Changes of Functional Optical Zone After LASIK for Hyperopia and Hyperopic Astigmatism.

Abstract

PURPOSE:

To evaluate which factors may influence the size of the postoperative functional optical zone after hyperopic LASIK.

METHODS:

Thirty-three eyes with a mean spherical equivalent of +3.55 ± 1.28 diopters (D) underwent LASIK with a Technolas 217 C-LASIK laser (Bausch & Lomb Surgical, Munich, Germany). After 1 week and 1, 4, and 12 months, the authors examined refraction, corneal refractive power by means of computerized videokeratography (Technomed C-Scan; Baesweiler, Germany), and uncorrected/corrected distance visual acuity (UDVA/CDVA). According to the degree of hyperopia, they were divided into low hyperopia (spherical equivalent ≤ 3.00 D) and high hyperopia (spherical equivalent > 3.00 D) groups.

RESULTS:

One year postoperatively, 82% of all eyes had a UDVA of 0.5 or better; in 88%, the spherical equivalent did not deviate more than 1.00 D from the attempted value. Three eyes were slightly undercorrected. After an initial overcorrection (-0.27 D) with subsequent regression, the refraction remained stable at +0.17 D from the fourth postoperative month (low hyperopia group: +0.14 D; high hyperopia group: +0.19 D after 1 year). After 1 year, the functional optical zone diminished by 32%; the reduction was more pronounced in eyes with higher hyperopia: -1.85 ± 1.09 mm (range: +0.5 to -3.4 mm) in the low hyperopia group (P < .0001) and -2.25 ± 1.24 mm (range: +1 to -3.9 mm) in the high hyperopia group (P < .0001). Preoperative spherical equivalent and preoperative corneal refractive power affected the postoperative size of the functional optical zone additively.

CONCLUSIONS:

An expected small functional optical zone in high hyperopia may not be regarded as a compelling exclusion criterion, but can induce possible side effects such as glare and halos. [J Refract Surg. 2018;34(7):476-481.].

• Authors: Christian Roesler, Thomas Kohnen
• Journal: Journal of refractive surgery (Thorofare, N.J. : 1995) (J Refract Surg) Vol. 34 Issue 7 Pg. 476-481 (Jul 01 2018) ISSN: 1938-2391 [Electronic] United States
• PMID: 30001451 (Publication Type: Journal Article)
• Copyright: Copyright 2018, SLACK Incorporated.

Topics

• Adult
• Astigmatism (physiopathology, surgery)
• Cornea (physiopathology)
• Corneal Topography
• Female
• Humans
• Hyperopia (physiopathology, surgery)
• Keratomileusis, Laser In Situ (methods)
• Lasers, Excimer (therapeutic use)
• Male
• Middle Aged
• Refraction, Ocular (physiology)
• Retrospective Studies
• Visual Acuity (physiology)