Epi-LASIK using the Amadeus II microkeratome

Kollias, A.; Ulbig, Michael W.; Spitzlberger, Georg M; Abdallat, Wajih; Froehlich, Stephan J.; Welge-Luessen, Ulrich; Lackerbauer, Carlo A.

doi:10.1016/j.jcrs.2007.07.038

Cited by 9 publications

(1 citation statement)

References 7 publications

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“…However, the preservation ratio seemed to differ between polymethylmethacrylate and metal blade versions of the procedure [21]. In this study, the Amadeus II microkeratome was used, as in a previous report that showed intact epithelial flaps at the level of the Bowman's layer [17]. In spite of this, in some patients the retained epithelial sheet became whitish apoptotic tissue.…”

Section: Discussionmentioning

confidence: 98%

Early Postoperative Pain and Visual Outcomes Following Epipolis-LaserIn SituKeratomileusis and Photorefractive Keratectomy

Kim

Lee

Kim

et al. 2010

Korean J Ophthalmol

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PurposeTo compare early postoperative pain and visual outcomes after epipolis-laser in situ keratomileusis (epi-LASIK) and photorefractive keratectomy (PRK) in the treatment of myopia.MethodsA retrospective chart review was designed and included 49 eyes in 30 patients who underwent epi-LASIK and 54 eyes in 29 patients who underwent PRK. During the early postoperative period (days 1 to 5), pain, uncorrected visual acuity (UCVA), and time to epithelial healing were recorded. Visual outcomes were followed for up to six months.ResultsMean preoperative spherical equivalent refraction for the epi-LASIK group was -3.99±1.39 diopters (D) and that of the PRK group was -3.54±1.27 D. The pain scores on the fourth postoperative day were significantly higher in the epi-LASIK group than in the PRK group (p=0.017). Duration of pain in the epi-LASIK group was longer than in the PRK group (p=0.010). Mean healing time was significantly longer in the epi-LASIK group than in the PRK group (p<0.000). In addition, UCVA in the epi-LASIK group at postoperative days 1 and 3 were significantly lower than those in the PRK group (p=0.021 and p<0.000, respectively). Uncorrected visual acuity at one week and one month after epi-LASIK were lower than those after PRK (p=0.023 and p=0.004, respectively).ConclusionsIn the epi-LASIK patients, pain relief, corneal healing, and visual recovery seemed to be slower during the early postoperative period compared to those of the PRK patients. With longer duration of follow-up, however, there were no significant differences in visual outcome between the two groups.

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Section: Discussionmentioning

confidence: 98%