Naslov
Vector Analysis of Visual Acuity and Refractive Outcomes of Astigmatic Corrections After T-PRK and Fs-LASIK

Autori
Biscevic, Alma ; Pjano Ahmedbegović, Melisa ; Pandurevic, Bojana ; Gabric, Ivan ; Drino Sofić, Vernesa ; Kovačević, Damir

Izvornik
Acta Informatica Medica (0353-8109) 28 (2020), 3; 180-184

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
Cornea, Astigmatism, Surgery, Visual acuity.

Sažetak
Introduction: T Transepithelial photorefractive keratectomy (T-PRK) and femtosecond laser in situ keratomileusis (Fs-LASIK) are reftactive surgery methods for treating myopia and myopic astigmatism. Although T-PRK obtains similar results to Fs-LASIK with spherical myopia, it has differences in astigmatism correction. Vector analysis is a perfect tool to see the real difference between these two methods regarding astigmatic refraction and visual acuity.Aim: The aim of the study is to investigate changes in astigmatism and visual acuity following treatment of myopia and myopic astigmatism above -5.00DS and up to -2.00DC after either T-PRK or Fs-LASIK. Methods: Patients (30 eyes per group) underwent unremarkable T-PRK (group I) or Fs- LASIK (group II) using Schwind Amaris 750S laser. Astigmatic data acquired by subjective refraction were subjected to vector analysis to determine the association between surgically (SIA) and target induced (TIA) astigmatic powers and differences in axes(θ). Results: Key results at 6 months were: i) Mean astigmatism changed from -0.92 DC (sd ±0.49, 95%CI-1.10to-0.75) to -0.38 DC (sd ±0.40, 95% CI-0.52 to -0.24) in group I and -0.93DC (sd±0.55, 95%CI -1.07 to -0.67) to -0.14DC (sd±0.31, 95% CI-0.25 to -0.03) in group II (P=0.005 at 6 months). ii) Mean (±sd) θ was +9.7° (±19.0°) in group I and -2.2° (±15.5°) in group II (P=0.005).Conclusion: There was a greater mismatch between SIA and TIA powers and axes after T-PRK. T-PRK tends to induce more unwanted astigmatism. The predictability of the refractive and optical changes is better following Fs-LASIK.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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