Treatment of high myopia/myopic astigmatism with a combination of WaveLight Contoura with LYRA protocol and wavefront-optimized treatment
Manoj Motwani Motwani LASIK Institute, San Diego, CA, USA Purpose: The aim of this article was to demonstrate how WaveLight Contoura and wavefront optimization (WFO) can be used together to treat high myopia/myopic astigmatism corrections. Materials and methods: A retrospective analysis was conduc...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2018-05-01
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| Series: | Clinical Ophthalmology |
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| Online Access: | https://www.dovepress.com/treatment-of-high-myopiamyopic-astigmatism-with-a-combination-of-wavel-peer-reviewed-article-OPTH |
| _version_ | 1818843954569805824 |
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| author | Motwani M |
| author_facet | Motwani M |
| author_sort | Motwani M |
| collection | DOAJ |
| description | Manoj Motwani Motwani LASIK Institute, San Diego, CA, USA Purpose: The aim of this article was to demonstrate how WaveLight Contoura and wavefront optimization (WFO) can be used together to treat high myopia/myopic astigmatism corrections. Materials and methods: A retrospective analysis was conducted on 24 consecutive myopic/myopic astigmatism eyes that exceeded the Contoura labeling of -8.00 with -3.00 D of astigmatism. Residual correction after Contoura with Layer Yolked Reduction of Astigmatism protocol was treated with WFO Contoura LASIK correction. All patients had 3 months of follow-up. Accuracy to the desired refractive goal was assessed by postoperative refraction, regression, postoperative vision, and anecdotal subjective night vision quality. Results: No eyes lost best-corrected visual acuity (BCVA), and 54% of eyes gained BCVA. Out of 22 distance eyes, five achieved 20/15 or better, 18 achieved 20/20 vision, two achieved 20/25, and three achieved 20/30 vision. Preoperatively, only 14 eyes could achieve 20/20 vision. No night vision issues were observed in anecdotal reporting by patients except for those who needed enhancements that had not yet been performed. Conclusion: Treatment of high myopia/astigmatism with this combination of Contoura with LYRA protocol and WFO results in excellent visual outcomes, large ablation zones on topography, and few subjective reported night vision issues. Keywords: Contoura, topographic guided ablation, high myopia, ICL, WaveLight lasers, LYRA Protocol |
| first_indexed | 2024-12-19T05:06:05Z |
| format | Article |
| id | doaj.art-94bc8dc9796b484aaf8338b56fdd3424 |
| institution | Directory Open Access Journal |
| issn | 1177-5483 |
| language | English |
| last_indexed | 2024-12-19T05:06:05Z |
| publishDate | 2018-05-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical Ophthalmology |
| spelling | doaj.art-94bc8dc9796b484aaf8338b56fdd34242022-12-21T20:34:56ZengDove Medical PressClinical Ophthalmology1177-54832018-05-01Volume 1287588338240Treatment of high myopia/myopic astigmatism with a combination of WaveLight Contoura with LYRA protocol and wavefront-optimized treatmentMotwani MManoj Motwani Motwani LASIK Institute, San Diego, CA, USA Purpose: The aim of this article was to demonstrate how WaveLight Contoura and wavefront optimization (WFO) can be used together to treat high myopia/myopic astigmatism corrections. Materials and methods: A retrospective analysis was conducted on 24 consecutive myopic/myopic astigmatism eyes that exceeded the Contoura labeling of -8.00 with -3.00 D of astigmatism. Residual correction after Contoura with Layer Yolked Reduction of Astigmatism protocol was treated with WFO Contoura LASIK correction. All patients had 3 months of follow-up. Accuracy to the desired refractive goal was assessed by postoperative refraction, regression, postoperative vision, and anecdotal subjective night vision quality. Results: No eyes lost best-corrected visual acuity (BCVA), and 54% of eyes gained BCVA. Out of 22 distance eyes, five achieved 20/15 or better, 18 achieved 20/20 vision, two achieved 20/25, and three achieved 20/30 vision. Preoperatively, only 14 eyes could achieve 20/20 vision. No night vision issues were observed in anecdotal reporting by patients except for those who needed enhancements that had not yet been performed. Conclusion: Treatment of high myopia/astigmatism with this combination of Contoura with LYRA protocol and WFO results in excellent visual outcomes, large ablation zones on topography, and few subjective reported night vision issues. Keywords: Contoura, topographic guided ablation, high myopia, ICL, WaveLight lasers, LYRA Protocolhttps://www.dovepress.com/treatment-of-high-myopiamyopic-astigmatism-with-a-combination-of-wavel-peer-reviewed-article-OPTHcorneal ablationtopographic guided ablationlaser-assisted in situ keratomileusisphotorefractive keratectomyWaveLight Contouramyopia |
| spellingShingle | Motwani M Treatment of high myopia/myopic astigmatism with a combination of WaveLight Contoura with LYRA protocol and wavefront-optimized treatment Clinical Ophthalmology corneal ablation topographic guided ablation laser-assisted in situ keratomileusis photorefractive keratectomy WaveLight Contoura myopia |
| title | Treatment of high myopia/myopic astigmatism with a combination of WaveLight Contoura with LYRA protocol and wavefront-optimized treatment |
| title_full | Treatment of high myopia/myopic astigmatism with a combination of WaveLight Contoura with LYRA protocol and wavefront-optimized treatment |
| title_fullStr | Treatment of high myopia/myopic astigmatism with a combination of WaveLight Contoura with LYRA protocol and wavefront-optimized treatment |
| title_full_unstemmed | Treatment of high myopia/myopic astigmatism with a combination of WaveLight Contoura with LYRA protocol and wavefront-optimized treatment |
| title_short | Treatment of high myopia/myopic astigmatism with a combination of WaveLight Contoura with LYRA protocol and wavefront-optimized treatment |
| title_sort | treatment of high myopia myopic astigmatism with a combination of wavelight contoura with lyra protocol and wavefront optimized treatment |
| topic | corneal ablation topographic guided ablation laser-assisted in situ keratomileusis photorefractive keratectomy WaveLight Contoura myopia |
| url | https://www.dovepress.com/treatment-of-high-myopiamyopic-astigmatism-with-a-combination-of-wavel-peer-reviewed-article-OPTH |
| work_keys_str_mv | AT motwanim treatmentofhighmyopiamyopicastigmatismwithacombinationofwavelightcontourawithlyraprotocolandwavefrontoptimizedtreatment |