[Results of photorefractive keratectomy using the excimer laser in the treatment of myopia; 1-year follow-up]. / Resultaten van fotorefractieve keratectomie met de excimer-laser ter behandeling van myopie; 1 jaar follow-up.
Ned Tijdschr Geneeskd
; 139(46): 2369-75, 1995 Nov 18.
Article
en Nl
| MEDLINE
| ID: mdl-7501077
ABSTRACT
OBJECTIVE:
Evaluation of the first excimer laser treatments of myopia.DESIGN:
Descriptive.SETTING:
Excimer Laser Centrum, Department of Ophthalmology, University of Nijmegen, Nijmegen, the Netherlands.METHOD:
312 patients underwent spherical excimer laser treatment to correct myopia of 1.2 up to 10 diopters between February 1992 and October 1993. 245 patients completed a follow-up of one year or more; 36 retreatments were carried out. Group I (treatment 1.2 to 6 D) numbered 174 patients, group II (6.1-10 D) 71 patients.RESULTS:
After a follow-up period of one year or just before retreatment 79% of group I and 48% of group II achieved a refractive correction within 1 D of the attempted correction. Visual acuity without correction was 0.5 or more in 94% of group I and in 76% of group II. Less than one percent (n = 1) of group I and 6% (n = 4) of group II lost more than one line of best corrected visual acuity. Retreatment could correct 50% of those eyes that did not achieve a refraction within 1 D of attempted correction. Loss of visual acuity was corrected by retreatment in 5 of 6 cases of group I and in 7 of 11 cases of group II.CONCLUSION:
Based on a one-year follow-up, refractive surgery with the excimer laser appears to correct myopia between 1 and 10 D effectively. Predictability is diminishing on correcting higher amounts of refractive error. Thorough information of the patients regarding the results to be expected will prevent disappointment.
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Bases de datos:
MEDLINE
Asunto principal:
Queratectomía Fotorrefractiva
/
Miopía
Límite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Nl
Revista:
Ned Tijdschr Geneeskd
Año:
1995
Tipo del documento:
Article