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Paper Information

Journal:   JOURNAL OF CURRENT OPHTHALMOLOGY   2003 , Volume 16 , Number 1; Page(s) 24 To 29.
 
Paper: 

LASER EPITHELIAL KERATOMILEUSIS (LASEK) FOR MODERATE TO HIGH MYOPIA

 
 
Author(s):  HASHEMI H., FOTOUHI A., FOUDAZI H.
 
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Abstract: 

Purpose: To assess the effectiveness, safety and stability of Laser epithelial keratomileusis (LASEK) for moderate to high myopia.
Methods: Fifty-one eyes of 28 myopic patients were enrolled in this prospective, uncontrolled clinical study. All eyes operated by one surgeon. Slit-lamp examination, manifest refraction, uncorrected and spectacle-corrected visual acuity, and videokeratography were done before surgery. Patients assessed at first 7 days, 1 and 3 months after surgery. A questionnaire assessed glare and halo in the scale of 0 to 5 (5 for very severe) 1 and 3 month after surgery. Pain was assessed in the scale of 0 to 3 (3 for severe) subjectively. A grading score (in the scale of 0 to 4+) was used for assessment of corneal haze.
Results: All patients were examined at 1 month, and 37 eyes (74%) were examined at 3 month. One month after surgery, 49 eyes (98%) achieved an uncorrected visual acuity of 20/40 or better. The mean epithelial healing time was 3.26 days ±1.14, the mean subjective pain score was 1.11±0.83. The mean spherical equivalent refraction was - 6.54 diopters (D) ±1.17 before surgery, and it was 0.32 D±0.55 at 1 month, and 0.16 D ± 0.77 at 3 months after surgery. At 1 month and 3 months after surgery, 46.0% and 45.9% of eyes had up to grade 1 of haze. One eye had grade 2 of haze at 1 and 3 months postoperatively. At 3 months after surgery, the mean glare score was 1.83:t0.99 and the mean halo score was 2.43:t1.44.
Conclusion: In this study, LASEK showed its efficacy, safety, and predictability for treatment of moderate to high myopia.

 
Keyword(s): HIGH MYOPIA, LASEK, PRK
 
References: 
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