Comparison of clinical outcomes of a corneal wavefront- and topography-guided platforms for laser in situ keratomileusis on virgin eyes: an expanded cohort study.
Humans
Keratomileusis, Laser In Situ
/ methods
Female
Prospective Studies
Visual Acuity
Male
Adult
Corneal Topography
Refraction, Ocular
/ physiology
Myopia
/ surgery
Lasers, Excimer
/ therapeutic use
Cornea
/ surgery
Young Adult
Treatment Outcome
Corneal Wavefront Aberration
/ physiopathology
Follow-Up Studies
Corneal-topography-guided-LASIK
Corneal-wavefront-guided-LASIK
Higher-order aberrations
Laser in situ keratomileusis (LASIK)
Journal
International ophthalmology
ISSN: 1573-2630
Titre abrégé: Int Ophthalmol
Pays: Netherlands
ID NLM: 7904294
Informations de publication
Date de publication:
22 Jul 2024
22 Jul 2024
Historique:
received:
15
05
2023
accepted:
22
06
2024
medline:
22
7
2024
pubmed:
22
7
2024
entrez:
22
7
2024
Statut:
epublish
Résumé
To compare the clinical outcomes of myopiacorrected with corneal-wavefront-guided (CWG) laser in situ keratomileusis (LASIK) with AMARIS 1050S (SCHWIND eye-tech-solutions GmbH & Co. KG) and corneal-topography-guided (CTG) LASIK with WaveLight EX500 (Alcon Laboratories, Fort Worth, TX). In this prospective, pseudo-randomized expanded cohort study, a total of 266 patients were subjected to binocular LASIK surgery, either with WaveLight EX500 (WaveLight group) or Amaris 1050S (AMARIS group) platforms. Data related to right eyes were selected for analysis. Corneal higher-order aberration (HOA) was selected as the primary endpoint; while visual acuity and refraction were the secondary endpoints. All the endpoints were assessed at 3 months postoperatively. There were 134 eyes in the AMARIS group and 132 eyes in the WaveLight group. After 3 months of postoperative follow-up, spherical and coma aberrations were significantly lower (P < 0.05) in the WaveLight group (spherical aberration: - 0.104 ± 0.199 µm; coma aberration: - 0.117 ± 0.202 µm) in comparison with the AMARIS group (spherical aberrations: 0.254 ± 0.146 µm; coma aberrations: 0.316 ± 0.297 µm). In the AMARIS group, 96.3% of the eyes achieved an uncorrected distance visual acuity (UDVA) of 20/20 while in the WaveLight group, 96.2% of the eyes achieved an UDVA of 20/20. Furthermore, the mean postoperative manifest refraction spherical equivalent (MRSE) was - 0.02 ± 0.28 in the AMARIS group and - 0.05 ± 0.21 in the WaveLight group (P = 0.34). Both WaveLight EX500 and Amaris 1050S LASIK showed excellent refractive and visual outcomes. In addition, the WaveLight group showed minimal spherical and coma aberrations when compared to the AMARIS group.
Identifiants
pubmed: 39037500
doi: 10.1007/s10792-024-03235-1
pii: 10.1007/s10792-024-03235-1
doi:
Types de publication
Journal Article
Comparative Study
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
331Subventions
Organisme : Science Research Foundation of Aier Eye Hospital Group
ID : AM169D04
Organisme : Funded by Alcon Laboratories Pvt. Ltd
ID : IIT # 52058705
Informations de copyright
© 2024. The Author(s).
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