Small optical zones with aspheric profiles in laser refractive surgery for myopia: A surgical outcome and patient satisfaction study

Woodcock, M.; Shah, Sunil; Mandal, Niraj; Pieger, Stefan; Grills, Claire; Moore, Tara

doi:10.1016/j.clae.2013.02.010

Cited by 3 publications

(1 citation statement)

References 23 publications

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“…Differing enrollment criteria or incorporating data from multiple surgeons in the Sanders 7 study may explain the difference between studies. The accuracy of the outcomes of the current study is also better than recent studies of aspheric LASIK that reported 87% of eyes within ±0.50 D 8 and a meta-analysis of wavefront-guided LASIK by Fares et al that demonstrated that 91.8% of eyes were within ±0.50 D. 9 Sanders and Sanders reported that while TICL and custom LASIK had comparable clinical efficacy, TICL had a significantly better postoperative improvement in best spectacle corrected visual acuity and significantly better postoperative UCDVA than preoperative best spectacle corrected visual acuity than custom LASIK. 10 The accuracy in the present study implies that most ICL patients will not require enhancement with LASIK or PRK to achieve the targeted refraction following the initial surgery.…”

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confidence: 52%

Refractive outcomes and safety of the implantable collamer lens in young low-to-moderate myopes

Dougherty¹,

Priver²

2017

OPTH

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PurposeTo evaluate visual and refractive outcomes and safety of implantable collamer lens (ICL) implantation in low-to-moderate myopia.SettingPrivate Practice – Dougherty Laser Vision, Westlake Village, CA, USA.MethodsA chart review was performed in 56 (104 eyes) consecutive patients who underwent implantation of the Visian ICL V4 model. Inclusion criteria were age between 21 and 40 years, spherical equivalent between −3.00 D and −10.00 D, and cylinder up to −5 D. Data on visual acuity, refraction, and complications were collected.ResultsThe mean time to the last postoperative visit was 13.1±14.0 months (range, 2 to 50 months). The mean preoperative spherical equivalent was −6.96±1.60 D and the mean preoperative cylinder was −1.03±0.88 D. The mean preoperative corrected distance visual acuity (CDVA) was 20/20 (range, 20/15 to 20/80) that remained unchanged at last postoperative visit. At the last postoperative visit, the spherical equivalent was −0.08±0.01 D and the cylinder was 0.29±0.71 D. Comparison of postoperative uncorrected distance visual acuity (UCDVA) to preoperative CDVA indicated that 27 eyes (26%) had better postoperative UCDVA and 61 eyes (59%) had UDVA equivalent to the preoperative CDVA. Postoperatively, 4 eyes lost 1 line of CDVA and no eyes lost >1 line of CDVA. There were 32 eyes that gained at least ≥1 of CDVA. There were no intraoperative complications. Postoperatively, 3 patients (6 eyes) had dry eye, and 1 patient complained of nighttime halos in 1 eye. At the last postoperative visit, there were no eyes with lens opacity or glaucoma.ConclusionICL implantation for low and moderate myopia up to −10 D in patients up to 40 years of age was safe, accurate, and efficacious. ICL implantation may be a good alternative to laser in situ keratomileusis for young myopes less than −10.00 D.

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