Posters

Laser refractive surgery: retrospective audit of clinical outcomes including patients with high refractive errors

Poster Details

First Author: J.Dermott UK

Co Author(s):    S. Rehman   S. Vaswani   I. Siso-Fuertes   C. O'Donnell   A. Hartwig        

Abstract Details

Purpose:

To report complications, post-operative visual acuity and refractive outcome data after corneal refractive surgery collated over a period of nearly 5 years.

Setting:

Optegra Eye Hospitals, UK

Methods:

Observational case series comprising data recorded between January 1st, 2013 and October 31st, 2018. 6,115 procedures were performed during this period including patients with high refractive errors (moderate hyperopes, ≥ +2.50 D and ≤ +4.50 D, high myopes, <-6.00 D). All procedures were recorded in an electronic medical record system. A variety of laser platforms encompassing LASIK and LASEK were used and several surgeons were involved performing the surgeries. Attempts were made to exclude monovision near eyes or amblyopic eyes.

Results:

The mean patient age was 37.2 ± 15.0 years. The rates of operative and post-operative complications were low and within benchmark. Binocular uncorrected distance visual acuity of at least 20/40 was achieved by 100% of patients and at least 20/20 was achieved by 97.8%. Monocular uncorrected distance visual acuity of 20/40 or better was achieved by 98.0% of eyes and 20/20 or better by 89.6%. Spherical equivalent refraction was within ±1.0 D in 96.8% of eyes and within ±0.5 D in 87.6%.

Conclusions:

As corneal laser refractive surgery remains popular it is important to analyse real world outcomes in a patient population that encompasses the range of refractive errors being treated. The outcomes data presented here indicate low complication rates and good visual and refractive outcomes are being achieved by patients including those with higher degrees of ametropia.

Financial Disclosure:

None