The authors report their personal experience of Photo-Refractive Keratectomy (PRK) with an Excimer Laser based on the study of 57 sighted eyes, 24 with more than six months and 11 with more than one year of follow-up. The initial myopia ranged from -1 to -13 D with a spherical average equivalent of -6.36 D. The photo-ablations, performed with the Excimer of the Summit Company, ranged from 3.7 to 5 mm of diameter and 16 to 76 mu in depth. Results are reported overall and for sub-groups of myopia (A < or = -3 D, -3 D < B < or = -7 D, -7 D, < C). They were satisfactory since at one year 45% of eyes obtained a visual acuity without correction > or = 5/10 and 64% of eyes were within one dioptre of emmetropia; stability of refraction from six months to one year is close to 80%; safety was good since no patient has lost a line of best spectacle corrected visual acuity at one year and we only found one case of haze at 1+ without visual loss. These encouraging results lead the authors to pursue their study and to include new patients to obtain larger groups in order to establish statistically significant differences for parameters such as age, sex, myopia, keratometry, depth and optical zone of photo-ablation.
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Int Ophthalmol
October 2024
Department of Ophthalmology, Cardinal Tien Hospital, New Taipei City, Taiwan.
J Mech Behav Biomed Mater
September 2023
Department of Civil and Environmental Engineering, Politecnico di Milano, 20133 Milano, Italy. Electronic address:
We present a finite element model of the human cornea used to simulate corneal refractive surgery according to the three most diffused laser procedures, i. e., photo-refractive keratectomy (PRK), laser in-situ keratomileusis (LASIK) and small incision lenticule extraction (SMILE).
View Article and Find Full Text PDFMiddle East Afr J Ophthalmol
July 2023
Department of Ophthalmology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
Corneal epithelial thickness (CET) and the regional variations in response to changes in corneal architecture and biomechanics have recently drawn the interest of corneal surgeons. Corneal epithelium possesses the tremendous capability of remodeling and changing its thickness. This remodeling of corneal epithelium takes place in response to underlying stromal irregularities which can result from a variety of corneal disorders including corneal ectasia.
View Article and Find Full Text PDFInt Immunopharmacol
July 2023
Clinical Research Development Center, Imam Khomeini and Mohammad Kermanshahi and Farabi Hospitals, Kermanshah University of Medical Sciences, Kermanshah, Iran; Department of Ophthalmology, Imam Khomeini Eye Center, Kermanshah University of Medical Sciences, Kermanshah, Iran. Electronic address:
Post refractive corneal ulcers is a disastrous complication, can affect healthy individuals, is cumbersome to treat, and sometimes has a poor prognosis with corneal scarring. Accurate diagnosis and prompt treatment of corneal infection is very important; however, until now, there has been no specific protocol for the management of this common eye disease and severe cases may require a corneal transplant. The patient is a 42-year-old male who suffered a corneal ulcer after photo refractive keratectomy (PRK) surgery in which the cornea was completely destroyed.
View Article and Find Full Text PDFJ Fr Ophtalmol
October 2023
Isfahan Eye Research Center, Department of Ophthalmology, Isfahan University of Medical Sciences, Isfahan, Iran. Electronic address:
Purpose: To evaluate the safety and efficacy of combined simultaneous photorefractive keratectomy (PRK) with collagen cross-linking (CXL) in keratoconus suspects (KCS).
Methods: This was a retrospective, non-randomized study of KCS patients who underwent combined simultaneous PRK with CXL. The efficacy, safety, refractive outcomes, and corneal wavefront aberration changes were assessed after the surgery and compared with existing preoperative data.
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