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[LASIK for myopia correction. 2-year follow-up]

M C Knorz1, B Jendritza, A Liermann

  • 1Universitäts-Augenklinik Mannheim.

Der Ophthalmologe : Zeitschrift Der Deutschen Ophthalmologischen Gesellschaft
|September 17, 1998
PubMed
Summary
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Laser-assisted in situ keratomileusis (LASIK) shows good long-term results for moderate myopia up to -10 D. Higher myopia corrections show decreased accuracy and stability, with some visual loss in severe cases.

Area of Science:

  • Ophthalmology
  • Refractive Surgery
  • Corneal Surgery

Context:

  • Long-term outcomes of LASIK for moderate-to-high myopia are not well-established.
  • Evaluating predictability, stability, and complications is crucial for patient management.

Purpose:

  • To assess the long-term predictability, stability, and complication rates of LASIK in patients with moderate-to-high myopia.
  • To determine the efficacy of LASIK across different ranges of myopic correction.

Summary:

  • LASIK demonstrated high accuracy and stability for myopia between -5 D and -10 D at 24 months, with 94% of eyes within 1 D of correction and high patient satisfaction.
  • For myopia between -10 D and -15 D, 88% were within 1 D, but regression was observed in 20% within the first year.
  • In high myopia (-15 D to -29 D), LASIK showed poor accuracy (33% within 1 D) and significant regression (41% in the first year), with lower patient satisfaction.

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Impact:

  • LASIK is effective and accurate for myopia up to -10 D.
  • Corneal reshaping outcomes become less predictable with increasing myopia.
  • For myopia exceeding -15 D, LASIK results are currently unsatisfactory due to accuracy and stability issues.