Advances in Transepithelial Photorefractive Keratectomy versus Laser-Assisted In Situ Keratomileusis
(1) Background: Laser-assisted refractive surgery is a safe and effective surgical correction of refractive error. For most patients, both the newer Trans-PRK and the established LASIK technique can produce the required surgical correction, sparking the question of which technique should be opted fo...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2024-02-01
|
| Series: | Diagnostics |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2075-4418/14/5/481 |
| _version_ | 1797264655699148800 |
|---|---|
| author | Paul Filip Curcă Cătălina Ioana Tătaru George Sima Marian Burcea Călin Petru Tătaru |
| author_facet | Paul Filip Curcă Cătălina Ioana Tătaru George Sima Marian Burcea Călin Petru Tătaru |
| author_sort | Paul Filip Curcă |
| collection | DOAJ |
| description | (1) Background: Laser-assisted refractive surgery is a safe and effective surgical correction of refractive error. For most patients, both the newer Trans-PRK and the established LASIK technique can produce the required surgical correction, sparking the question of which technique should be opted for. (2) Methods: The study prospectively evaluated 121 patients (230 eyes) for at least one month postoperatively; 66 patients (126 eyes) and 45 patients (85 eyes) returned for 6 months and 1 year follow-up. (3) Results: No statistical difference was recorded at 1 week or 1 month post-operation. At 6 months, a difference was found for spherical diopters (Trans-PRK −0.0476 ± 0.7012 versus FS-LASIK +0.425 ± 0.874, <i>p</i> = 0.004) and spherical equivalent (Trans-PRK −0.1994 ± 0.0294 versus FS-LASIK +0.225 ± 0.646, <i>p</i> = 0.025) but not for CYL D (Trans-PRK −0.3036 ± 0.5251 versus FS-LASIK −0.4 ± 0.820, <i>p</i> = 0.499). Uncorrected visual acuity was better for Trans-PRK 6 months post-operation (UCVA logMAR 0.02523 versus 0.0768 logMAR; <i>p</i> = 0.015 logMAR). At 1-year, Trans-PRK was favored for spherical diopters (Trans-PRK −0.0294 ± 0.6493 versus FS-LASIK +0.646 ± 0.909, <i>p</i> < 0.001) and spherical equivalent (Trans-PRK −0.218 ± 0.784 versus FS-LASIK 0.372 ± 1.08, <i>p</i> = 0.007). Overall speed in visual recovery, variance of results and surgically induced astigmatism were in favor of Trans-PRK. (4) Conclusions: The study reported improvements for Trans-PRK patients, with both techniques found to be safe and effective. |
| first_indexed | 2024-04-25T00:32:21Z |
| format | Article |
| id | doaj.art-938803e290f04049b58ddd12846b1632 |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-04-25T00:32:21Z |
| publishDate | 2024-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-938803e290f04049b58ddd12846b16322024-03-12T16:41:54ZengMDPI AGDiagnostics2075-44182024-02-0114548110.3390/diagnostics14050481Advances in Transepithelial Photorefractive Keratectomy versus Laser-Assisted In Situ KeratomileusisPaul Filip Curcă0Cătălina Ioana Tătaru1George Sima2Marian Burcea3Călin Petru Tătaru4Clinical Department of Ophthalmology, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, RomaniaClinical Department of Ophthalmology, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, RomaniaClinical Department of Ophthalmology, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, RomaniaClinical Department of Ophthalmology, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, RomaniaClinical Department of Ophthalmology, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania(1) Background: Laser-assisted refractive surgery is a safe and effective surgical correction of refractive error. For most patients, both the newer Trans-PRK and the established LASIK technique can produce the required surgical correction, sparking the question of which technique should be opted for. (2) Methods: The study prospectively evaluated 121 patients (230 eyes) for at least one month postoperatively; 66 patients (126 eyes) and 45 patients (85 eyes) returned for 6 months and 1 year follow-up. (3) Results: No statistical difference was recorded at 1 week or 1 month post-operation. At 6 months, a difference was found for spherical diopters (Trans-PRK −0.0476 ± 0.7012 versus FS-LASIK +0.425 ± 0.874, <i>p</i> = 0.004) and spherical equivalent (Trans-PRK −0.1994 ± 0.0294 versus FS-LASIK +0.225 ± 0.646, <i>p</i> = 0.025) but not for CYL D (Trans-PRK −0.3036 ± 0.5251 versus FS-LASIK −0.4 ± 0.820, <i>p</i> = 0.499). Uncorrected visual acuity was better for Trans-PRK 6 months post-operation (UCVA logMAR 0.02523 versus 0.0768 logMAR; <i>p</i> = 0.015 logMAR). At 1-year, Trans-PRK was favored for spherical diopters (Trans-PRK −0.0294 ± 0.6493 versus FS-LASIK +0.646 ± 0.909, <i>p</i> < 0.001) and spherical equivalent (Trans-PRK −0.218 ± 0.784 versus FS-LASIK 0.372 ± 1.08, <i>p</i> = 0.007). Overall speed in visual recovery, variance of results and surgically induced astigmatism were in favor of Trans-PRK. (4) Conclusions: The study reported improvements for Trans-PRK patients, with both techniques found to be safe and effective.https://www.mdpi.com/2075-4418/14/5/481Trans-PRKLASIKversustransepithelial photorefractive keratomileusis |
| spellingShingle | Paul Filip Curcă Cătălina Ioana Tătaru George Sima Marian Burcea Călin Petru Tătaru Advances in Transepithelial Photorefractive Keratectomy versus Laser-Assisted In Situ Keratomileusis Diagnostics Trans-PRK LASIK versus transepithelial photorefractive keratomileusis |
| title | Advances in Transepithelial Photorefractive Keratectomy versus Laser-Assisted In Situ Keratomileusis |
| title_full | Advances in Transepithelial Photorefractive Keratectomy versus Laser-Assisted In Situ Keratomileusis |
| title_fullStr | Advances in Transepithelial Photorefractive Keratectomy versus Laser-Assisted In Situ Keratomileusis |
| title_full_unstemmed | Advances in Transepithelial Photorefractive Keratectomy versus Laser-Assisted In Situ Keratomileusis |
| title_short | Advances in Transepithelial Photorefractive Keratectomy versus Laser-Assisted In Situ Keratomileusis |
| title_sort | advances in transepithelial photorefractive keratectomy versus laser assisted in situ keratomileusis |
| topic | Trans-PRK LASIK versus transepithelial photorefractive keratomileusis |
| url | https://www.mdpi.com/2075-4418/14/5/481 |
| work_keys_str_mv | AT paulfilipcurca advancesintransepithelialphotorefractivekeratectomyversuslaserassistedinsitukeratomileusis AT catalinaioanatataru advancesintransepithelialphotorefractivekeratectomyversuslaserassistedinsitukeratomileusis AT georgesima advancesintransepithelialphotorefractivekeratectomyversuslaserassistedinsitukeratomileusis AT marianburcea advancesintransepithelialphotorefractivekeratectomyversuslaserassistedinsitukeratomileusis AT calinpetrutataru advancesintransepithelialphotorefractivekeratectomyversuslaserassistedinsitukeratomileusis |