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SLOVENIAN SOCIETY OF CATARACT & REFRACTIVE SURGEONS SYMPOSIUM
SURGICAL SKILLS TRAININGFirst Author: RohitNanda INDIA
Co Author(s): K P Srinivas Rao Altaf Akbar R S Nanda Joe Mathew G Srinivas Rao Bellam Ravi Chandra
Purpose:
Preoperative and postoperative aberrations in patients undergoing LASIK and Zyoptix
Setting:
: Dr Nanda Eye Care Centre, our study 45 eyes underwent LASIK and 29 eyes underwent Zyoptix using Bausch and Lomb Technolas 217z machine.
Parameters used were: Wavelength 193nm, fluence 130mj/cm2 and ablation zone diameters between 4.8mm and 6mm
Methods:
The hansatome used (Bausch and Lomb) in all the eyes.
Either 180um or 160um plate was used in all the eyes 160um.
Results:
• 81.8% of patients achieved equal or more than 6/6 UCVA
• 33.78% achieved UCVA of 6/5.
• 14.8% patients postoperative 3rd order aberrations were not found whereas in 33.78%
• 4th and 5th order aberrations were nil.
• There is decreased aberrations in patients who underwent LASIK and Zyoptix
Conclusions:
• There is decreased aberrations in patients who underwent LASIK and Zyoptix.
• LASIK removes higher order aberrations in few patients but the point spread function is a large blur, so clarity of vision is less.
• Zyoptix performs customized ablation and thus minimizing the wavefront deformation, the point spread function is a small spot of light, hence clarity of vision improves.
• So removal of the wavefront aberrations may extend the benefit of improved UCVA to patients with abnormal wavefront. FINANCIAL INTEREST: NONE