Prospective evaluation of myopic keratomileusis

Area of Science:

• Ophthalmology
• Refractive Surgery

Background:

• High myopia presents significant challenges for visual rehabilitation.
• Myopic keratomileusis is a surgical technique aimed at correcting myopia.

Purpose of the Study:

• To report initial results of a prospective evaluation of myopic keratomileusis.
• To assess the efficacy and visual outcomes of the procedure.

Main Methods:

• Prospective evaluation of 42 eyes undergoing myopic keratomileusis.
• Average follow-up of 10 months, with measurements by keratometry and refraction.

Main Results:

• Average myopia reduction of 7.05 D (keratometry) and 11.59 D (refraction).
• Visual acuity improved in 63% of patients followed for over 1 year.
• Complications included interface issues and Bowman's membrane necrosis.

Conclusions:

• Myopic keratomileusis demonstrates potential for high myope visual rehabilitation.
• The technique is technically demanding but offers significant refractive correction.
• Visual outcomes are generally positive, though stabilization may take months.