Abstract | OBJECTIVE: To determine the long-term functional results of epikeratophakia for myopic patients. DESIGN: Retrospective, noncomparative, interventional case series. PARTICIPANTS: Twenty-two patients (32 eyes; average age, 43+/-6 years) who underwent epikeratophakia surgery for high myopia. Mean preoperative myopia was -18.74+/-9.16 diopters (D; range, -7 D to -49 D). Follow-up was 12+/-2 years. MAIN OUTCOME MEASURES: Uncorrected visual acuity (UCVA), best-corrected visual acuity (BCVA), change in mean keratometry, visual acuity under glare conditions, BCVA versus potential acuity meter reading, and patient satisfaction with the visual outcome. RESULTS: Mean preoperative UCVA increased from 20/800+/-20/400 (range, counting fingers-20/400) to 20/80+/-20/200 (range, 20/250-20/32) in 24 eyes. Mean preoperative BCVA of 20/32+/-20/64 increased only in five eyes, whereas six eyes had no change and 18 eyes had a more than one line loss of Snellen BCVA. Mean preoperative keratometry reading decreased from 43.67+/-0.90 D (range, 41.0-46.25 D) to 37.40+/-2.92 D (range, 29.43-47.68 D). In the presence of glare, mean BCVA decreased to 20/100+/-20/100 (range, counting fingers-20/32). Potential acuity meter (PAM) readings were significantly (P<0.05) higher than BCVA. Mean PAM reading was 20/25+/-20/100 (range, 20/100-20/16). Seven patients (11 eyes) were extremely satisfied with the operative result more than 10 years after the operation, whereas four patients (four eyes) were not satisfied at all. CONCLUSIONS:
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Authors | Stephan L Kaminski, Robert Biowski, Didem Koyuncu, Julius R Lukas, Günther Grabner |
Journal | Ophthalmology
(Ophthalmology)
Vol. 110
Issue 11
Pg. 2147-52
(Nov 2003)
ISSN: 0161-6420 [Print] United States |
PMID | 14597522
(Publication Type: Journal Article)
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Topics |
- Adult
- Aged
- Cornea
(physiopathology)
- Epikeratophakia
(methods)
- Female
- Follow-Up Studies
- Humans
- Male
- Middle Aged
- Myopia
(physiopathology, surgery)
- Patient Satisfaction
- Treatment Outcome
- Visual Acuity
(physiology)
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