Nearwork-induced transient myopia and accommodation function before and after laser-assisted in situ keratomileusis surgery

Purpose: To assess the change in Near Induced Transient Myopia (NITM) and other accommodation parameters, before and after undergoing LASIK surgery for myopia correction. Methods: Twenty-nine myopic subjects were recruited from a tertiary eye hospital in India. Age range was 21 to 35 years with an a...

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Main Authors: Viswanathan Sivaraman, Holly C Price, Jameel Rizwana Hussaindeen, Krishnakumar Ramani, Peter M Allen
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2021;volume=69;issue=7;spage=1707;epage=1711;aulast=Sivaraman
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author Viswanathan Sivaraman
Holly C Price
Jameel Rizwana Hussaindeen
Krishnakumar Ramani
Peter M Allen
author_facet Viswanathan Sivaraman
Holly C Price
Jameel Rizwana Hussaindeen
Krishnakumar Ramani
Peter M Allen
author_sort Viswanathan Sivaraman
collection DOAJ
description Purpose: To assess the change in Near Induced Transient Myopia (NITM) and other accommodation parameters, before and after undergoing LASIK surgery for myopia correction. Methods: Twenty-nine myopic subjects were recruited from a tertiary eye hospital in India. Age range was 21 to 35 years with an average age of 26.1 ± 3.5 years. Mean spherical equivalent was –3.86 D ± 1.50 D presurgery. NITM, lag of accommodation, near point of convergence (NPC), accommodative amplitude (AA), and binocular near accommodative facility (AF) were measured. All data were collected 21 days prior to and 30 days after LASIK surgery. Results: NITM, lag of accommodation and amplitude of accommodation were significantly lower (NITM -0.05 ± 0.15, Lag 0.38 ± 0.38, AA 10.27 ± 2.24) after surgery when compared to before (NITM 0.26 ± 0.12, Lag 0.77 ± 0.51, AA 12.18 ± 2.02; P < 0.001). Accommodative facility increased and near point of convergence was significantly more distal following surgery (AF 10.70 ± 2.29, NPC 7.96 ± 1.63) when compared to prior (AF 8.65 ± 2.74, NPC 5.62 ± 1.71; P < 0.001). Conclusion: Significant changes in NITM and accommodation function should be expected in the short term following LASIK surgery. This study supports the importance of evaluating accommodative parameters and patient counselling prior to and following refractive surgery.
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spelling doaj.art-d97bb1149e6047e99f65ad6cb02fbbae2022-12-21T18:39:32ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892021-01-016971707171110.4103/ijo.IJO_3224_20Nearwork-induced transient myopia and accommodation function before and after laser-assisted in situ keratomileusis surgeryViswanathan SivaramanHolly C PriceJameel Rizwana HussaindeenKrishnakumar RamaniPeter M AllenPurpose: To assess the change in Near Induced Transient Myopia (NITM) and other accommodation parameters, before and after undergoing LASIK surgery for myopia correction. Methods: Twenty-nine myopic subjects were recruited from a tertiary eye hospital in India. Age range was 21 to 35 years with an average age of 26.1 ± 3.5 years. Mean spherical equivalent was –3.86 D ± 1.50 D presurgery. NITM, lag of accommodation, near point of convergence (NPC), accommodative amplitude (AA), and binocular near accommodative facility (AF) were measured. All data were collected 21 days prior to and 30 days after LASIK surgery. Results: NITM, lag of accommodation and amplitude of accommodation were significantly lower (NITM -0.05 ± 0.15, Lag 0.38 ± 0.38, AA 10.27 ± 2.24) after surgery when compared to before (NITM 0.26 ± 0.12, Lag 0.77 ± 0.51, AA 12.18 ± 2.02; P < 0.001). Accommodative facility increased and near point of convergence was significantly more distal following surgery (AF 10.70 ± 2.29, NPC 7.96 ± 1.63) when compared to prior (AF 8.65 ± 2.74, NPC 5.62 ± 1.71; P < 0.001). Conclusion: Significant changes in NITM and accommodation function should be expected in the short term following LASIK surgery. This study supports the importance of evaluating accommodative parameters and patient counselling prior to and following refractive surgery.http://www.ijo.in/article.asp?issn=0301-4738;year=2021;volume=69;issue=7;spage=1707;epage=1711;aulast=Sivaramanaccommodationlasiknear induced transient myopia
spellingShingle Viswanathan Sivaraman
Holly C Price
Jameel Rizwana Hussaindeen
Krishnakumar Ramani
Peter M Allen
Nearwork-induced transient myopia and accommodation function before and after laser-assisted in situ keratomileusis surgery
Indian Journal of Ophthalmology
accommodation
lasik
near induced transient myopia
title Nearwork-induced transient myopia and accommodation function before and after laser-assisted in situ keratomileusis surgery
title_full Nearwork-induced transient myopia and accommodation function before and after laser-assisted in situ keratomileusis surgery
title_fullStr Nearwork-induced transient myopia and accommodation function before and after laser-assisted in situ keratomileusis surgery
title_full_unstemmed Nearwork-induced transient myopia and accommodation function before and after laser-assisted in situ keratomileusis surgery
title_short Nearwork-induced transient myopia and accommodation function before and after laser-assisted in situ keratomileusis surgery
title_sort nearwork induced transient myopia and accommodation function before and after laser assisted in situ keratomileusis surgery
topic accommodation
lasik
near induced transient myopia
url http://www.ijo.in/article.asp?issn=0301-4738;year=2021;volume=69;issue=7;spage=1707;epage=1711;aulast=Sivaraman
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AT jameelrizwanahussaindeen nearworkinducedtransientmyopiaandaccommodationfunctionbeforeandafterlaserassistedinsitukeratomileusissurgery
AT krishnakumarramani nearworkinducedtransientmyopiaandaccommodationfunctionbeforeandafterlaserassistedinsitukeratomileusissurgery
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