Background: To identify possible differences between laser-assisted subepithelial keratectomy and epipolis laser in situ keratomileusis for myopia.
Design: Meta-analysis.
Participants: Patients from previously reported comparative studies treated by laser-assisted subepithelial keratectomy versus epipolis laser in situ keratomileusis.
Methods: A systematic literature retrieval was conducted in the MEDLINE, EMBASE and Cochrane Library, up to January 2013. The included studies were subject to a meta-analysis using a RevMan 5.1 version software.
Main Outcome Measures: The differences in efficacy, predictability, safety, epithelial healing time, pain perception and corneal haze formation.
Results: A total of six studies involving 517 eyes were included. There were no statistically significant differences in the final proportion of eyes with uncorrected visual acuity of 6/6 or better (P = 0.43), mean postoperative uncorrected visual acuity (P = 0.53), final proportion of eyes with refraction within ± 0.50 D (P = 0.62) and ± 1.00 D (P = 0.16) of target, final proportion of eyes losing two or more lines of best spectacle-corrected visual acuity (P = 1.00), healing time of corneal epithelium (P = 0.58), final proportion of eyes with corneal haze grade 0.5 or higher (P = 0.26), and corneal haze levels (P = 0.36).
Conclusions: There were no significant differences in efficacy, predictability, safety, epithelial healing time and corneal haze formation between laser-assisted subepithelial keratectomy and epipolis laser in situ keratomileusis, but the result was limited. Future more data are required to detect the potential differences between the two procedures.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1111/ceo.12205 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Repeat Femtosecond-Assisted Anterior Lamellar Keratoplasty for Recurrence of TGF B I Dystrophy in Eyes After Previous FALK.
Cornea
January 2025
Shantilal Shanghvi Cornea Institute, LV Prasad Eye Institute, Hyderabad, India; and.
Purpose: To report the management of recurrent TGF BI dystrophy after prior femtosecond-assisted anterior lamellar keratoplasty (FALK) with repeat FALK.
Methods: Clinical and histopathological study of 2 eyes of 2 patients with a recurrence of TGFBI dystrophy. Patient 1 had Reis-Buckler corneal dystrophy, and patient 2 had granular corneal dystrophy GCD type 1.
Trifocal versus extended depth of focus (EDOF) intraocular lenses after cataract extraction.
Cochrane Database Syst Rev
July 2024
Department of Ophthalmology, New Zealand National Eye Centre, University of Auckland, Auckland, New Zealand.
Article Synopsis
- Cataracts are a leading cause of blindness and are often treated with surgery to remove the cloudy lens and replace it with an artificial one, usually made of hydrophobic acrylic.
- Recent advancements in intraocular lens (IOL) technology have introduced options like trifocal and extended depth of focus (EDOF) lenses, which aim to enhance vision across all distances and reduce reliance on glasses.
- The study aims to compare the visual outcomes of trifocal IOLs with EDOF IOLs in adults after cataract surgery and includes an examination of economic evaluations related to these lens types.
Surgical options and clinical outcomes for high myopia.
Curr Opin Ophthalmol
July 2024
Coastal Vision Medical Group, Orange, California.
Article Synopsis
- * While there is a lot of research on refractive surgery in general, there's a lack of studies focused specifically on patients with high to extreme myopia, which this study aims to address.
- * Results show that these patients had excellent surgical outcomes with few complications, with average postoperative vision being 20/20 for LASIK and ICL patients, and 20/25 for PRK patients.
How long does the recovery of corneal sensitivity in different corneal regions take after LASEK?
Int J Ophthalmol
December 2023
Ophthalmic Research Center, Research Institute for Ophthalmology and Vision Science, Shahid Beheshti University of Medical Sciences, Tehran 1983963113, Iran.
Article Synopsis
- The study aimed to assess the recovery period of corneal sensitivity following LASEK refractive surgery and examine how the depth of ablation influences this recovery.
- Researchers tested 90 participants aged 20-35, measuring sensitivity in five corneal regions before and at 1 and 3 months after surgery using an esthesiometer device.
- Results showed significant sensitivity loss in all regions one month after surgery, with levels returning to preoperative status by three months; deeper ablation correlated with greater changes in sensitivity, particularly in the center and temporal regions.
The impact of patient-reported visual disturbance on dynamic visual acuity in myopic patients after corneal refractive surgery.
Front Neurosci
October 2023
Department of Ophthalmology, Peking University Third Hospital, Beijing, China.
Purpose: To investigate the impact of patient-reported visual disturbance on dynamic visual acuity in myopic patients after corneal refractive surgery.
Methods: This is a prospective nonrandomized study. Adult myopic patients receiving bilateral laser-assisted sub-epithelial keratomileusis (LASEK), femtosecond laser-assisted keratomileusis (FS-LASIK), or small incision lenticule extraction (SMILE) with Plano target were included.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!