Influence of patient age on high myopic correction in corneal laser refractive surgery.

Abstract

PURPOSE:

To evaluate the influence of patient age on the postoperative outcomes in eyes with myopia higher than 5.00 diopters (D) that had laser in situ keratomileusis using the Schwind Amaris laser system.

SETTING:

Private practice, Utrecht, The Netherlands.

DESIGN:

Case series.

METHODS:

At the 1-year follow-up, right eyes with preoperative myopia higher than 5.00 D were analyzed. The effect of the patient's age on postoperative status was assessed using univariate linear and multilinear correlations.

RESULTS:

The study analyzed 612 eyes. Univariate linear analyses showed that residual refraction was correlated with patient age. Univariate multilinear analyses showed that spherical equivalent (SE) was correlated with the attempted SE and patient age, whereas cylinder was correlated with attempted cylinder only. Analyses suggested overcorrections and higher residual astigmatism values for older patients.

CONCLUSIONS:

Patient age affected postoperative outcomes in a subtle, yet significant manner. An age-dependent adjustment toward greater attempted correction in younger patients and less intended correction in older patients may help optimize refractive outcomes.

FINANCIAL DISCLOSURE:

Drs. Ewering and Arba-Mosquera are employees of Schwind eye-tech-solutions GmbH. Dr. Luger has no financial or proprietary interest in any material or method mentioned.

• Authors: Michiel H A Luger, Tobias Ewering, Samuel Arba-Mosquera
• Journal: Journal of cataract and refractive surgery (J Cataract Refract Surg) Vol. 39 Issue 2 Pg. 204-10 (Feb 2013) ISSN: 1873-4502 [Electronic] United States
• PMID: 23332251 (Publication Type: Journal Article)
• Copyright: Copyright © 2013 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.

Topics

• Adolescent
• Adult
• Age Factors
• Cornea (physiopathology)
• Female
• Follow-Up Studies
• Humans
• Keratomileusis, Laser In Situ
• Lasers, Excimer (therapeutic use)
• Male
• Middle Aged
• Myopia, Degenerative (physiopathology, surgery)
• Refraction, Ocular (physiology)
• Retrospective Studies
• Treatment Outcome
• Visual Acuity (physiology)
• Young Adult