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Patient-Reported Outcomes With Wavefront-Guided Laser in Situ Keratomileusis (PROWL) Study Outcomes From a Single
Journal of Refractive Surgery (Thorofare, N.J. : 1995)
|March 9, 2023
Summary
Wavefront-guided laser in situ keratomileusis (LASIK) improved vision and reduced limitations, but some patients experienced new visual symptoms like halos and dry eye post-surgery.
Area of Science:
- Ophthalmology
- Refractive Surgery
- Patient-Reported Outcomes
Background:
- Laser in situ keratomileusis (LASIK) is a common refractive surgery.
- Wavefront-guided technology aims to improve LASIK outcomes.
- Patient satisfaction and visual symptoms are crucial outcome measures.
Purpose of the Study:
- To evaluate patient-reported outcomes following wavefront-guided LASIK.
- To assess vision quality, visual symptoms, and quality of life after LASIK.
Main Methods:
- Prospective observational study with 62 participants.
- Validated questionnaires and new items assessed vision and symptoms at baseline, 1 month, and 3 months.
- Data collected on far/near vision, activity limitations, worry, visual symptoms, and quality of life.
Main Results:
- Significant improvements in vision and reduced activity limitations were reported at 1 and 3 months post-LASIK.
- New visual symptoms, including halos and double images, emerged post-surgery.
- While overall satisfaction was high, some patients reported decreased quality of life, improving by 3 months.
Conclusions:
- Wavefront-guided LASIK leads to high patient satisfaction.
- New visual symptoms can occur post-LASIK, impacting quality of life initially.
- Quality of life generally improves by 3 months after surgery.

