LASER EPITHELIAL KERATOMILEUSIS (LASEK) FOR MYOPIA IN PATIENTS WITH THIN CORNEA

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HASHEMI H.; FOTOUHI A.; SADEGHI N.; FOUDAZI H.; PAYVAR S.

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Journal: ARCHIVES OF IRANIAN MEDICINE Year:2004 | Volume:7 | Issue:2 Page(s): 98-103

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Title

LASER EPITHELIAL KERATOMILEUSIS (LASEK) FOR MYOPIA IN PATIENTS WITH THIN CORNEA

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Keywords

KERATECTOMY

KERATOMILEUSIS

LASER

MYOPIA

VISUAL ACUITY

Abstract

Background-We aimed to evaluate the effectiveness, safety, and patient satisfaction of LASER epithelial KERATOMILEUSIS (LASEK) for MYOPIA in patients with thin cornea.
Methods - Seventy-one eyes of 56 patients with MYOPIA of -1.50 to -8.75 diopters (D) and corneal thickness of 451 - 499 microns were enrolled in this prospective clinical study. Slit-lamp examination, manifest refraction, uncorrected and spectacle-corrected VISUAL ACUITY, and video keratography were done before surgery. Patients were visited in the first 7 days, and also at 1^st and 3^rd months after the surgery.
Results - All patients were examined in the first 7 days and at 1^st month, while 48 eyes (71%) were examined 3 months after the surgery. At 3^rd month, 46 eyes (95.8%) had an uncorrected VISUAL ACUITY of 20140 or better, 37 eyes (77.1%) had an uncorrected VISUAL ACUITY of 20120 or better, 36 eyes (75%) had a spherical equivalent (SE) within ± 0.50 D, and 46 eyes (96%) had a SE within ± 1.00 D. The mean corneal thickness was 409 ± 23 microns (SD) with a minimum of 372 microns. The epithelial healing time was 3.37 ± 1.05 days (SD). The mean subjective pain score in the scale of 0 to 3 (3 for severe) was 1.14 ± 0.75 (SD). One eye lost 2 lines of spectacle-corrected VISUAL ACUITY, and no eye lost more than 2 lines. Thirty-four patients (82.9%) were very satisfied or satisfied with their operated eyes.
Conclusion - LASEK was shown to be effective and safe in correction of MYOPIA in patients with thin cornea in a short period of time. LASEK can be considered as an alternative for treatment of myopic patients whose corneal thickness is inadequate for LASER in situ KERATOMILEUSIS (LASIK).

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APA: Copy

HASHEMI, H., FOTOUHI, A., SADEGHI, N., FOUDAZI, H., & PAYVAR, S.. (2004). LASER EPITHELIAL KERATOMILEUSIS (LASEK) FOR MYOPIA IN PATIENTS WITH THIN CORNEA. ARCHIVES OF IRANIAN MEDICINE, 7(2), 98-103. SID. https://sid.ir/paper/279795/en

Vancouver: Copy

HASHEMI H., FOTOUHI A., SADEGHI N., FOUDAZI H., PAYVAR S.. LASER EPITHELIAL KERATOMILEUSIS (LASEK) FOR MYOPIA IN PATIENTS WITH THIN CORNEA. ARCHIVES OF IRANIAN MEDICINE[Internet]. 2004;7(2):98-103. Available from: https://sid.ir/paper/279795/en

IEEE: Copy

H. HASHEMI, A. FOTOUHI, N. SADEGHI, H. FOUDAZI, and S. PAYVAR, “LASER EPITHELIAL KERATOMILEUSIS (LASEK) FOR MYOPIA IN PATIENTS WITH THIN CORNEA,” ARCHIVES OF IRANIAN MEDICINE, vol. 7, no. 2, pp. 98–103, 2004, [Online]. Available: https://sid.ir/paper/279795/en

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