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Refractive surgery in the late adulthood and adolescent age groups
Idan Hecht1, Asaf Achiron2,3, Liron Ben Haim4
1Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel. Idan.hecht@gmail.com.
Summary
Refractive surgery outcomes in older adults showed lower efficacy and more retreatments, while adolescents experienced comparable results to young adults. This study highlights age-related differences in laser vision correction.
Area of Science:
- Ophthalmology
- Refractive Surgery
- Corneal Surgery
Background:
- Refractive surgery is commonly performed in young adults, with limited data on outcomes in adolescents and older adults.
- Understanding age-specific outcomes is crucial for patient selection and managing expectations.
Purpose of the Study:
- To compare the safety, efficacy, and retreatment rates of refractive surgery in patients over 60 and under 18 years old against a control group aged 20-40.
- To identify potential age-related differences in clinical outcomes following laser-assisted in situ keratomileusis and photorefractive keratectomy.
Main Methods:
- Retrospective cohort analysis of 32,074 patients (64,970 eyes) undergoing laser-assisted in situ keratomileusis (LASIK) or photorefractive keratectomy (PRK).
- Propensity score matching was used to compare outcomes between age groups (over 60, under 18, and 20-40 years).
- Safety, efficacy, and retreatment rates were analyzed separately for hyperopic and myopic treatments.
Main Results:
- Older adults (>60) demonstrated lower safety and efficacy in hyperopic treatments and lower efficacy in myopic treatments compared to young adults.
- Higher retreatment rates were observed in older adults for both hyperopic (6.2% vs 2.5%) and myopic (11% vs 1.1%) treatments.
- Adolescents (<18) showed comparable or slightly better safety and efficacy outcomes with lower retreatment rates (1% vs 2.7%) than the young adult control group.
Conclusions:
- Refractive surgery in older adults is relatively safe but associated with reduced efficacy and increased need for retreatment.
- Refractive surgery outcomes in adolescents are comparable to those in young adults.
- Age is a significant factor influencing refractive surgery outcomes, necessitating tailored approaches for different patient demographics.
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