Clinical outcomes of mechanical and transepithelial photorefractive keratectomy in low myopia with a large ablation zone

Ikhyun Jun, David Sung Yong Kang, Samuel Arba-Mosquera, Seung Ki Jean, Eungkweon Kim, KyoungYul Seo, Tae-im Kim

Research output: Contribution to journalArticle

Abstract

Purpose: To evaluate the clinical outcomes, vector parameters, and aberrations between mechanical photorefractive keratectomy (PRK) and transepithelial PRK in eyes with low myopia. Setting: Yonsei University College of Medicine and Eyereum Eye Clinic, Seoul, Korea. Design: Retrospective, comparative case series. Methods: Eighty-four eyes of 84 patients with low myopia (≤2.00 diopters) were treated with mechanical or transepithelial PRK (41 eyes and 43 eyes, respectively), with the application of a large optical zone (OZ). Visual acuity, manifest refraction, slitlamp evaluation, autokeratometry, corneal topography, and the evaluation of corneal wavefront aberrations were measured preoperatively and at 1, 3, and 6 months after surgery. The efficacy, predictability, vector parameters, corneal aberrations, and safety at 6 months after surgery were compared between the two treatment groups. Results: The mean uncorrected distance visual acuity was comparable, at −0.13 ± 0.05 (SD) and −0.15 ± 0.05, in the mechanical and transepithelial PRK groups, respectively, at 6 months after surgery. The safety and efficacy indices, vector parameters, and aberrometric values were also comparable between the two groups. The OZ was large in both groups (7.09 ± 0.20 mm and 7.12 ± 0.27 mm in the mechanical PRK and transepithelial PRK groups, respectively), and showed no significant difference between groups. The corneal total root-mean-square higher-order aberrations and coma significantly reduced after treatment in both groups, and spherical aberrations significantly decreased after transepithelial PRK. Conclusions: Mechanical and transepithelial PRK with a large OZ provided effective and safe outcomes for the correction of low myopia without differences in visual acuity and refractive outcomes between procedures.

Original languageEnglish
Pages (from-to)977-984
Number of pages8
JournalJournal of Cataract and Refractive Surgery
Volume45
Issue number7
DOIs
Publication statusPublished - 2019 Jul 1

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Photorefractive Keratectomy
Myopia
Visual Acuity
Corneal Wavefront Aberration
Corneal Topography
Safety
Korea
Coma
Medicine

All Science Journal Classification (ASJC) codes

  • Surgery
  • Ophthalmology
  • Sensory Systems

Cite this

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title = "Clinical outcomes of mechanical and transepithelial photorefractive keratectomy in low myopia with a large ablation zone",
abstract = "Purpose: To evaluate the clinical outcomes, vector parameters, and aberrations between mechanical photorefractive keratectomy (PRK) and transepithelial PRK in eyes with low myopia. Setting: Yonsei University College of Medicine and Eyereum Eye Clinic, Seoul, Korea. Design: Retrospective, comparative case series. Methods: Eighty-four eyes of 84 patients with low myopia (≤2.00 diopters) were treated with mechanical or transepithelial PRK (41 eyes and 43 eyes, respectively), with the application of a large optical zone (OZ). Visual acuity, manifest refraction, slitlamp evaluation, autokeratometry, corneal topography, and the evaluation of corneal wavefront aberrations were measured preoperatively and at 1, 3, and 6 months after surgery. The efficacy, predictability, vector parameters, corneal aberrations, and safety at 6 months after surgery were compared between the two treatment groups. Results: The mean uncorrected distance visual acuity was comparable, at −0.13 ± 0.05 (SD) and −0.15 ± 0.05, in the mechanical and transepithelial PRK groups, respectively, at 6 months after surgery. The safety and efficacy indices, vector parameters, and aberrometric values were also comparable between the two groups. The OZ was large in both groups (7.09 ± 0.20 mm and 7.12 ± 0.27 mm in the mechanical PRK and transepithelial PRK groups, respectively), and showed no significant difference between groups. The corneal total root-mean-square higher-order aberrations and coma significantly reduced after treatment in both groups, and spherical aberrations significantly decreased after transepithelial PRK. Conclusions: Mechanical and transepithelial PRK with a large OZ provided effective and safe outcomes for the correction of low myopia without differences in visual acuity and refractive outcomes between procedures.",
author = "Ikhyun Jun and {Yong Kang}, {David Sung} and Samuel Arba-Mosquera and Jean, {Seung Ki} and Eungkweon Kim and KyoungYul Seo and Tae-im Kim",
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Clinical outcomes of mechanical and transepithelial photorefractive keratectomy in low myopia with a large ablation zone. / Jun, Ikhyun; Yong Kang, David Sung; Arba-Mosquera, Samuel; Jean, Seung Ki; Kim, Eungkweon; Seo, KyoungYul; Kim, Tae-im.

In: Journal of Cataract and Refractive Surgery, Vol. 45, No. 7, 01.07.2019, p. 977-984.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Clinical outcomes of mechanical and transepithelial photorefractive keratectomy in low myopia with a large ablation zone

AU - Jun, Ikhyun

AU - Yong Kang, David Sung

AU - Arba-Mosquera, Samuel

AU - Jean, Seung Ki

AU - Kim, Eungkweon

AU - Seo, KyoungYul

AU - Kim, Tae-im

PY - 2019/7/1

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N2 - Purpose: To evaluate the clinical outcomes, vector parameters, and aberrations between mechanical photorefractive keratectomy (PRK) and transepithelial PRK in eyes with low myopia. Setting: Yonsei University College of Medicine and Eyereum Eye Clinic, Seoul, Korea. Design: Retrospective, comparative case series. Methods: Eighty-four eyes of 84 patients with low myopia (≤2.00 diopters) were treated with mechanical or transepithelial PRK (41 eyes and 43 eyes, respectively), with the application of a large optical zone (OZ). Visual acuity, manifest refraction, slitlamp evaluation, autokeratometry, corneal topography, and the evaluation of corneal wavefront aberrations were measured preoperatively and at 1, 3, and 6 months after surgery. The efficacy, predictability, vector parameters, corneal aberrations, and safety at 6 months after surgery were compared between the two treatment groups. Results: The mean uncorrected distance visual acuity was comparable, at −0.13 ± 0.05 (SD) and −0.15 ± 0.05, in the mechanical and transepithelial PRK groups, respectively, at 6 months after surgery. The safety and efficacy indices, vector parameters, and aberrometric values were also comparable between the two groups. The OZ was large in both groups (7.09 ± 0.20 mm and 7.12 ± 0.27 mm in the mechanical PRK and transepithelial PRK groups, respectively), and showed no significant difference between groups. The corneal total root-mean-square higher-order aberrations and coma significantly reduced after treatment in both groups, and spherical aberrations significantly decreased after transepithelial PRK. Conclusions: Mechanical and transepithelial PRK with a large OZ provided effective and safe outcomes for the correction of low myopia without differences in visual acuity and refractive outcomes between procedures.

AB - Purpose: To evaluate the clinical outcomes, vector parameters, and aberrations between mechanical photorefractive keratectomy (PRK) and transepithelial PRK in eyes with low myopia. Setting: Yonsei University College of Medicine and Eyereum Eye Clinic, Seoul, Korea. Design: Retrospective, comparative case series. Methods: Eighty-four eyes of 84 patients with low myopia (≤2.00 diopters) were treated with mechanical or transepithelial PRK (41 eyes and 43 eyes, respectively), with the application of a large optical zone (OZ). Visual acuity, manifest refraction, slitlamp evaluation, autokeratometry, corneal topography, and the evaluation of corneal wavefront aberrations were measured preoperatively and at 1, 3, and 6 months after surgery. The efficacy, predictability, vector parameters, corneal aberrations, and safety at 6 months after surgery were compared between the two treatment groups. Results: The mean uncorrected distance visual acuity was comparable, at −0.13 ± 0.05 (SD) and −0.15 ± 0.05, in the mechanical and transepithelial PRK groups, respectively, at 6 months after surgery. The safety and efficacy indices, vector parameters, and aberrometric values were also comparable between the two groups. The OZ was large in both groups (7.09 ± 0.20 mm and 7.12 ± 0.27 mm in the mechanical PRK and transepithelial PRK groups, respectively), and showed no significant difference between groups. The corneal total root-mean-square higher-order aberrations and coma significantly reduced after treatment in both groups, and spherical aberrations significantly decreased after transepithelial PRK. Conclusions: Mechanical and transepithelial PRK with a large OZ provided effective and safe outcomes for the correction of low myopia without differences in visual acuity and refractive outcomes between procedures.

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