Long-Term Outcomes of Refractive Surgery Performed During the Military.

Introduction: To evaluate the long-term refractive results of laser in situ keratomileusis (LASIK) and photorefractive keratectomy (PRK) performed by the military in a veteran population.

Materials And Methods: Three Department of Veterans Affairs (VA) hospital sites (Puget Sound, Buffalo, and Washington D.C.

Randomized dose-response analysis of mitomycin-C to prevent haze after photorefractive keratectomy for high myopia.

Purpose: To evaluate the safety and efficacy of mitomycin-C (MMC) 0.01% (0.1 mg/mL) in preventing haze formation after wavefront-guided photorefractive keratectomy (PRK) for higher myopia at 3 exposures.

Laser in situ keratomileusis in United States Naval aviators.

Purpose: To evaluate the safety and efficacy of femtosecond-assisted wavefront-guided laser in situ keratomileusis (LASIK) as well as higher-order aberrometric changes in a population of active-duty United States Naval aviators.

Setting: Navy Refractive Surgery Centers, San Diego, California, and Portsmouth, Virginia, USA.

Design: Prospective noncomparative 2-site study.

Topical cyclosporine A for postoperative photorefractive keratectomy and laser in situ keratomileusis.

Purpose: To compare the stability and predictability of the refractive outcomes in eyes treated with photorefractive keratectomy (PRK) or laser in situ keratomileusis (LASIK) with and without postoperative use of topical cyclosporine A emulsion.

Setting: Naval Medical Center San Diego Refractive Surgery Center, San Diego, California, USA.

Design: Randomized clinical trial.

Night driving simulation in a randomized prospective comparison of Visian toric implantable collamer lens and conventional PRK for moderate to high myopic astigmatism.

Purpose: To compare changes in simulated night driving performance after Visian Toric Implantable Collamer Lens (TICL; STAAR Surgical) implantation and photorefractive keratectomy (PRK) for the correction of moderate to high myopic astigmatism.

Methods: This prospective, randomized study consisted of 43 eyes implanted with the TICL (20 bilateral cases) and 45 eyes receiving conventional PRK (VISX Star S3 excimer laser) with mitomycin C (22 bilateral cases) for moderate to high myopia (-6.00 to -20.

Comparison of night driving performance after wavefront-guided and conventional LASIK for moderate myopia.

Purpose: To compare preoperative and postoperative changes in simulated night driving performance after wavefront-guided (wLASIK) and conventional LASIK (cLASIK) for the treatment of moderate myopia.

Design: Retrospective, comparative study.

Participants: All eyes of subjects with a preoperative manifest spherical equivalent (MSE) between -4.

Comparison of tropicamide and cyclopentolate for cycloplegic refractions in myopic adult refractive surgery patients.

Purpose: To compare tropicamide 1%, a shorter-acting cycloplegic agent, with cyclopentolate 1% for cycloplegic refractions in adult refractive surgery patients.

Setting: Navy Refractive Surgery Center, Ophthalmology, Naval Medical Center, San Diego, California.

Methods: The study was prospective, single center, with randomized sequencing of cycloplegic agent; each patient received both agents.

Pupil size and quality of vision after LASIK.

Purpose: To evaluate factors related to the quality of vision after LASIK.

Design: Survey study.

Participants: One hundred consecutive patients.

Contrast sensitivity: establishing normative data for use in screening prospective naval pilots.

Background: Contrast sensitivity testing can be a useful supplement to standard visual acuity tests. Currently there are no standards for contrast sensitivity in military aviation. Student naval pilots, who often have better-than-average visual acuity, could be expected to have better-than-average contrast sensitivity.