Clinical results of monocular LASEK surgery in bilateral myopic non-presbyopic patients

Session Details

Session Title: Surface Photoablation

Session Date/Time: Monday 12/09/2016 | 14:30-16:30

Paper Time: 15:00

Venue: Hall C1

First Author: : Y.Jo SOUTH KOREA

Co Author(s): :    K. Shin                    

Abstract Details

Purpose:

To evaluate clinical outcomes and patient satisfaction in Laser assisted sub-epithelial keratomileusis (LASEK)-induced monovision after monocular LASEK surgery in bilateral myopic non-presbyopic patients.

Setting:

Department of Ophthalmology, Konkuk University Medical Center, Seoul, Republic of Korea.

Methods:

We retrospectively reviewed 22 patients who had undergone monocular LASEK. All patients had intact near visual acuity preoperatively. We measured dominant eye, refractive errors, uncorrected distant visual acuity (UCDVA), corrected distant visual acuity (CDVA) and stereopsis. We also assessed how many patients required contralateral enhancement operations afterward.

Results:

The average age of patients was 37.2 years (ranging between 30 and 43). The mean preoperative spherical equivalent(SE) of operated eye was -3.16±1.75Diopter (-0.88 to -6.25); and that of fellow eye was -2.79±1.59D (-0.88 to -6.13). The mean preoperative UCDVA(logMAR) was 0.62±0.68 and that of fellow eye was 0.55±0.68. The mean follow-up period was 13.2±14.5 months. The mean postoperative residual SE of operated eyes was 0.15±0.38D; UCDVA of operated eye, -0.11±0.43. Mean anisometropia was 2.64±1.63D (0.88~6.13); binocular UCDVA, -0.04±0.55; and binocular UCNVA, 0.17±0.62. Stereopsis was 68.0±43.8arcsec. Only one patient (4.3%) had LASEK in the contralateral eye.

Conclusions:

Patients who underwent bilateral LASEK surgery can experience presbyopic symptom after middle age. When we performed the monocular LASEK to bilateral myopic non-presbyopic patient, clinical outcomes were satisfactory; and patients were satisfied. Contralateral enhancement operation was performed to only one patient (4.3%). Therefore the monocular LASEK to bilateral myopic prepresbyopic patients can be an effective method for correcting myopia and preparing for presbyopia in the future.

Financial Disclosure:

NONE