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Author Spotlight: Advancements in Refractive Surgical Correction for Presbyopia and Exploring Postoperative Visual Acuity
Published on: September 20, 2024
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Corneal Thickness Profile Changes After Femtosecond LASIK for Hyperopia
Tao Li1, Xiaodong Zhou, Zhi Chen
1Department of Ophthalmology (T.L., X.D.Z.), Jinshan Hospital of Fudan University, Shanghai, China; and Department of Ophthalmology (Z.C., X.T.Z.), Eye and ENT Hospital of Fudan University, Shanghai, China.
Eye & Contact Lens
|May 20, 2016
Summary
Femtosecond laser in situ keratomileusis (LASIK) for hyperopia significantly reduces corneal thickness across the ablation zone. This corneal thinning was observed 6 months post-surgery, with no correlation to refractive outcomes.
Area of Science:
- Ophthalmology
- Refractive Surgery
- Corneal Imaging
Background:
- Hyperopic presbyopia correction using LASIK is an evolving field.
- Understanding corneal biomechanical changes post-LASIK is crucial for patient safety and outcomes.
Purpose of the Study:
- To evaluate changes in the corneal thickness profile after femtosecond laser in situ keratomileusis (LASIK) for hyperopia.
- To compare corneal thickness preoperatively and 6 months postoperatively.
Main Methods:
- Prospective case series of 24 eyes from 20 hyperopic patients.
- Corneal topography and thickness measured using a Pentacam HR device preoperatively and 6 months post-LASIK.
- Paired t-tests and Spearman correlation analyzed the data.
Main Results:
- Significant improvement in uncorrected distance visual acuity post-surgery (P<0.001).
- Significant decreases in central, midperipheral, ablative annular, and peripheral corneal thicknesses were observed (all P<0.001).
- No significant correlation found between central corneal thickness changes and attempted spherical equivalent refraction (P=0.23).
Conclusions:
- Corneal thicknesses within the ablation zone, including central corneal thickness, significantly decrease after femtosecond LASIK for hyperopia.
- The study demonstrates predictable corneal thinning following hyperopic LASIK.

