Free Papers

Clinical outcomes of transepithelial photorefractive keratectomy vs femtosecond laser-assisted keratomileusis for correction of myopic refraction

Free Paper Details

First Author: J.Gertnere LATVIA

Co Author(s):    I. Solomatins   A. Solomatin   M. Solomatin   I. Balode           

Abstract Details

Purpose:

To evaluate the safety and eficacy of transepithelial photorefractive keratectomy (t-PRK) with Mel-90 excimer laser versus (Femto-LASIK) in correction of myopic refraction.

Setting:

The Dr.Solomatin Eye Center, Latvian University, Riga, Latvia.

Methods:

Prospective randomized comparative study including 140 eyes of 70 patients with myopia and a spherical equivalent refraction (SER) <-4.00 D. They were divided randomly into two groups: Group 1 included 70 eyes treated with t-PRK with adjuvant MMC and Group 2 included 70 eyes treated with Femto-LASIK. Uncorrected visual acuity (UCVA), best corrected visual acuity (BCVA), manifest refraction, and safety and efficacy indexes SER, corneal topography, were assessed for 12 monthes postoperatively.

Results:

The preoperative mean SER was -5,13±1.41 and -5,43±1.75 D in t-PRK MMC group and Femto-LASIK respectively (P=0.99), which improved to -0.23±0.35 D and -0.15±0.27 D at 12month follow up. Mean SER remained stable during the 12month of follow-up, with no statistically significant difference between the two groups (P=0.64).

Conclusions:

t-PRK MMC provides safe and satisfactory visual outcomes and acceptable risk as Femto-LASIK in patients with myopic refraction.

Financial Disclosure:

-