Excimer Laser Treatment for High and Extreme Myopia

Carson, Catherine A.

doi:10.1001/archopht.1995.01100040045025

Cited by 77 publications

(9 citation statements)

References 28 publications

(8 reference statements)

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“…In our series, 28 cases (58%) improved on their BCVA level. This contrasts with high myopic PRK, which is well documented as being associated with an appreciable loss of best preoperative acuity—9% and 26% of cases showing reduced acuity levels in Heitzman and colleagues’5 and Carson and Taylor’s27respective series. Our relatively high incidence of reduced BCVA (14%) may be attributable to the learning curve associated with this technique, in particular the high degree of skill required to fashion the corneal flap with the microkeratome.…”

Section: Discussionmentioning

confidence: 93%

Laser intrastromal keratomileusis for high myopia and myopic astigmatism

Condon

Mulhern

Fulcher

et al. 1997

British Journal of Ophthalmology

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Section: Discussionmentioning

confidence: 93%

Laser intrastromal keratomileusis for high myopia and myopic astigmatism

Condon

Mulhern

Fulcher

et al. 1997

British Journal of Ophthalmology

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“…Para miopias de até -6,0D este aparelho pode realizar apenas uma zona óptica de 6mm (programa multizona); ou zonas de 4,5 a 6,0mm, com incrementos de 0,5mm (programa multipass/multizona). O astigmatismo, quando presente, foi corrigido pelo método elíptico 9 . Para a realização do PRK, o cirurgião marcou e removeu cuidadosamente o epitélio em torno de 6,5mm de diâmetro da região central.…”

Section: Methodsunclassified

PRK versus LASIK para correção de miopia baixa e moderada

Forseto¹,

Nosé²,

Nosé³

2000

Arq. Bras. Oftalmol.

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Objetivo: Comparar, por meio de um estudo prospectivo e bilateral randomizado, a eficácia, segurança e previsibilidade das técnicas de ceratectomia fotorrefrativa (PRK) e "excimer laser in situ keratomileusis" (LASIK) para o tratamento da miopia baixa e moderada. Conclusão: Neste estudo, tanto o PRK quanto o LASIK mostraram-se ser tecnicamente seguros, eficazes e previsíveis para a correção da miopia baixa e moderada. A técnica de LASIK foi a preferida na análise subjetiva dos pacientes, pela recuperação visual mais precoce associada a menor dor no pós-operatório.

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“…The incidence and severity of haze are increased with higher degrees of myopia as deeper ablation is required 31 (Fig. It avoids having to fit a microkeratome on the narrow palpebral aperture of smaller eyes and avoids the risk of flap displacement associated with LASIK.…”

Section: Photorefractive Keratectomy and Lasekmentioning

confidence: 99%

Refractive Surgery in Children

Moran

O’Keefe²

2012

Asia-Pacific Journal of Ophthalmology

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Refractive surgery in children is controversial. The main indications are bilateral high ametropia and anisometropia where conventional treatment with spectacles or contact lens is not tolerated. Other reported indications include accommodative strabismus and previous cataract surgery. The most commonly performed procedures currently are surface ablation procedures using excimer laser. The main disadvantage of surface ablation procedures is refractive regression, which is more pronounced in higher degrees of ametropia. More recently, there is a growing number of studies evaluating the safety and effectiveness of phakic intraocular lenses (IOLs) as an alternative surgical management for children who are noncompliant with conventional treatment and unsuitable for laser ablative procedures. The advantages of phakic IOLs are reversibility, predictability, and lack of regression. The principal concern with phakic IOL insertion is long-term endothelial cell loss. Clear lens extraction has been performed in patients with shallow anterior chambers beyond the range of corneal laser refractive procedures; however, major drawbacks include loss of accommodation and significant risk of retinal detachment. In summary, results to date show that refractive surgery can be successfully performed in children and meets an important need in a select subgroup of patients who are recalcitrant to traditional therapy. Issues that remain controversial are the age at which to perform surgery, choice of procedure, need for anesthesia, instability of refractive errors in children, and long-term safety considerations.

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Excimer Laser Treatment for High and Extreme Myopia

Cited by 77 publications

References 28 publications

Laser intrastromal keratomileusis for high myopia and myopic astigmatism

Laser intrastromal keratomileusis for high myopia and myopic astigmatism

PRK versus LASIK para correção de miopia baixa e moderada

Refractive Surgery in Children

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