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Comparison of Agreement and Accuracy using Binocular Wavefront Optometer with Autorefractor and Phoropter
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Variables affecting refractive outcome following LASIK for myopia.

M H Feltham1, R Wong, R Wolfe

  • 1Mark Feltham Optometrists, London Circuit, Canberra, Australian Capital Territory, Australia.

Eye (London, England)
|May 19, 2007
PubMed
Summary

The NIDEK EC-5000 excimer laser demonstrated a higher success rate for LASIK surgery in myopia compared to the Technolas 217. Factors like pre-operative refractive error and patient age also influenced outcomes.

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Published on: September 20, 2024

Area of Science:

  • Ophthalmology
  • Refractive Surgery
  • Laser Vision Correction

Background:

  • Laser-Assisted In Situ Keratomileusis (LASIK) is a common procedure for correcting myopia.
  • Understanding factors influencing refractive outcomes is crucial for patient satisfaction and surgical planning.

Purpose of the Study:

  • To investigate factors affecting refractive outcomes after LASIK for myopia.
  • To compare the refractive success rates of two excimer laser platforms: Technolas 217 and NIDEK EC 5000.

Main Methods:

  • A retrospective analysis of 674 uncomplicated myopic LASIK surgeries performed by a single surgeon.
  • Stratified random sampling matched 302 patients for each laser group (Technolas 217 vs. NIDEK EC 5000).
  • Refractive success was defined as within ±0.50 DS of target refraction at 3 months; stepwise logistic regression identified predictors of failure.

Main Results:

  • The NIDEK EC 5000 achieved a higher success rate (88%) compared to the Technolas 217 (78%).
  • Predictors of refractive failure included pre-operative myopia above -5.00 DS, age over 40, and surgery with the Technolas laser.

Conclusions:

  • Both excimer laser systems can achieve successful refractive outcomes in most myopic LASIK cases.
  • Patient-specific factors (age, refractive error) and the choice of excimer laser platform can significantly influence refractive outcomes.