Higher order aberration (HOA) changes after Femto-LASIK in topography and wavefront-guided treatments
Session Details
Session Title: LASIK II
Session Date/Time: Tuesday 25/09/2018 | 16:30-18:00
Paper Time: 16:42
Venue: Room A3, Podium 2
First Author: : G.Taskov BULGARIA
Co Author(s): : T. Taskov
Abstract Details
Purpose: 
To evaluate and compare the changes of higher order aberrations (HOA) before and after Femto-LASIK (laser in situ keratomileusis) for simple myopia and compound myopic astigmatism after topography guided and wavefront guided ablation profiles 
Setting: 
 Eye Hospital "Luxor"
4000 Plovdiv, Bulgaria
Bulgaria blvd 47A 
Methods: 
 In this prospective study 64 eyes were included. A total of 41 eyes underwent topography guided Femto-LASIK and 23 underwent wavefront guided Femto-LASIK. WASCA of Carl Zeiss was used to evaluate the HOA preoperative and 1 month postoperative. Flap was created by Alcon LenSx at 120 microns depth in all patients. The ablation was performed with Carl Zeiss MEL 80. 
Results: 
 Total HOA in the topography group increased in the amount of 0.38 ± 0.18 μm preoperative to 0.61 ± 0.33 μm postoperative. Total HOA in the wavefront group increased in the amount of 0.44 ± 0.14 μm preoperative to 0.61 ± 0.18 μm postoperative. Mean changes were not significantly different between the topography guided and wavefront guided groups for both preoperative and postoperative values (P = 0.181 and P = 0.976, respectively). 
Conclusions: 
 The total HOA increased following both topography guided and wavefrotn guided ablation profiles with no significant difference between the two groups. The increase of HOA was a bit lower in wavefront guided group which might impact the posoperative quality of vision. 
Financial Disclosure: 
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