Comparison of corneal hysteresis and corneal resistance factor after small-incision lenticule extraction and photorefractive keratectomy

Purpose The aim of this study was to compare the corneal hysteresis (CH) and corneal resistance factor (CRF) after small-incision lenticule extraction (SMILE) and photorefractive keratectomy (PRK). Patients and methods Fifty-six eyes of 28 patients were included in this study. The study eyes had myo...

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Main Authors: Haitham Y Al-Nashar, Ahmad M.B Awad
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Delta Journal of Ophthalmology
Subjects:
Online Access:http://www.djo.eg.net/article.asp?issn=1110-9173;year=2017;volume=18;issue=1;spage=1;epage=6;aulast=Al-Nashar
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author Haitham Y Al-Nashar
Ahmad M.B Awad
author_facet Haitham Y Al-Nashar
Ahmad M.B Awad
author_sort Haitham Y Al-Nashar
collection DOAJ
description Purpose The aim of this study was to compare the corneal hysteresis (CH) and corneal resistance factor (CRF) after small-incision lenticule extraction (SMILE) and photorefractive keratectomy (PRK). Patients and methods Fifty-six eyes of 28 patients were included in this study. The study eyes had myopia or myopic astigmatism with spherical equivalent less than or equal to −6 D. They were divided into two groups: group I (28 eyes of 14 patients) was corrected using the SMILE technique and group II (28 eyes of 14 patients) was corrected using the PRK technique. CH and CRF were measured in all eyes preoperatively and postoperatively using the ocular response analyzer instrument. Best-corrected visual acuity, spherical equivalent, and central corneal thickness were documented preoperatively and postoperatively in each follow-up visit. All patients were followed up at 3, 6, and 12 months postoperatively. Results The mean patients’ age was 23.8±4.2 years in group I and 24.1±4.7 years in group II (P=0.85). In the SMILE group, CH changed from 10.57±0.38 preoperatively to 8.6±0.26 at 12 months postoperatively (P<0.001), whereas in the PRK group it decreased from 10.7±0.4 to 8.7±0.26 (P<0.001). CRF changed from 10.21±0.1 to 8.4±0.2 and from 10.2±0.11 to 8.5±0.22 after SMILE and PRK, respectively (P<0.001). There were no significant changes in corneal biomechanical factors between SMILE and PRK after 12 months (P=0.1). Conclusion CH and CRF decreased after SMILE and PRK. There were no differences between SMILE and PRK treatments in postoperative CH or CRF values.
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spelling doaj.art-c19a622d703647089dd2f1ba2b3150142022-12-21T23:11:30ZengWolters Kluwer Medknow PublicationsDelta Journal of Ophthalmology1110-91732090-48352017-01-011811610.4103/1110-9173.201624Comparison of corneal hysteresis and corneal resistance factor after small-incision lenticule extraction and photorefractive keratectomyHaitham Y Al-NasharAhmad M.B AwadPurpose The aim of this study was to compare the corneal hysteresis (CH) and corneal resistance factor (CRF) after small-incision lenticule extraction (SMILE) and photorefractive keratectomy (PRK). Patients and methods Fifty-six eyes of 28 patients were included in this study. The study eyes had myopia or myopic astigmatism with spherical equivalent less than or equal to −6 D. They were divided into two groups: group I (28 eyes of 14 patients) was corrected using the SMILE technique and group II (28 eyes of 14 patients) was corrected using the PRK technique. CH and CRF were measured in all eyes preoperatively and postoperatively using the ocular response analyzer instrument. Best-corrected visual acuity, spherical equivalent, and central corneal thickness were documented preoperatively and postoperatively in each follow-up visit. All patients were followed up at 3, 6, and 12 months postoperatively. Results The mean patients’ age was 23.8±4.2 years in group I and 24.1±4.7 years in group II (P=0.85). In the SMILE group, CH changed from 10.57±0.38 preoperatively to 8.6±0.26 at 12 months postoperatively (P<0.001), whereas in the PRK group it decreased from 10.7±0.4 to 8.7±0.26 (P<0.001). CRF changed from 10.21±0.1 to 8.4±0.2 and from 10.2±0.11 to 8.5±0.22 after SMILE and PRK, respectively (P<0.001). There were no significant changes in corneal biomechanical factors between SMILE and PRK after 12 months (P=0.1). Conclusion CH and CRF decreased after SMILE and PRK. There were no differences between SMILE and PRK treatments in postoperative CH or CRF values.http://www.djo.eg.net/article.asp?issn=1110-9173;year=2017;volume=18;issue=1;spage=1;epage=6;aulast=Al-Nasharcorneal biomechanicscorneal hysteresiscorneal resistance factorphotorefractive keratectomysmall-incision lenticule extraction
spellingShingle Haitham Y Al-Nashar
Ahmad M.B Awad
Comparison of corneal hysteresis and corneal resistance factor after small-incision lenticule extraction and photorefractive keratectomy
Delta Journal of Ophthalmology
corneal biomechanics
corneal hysteresis
corneal resistance factor
photorefractive keratectomy
small-incision lenticule extraction
title Comparison of corneal hysteresis and corneal resistance factor after small-incision lenticule extraction and photorefractive keratectomy
title_full Comparison of corneal hysteresis and corneal resistance factor after small-incision lenticule extraction and photorefractive keratectomy
title_fullStr Comparison of corneal hysteresis and corneal resistance factor after small-incision lenticule extraction and photorefractive keratectomy
title_full_unstemmed Comparison of corneal hysteresis and corneal resistance factor after small-incision lenticule extraction and photorefractive keratectomy
title_short Comparison of corneal hysteresis and corneal resistance factor after small-incision lenticule extraction and photorefractive keratectomy
title_sort comparison of corneal hysteresis and corneal resistance factor after small incision lenticule extraction and photorefractive keratectomy
topic corneal biomechanics
corneal hysteresis
corneal resistance factor
photorefractive keratectomy
small-incision lenticule extraction
url http://www.djo.eg.net/article.asp?issn=1110-9173;year=2017;volume=18;issue=1;spage=1;epage=6;aulast=Al-Nashar
work_keys_str_mv AT haithamyalnashar comparisonofcornealhysteresisandcornealresistancefactoraftersmallincisionlenticuleextractionandphotorefractivekeratectomy
AT ahmadmbawad comparisonofcornealhysteresisandcornealresistancefactoraftersmallincisionlenticuleextractionandphotorefractivekeratectomy