Posters

Screening of refractive surgery patients: the most common contraindications

Poster Details

First Author: M. Zivkovic SERBIA

Co Author(s): M. Zlatanovic   G. Zlatanovic   M. Radenkovic   A. Hristov   V. Jaksic   S.    Jovanovic   

Abstract Details

Purpose:

The aim of the paper was to point out the most common contraindications for refractive surgery.

Setting:

The study was performed at Special hospital for ophthalmology - Clinic Maja, Nis, Serbia.

Methods:

The study included the patients in the process of preoperative preparation for refractive surgery (LASIK or PRK method). All the patients underwent complete standard ophthalmic examinations( refraction determination-BCVA on narrow and dilated pupil, intraocular pressure measurements, examination of anterior and posterior eye segment, determination of tear volume by Schirmer’s test …), as well as corneal topography and ocular biometry. Additional examinations were performed in cases of suspected specific ocular or systemic disease. Both personal and family medical histories regarding ocular and systemic diseases were taken from all the patients.

Results:

Out of a total of 1238 patients, refractive surgery (LASIK or PRK method) was performed in 743 patients (60.02%). Refractive surgery was not performed in a total of 495 patients (39.98%), in 327 of them there were contraindication to the intervention (26.41%). The most common contraindication for the procedure performance was irregular cornea in 106 patients (32.4%), followed by corneal curvature in 71 patients (21.7%), insufficient corneal thickness in 62 patients (18.96%), high myopia in 28 patients (8.56%), high hypermetropia in 19 patients (5.8%), dry eye in 13 patients (3.97%), incipient cataract in 10 patients (3.06%).

Conclusions:

Irregular corneal topography, corneal curvature and insufficient corneal thickness are the most common contraindications for performing refractive surgery.

Financial Disclosure:

None