One-Year Clinical Results after Epi-LASIK for Myopia

Katsanevaki, Vikentia J; Kalyvianaki, Maria I.; Kavroulaki, Dimitra; Pallikaris, Ioannis G.

doi:10.1016/j.ophtha.2006.08.052

Cited by 40 publications

(34 citation statements)

References 28 publications

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“…In this study, intact epithelial sheets with a diameter of about 8–9 mm were obtained in 65 eyes (97.01%), similar to other reports (97.1% [10] and 95.7% [12]). The mean epithelial healing time was 5.55 days (range 5–7 days) when the contact lens was removed, also similar as other studies [10, 23, 24] of treating myopia using epi-LASIK.…”

Section: Discussionsupporting

confidence: 89%

“…The mean epithelial healing time was 5.55 days (range 5–7 days) when the contact lens was removed, also similar as other studies [10, 23, 24] of treating myopia using epi-LASIK. Free flap was found in 2.99% of eyes.…”

Section: Discussionsupporting

confidence: 88%

“…The clinical results [9, 10, 12, 21] confirmed that a small percentage of patients experience pain, with these numbers declining with time from surgery, with patients reporting discomfort only for the first 24 h postoperatively. Epi-LASIK is used today for refractive candidates who qualify for surface ablation procedures like PRK and LASEK, with low to moderate myopia and myopic astigmatism, thinner corneal thicknesses, or corneal thicknesses in which conservation of tissue is a factor.…”

Section: Discussionmentioning

confidence: 95%

“…Our preliminary clinical results [12,23,24,25] of epi-LASIK treatment to the correction of myopia and astigmatism have shown promise in terms of refractive and visual outcome with minimal haze and mild discomfort. Although Pallikaris et al [9, 10] proved that epi-LASIK was an efficient method for the correction of low to moderate myopia, we [24] have treated relatively high myopia (mean SE refraction: –12.82 ± 4.38 D, range from –6.00 to –19.00 D) with a 6-month follow-up. Our results demonstrate that epi-LASIK could be an efficient and safe procedure to correct the highly myopic eye with relatively good refraction and vision outcomes, and the advantages of having a mild irritating symptom and haze.…”

Section: Discussionmentioning

confidence: 99%

“…Pallikaris et al [9, 10] show epi-LASIK is an efficient method for the correction of low to moderate myopia and myopic astigmatism. One year after epi-LASIK treatment, the operated eyes had either clear corneas or clinically insignificant haze, with excellent refractive and visual outcome.…”

Section: Introductionmentioning

confidence: 99%

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Outcomes of Epi-LASIK for the Correction of High Myopia and Myopic Astigmatism after More than 1 Year

Gan¹,

Zhou²,

Dai³

et al. 2008

Ophthalmologica

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Purpose: To present the clinical results of epi-LASIK in a high myopia and myopic astigmatic population followed for more than 1 year. Methods: This retrospective study comprised 67 eyes of 52 patients who underwent epi-LASIK for the correction of high myopia and myopic astigmatism. Epi-LASIK was performed with an automatically rotational epikeratome (KM-5000D, Wuxi Kangming Medical Device Corp., Wuxi, China) and the MEL80 (Carl Zeiss Meditec, Jena, Germany) excimer laser. The postoperative symptom, epithelial flap, vision, refraction and haze formation were investigated. The astigmatic change was calculated by the Alpins vector analysis method. Results: The follow-up period was 13.27 months. Mean preoperative spherical equivalent (SE) refraction and cylinder were –13.39 diopters (D) and –2.02 D. An integrated epithelial sheet with a diameter of about 8–9 mm was made in 65 (97.01%) eyes leaving a superior hinge of approximately 2–4 mm. The mean epithelial healing time was 5.55 days. More than 1 year after the treatment, no eye lost more than 1 line of best spectacle-corrected visual acuity. The mean SE and cylinder were –2.25 and –0.79 D. The mean astigmatism correction index was 1.06. The index of success of 0.51 reflected a 49% success in achieving cylinder correction. The change induced by the laser ablation at the intended axis of cylinder reduction was 93%. At the same interval, 7.46% of eyes had trace haze and others were clear. Haze did not affect the visual acuity in any eye. Conclusions: Epi-LASIK appeared to be effective and safe in the treatment of high myopia and myopic astigmatism with the advantages of having lower postoperative pain and satisfactory refractive and visual outcome postoperatively.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 88%