperopia.http://www.jeos.eg.net/article.asp?issn=2090-0686;year=2019;volume=112;issue=4;spage=117;epage=121;aulast=Eidcollagen cross-linking and laser-assisted in situ keratomileusis reoperationshyperopialaser-assisted in situ keratomileusispost-laser-assisted in situ keratomileusis regression |
| spellingShingle | Ahmed M Eid Ahmed A Abdelghany Ahmed S Abdelhalim Ahmed M Sabry Concurrent laser-assisted in situ keratomileusis with high-fluence cross-linking versus laser-assisted in situ keratomileusis only in treatment of hyperopia Journal of the Egyptian Ophthalmological Society collagen cross-linking and laser-assisted in situ keratomileusis reoperations hyperopia laser-assisted in situ keratomileusis post-laser-assisted in situ keratomileusis regression |
| title | Concurrent laser-assisted in situ keratomileusis with high-fluence cross-linking versus laser-assisted in situ keratomileusis only in treatment of hyperopia |
| title_full | Concurrent laser-assisted in situ keratomileusis with high-fluence cross-linking versus laser-assisted in situ keratomileusis only in treatment of hyperopia |
| title_fullStr | Concurrent laser-assisted in situ keratomileusis with high-fluence cross-linking versus laser-assisted in situ keratomileusis only in treatment of hyperopia |
| title_full_unstemmed | Concurrent laser-assisted in situ keratomileusis with high-fluence cross-linking versus laser-assisted in situ keratomileusis only in treatment of hyperopia |
| title_short | Concurrent laser-assisted in situ keratomileusis with high-fluence cross-linking versus laser-assisted in situ keratomileusis only in treatment of hyperopia |
| title_sort | concurrent laser assisted in situ keratomileusis with high fluence cross linking versus laser assisted in situ keratomileusis only in treatment of hyperopia |
| topic | collagen cross-linking and laser-assisted in situ keratomileusis reoperations hyperopia laser-assisted in situ keratomileusis post-laser-assisted in situ keratomileusis regression |
| url | http://www.jeos.eg.net/article.asp?issn=2090-0686;year=2019;volume=112;issue=4;spage=117;epage=121;aulast=Eid |
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