TY - JOUR
T1 - Comparison of two procedures
T2 - Photorefractive keratectomy versus laser in situ keratomileusis for low to moderate myopia
AU - Lee, Jae Bum
AU - Kim, Jae Sung
AU - Choe, Chul Myong
AU - Seong, Gong Je
AU - Kim, Eung Kweon
PY - 2001
Y1 - 2001
N2 - Purpose: A prospective study was conducted to compare the effectiveness, safety, and stability of photorefractive keratectomy (PRK) and laser in situ keratomileusis (LASIK) for correction of low to moderate myopia. Methods: Forty-five patients with a manifest refraction (PRK, -4.54±0.80; LASIK, -4.82±1.10) from -1.50 to -6.00 diopters (D) were treated and followed-up for 6 months. In each case, 1 eye received PRK and the other LASIK. The first eye treated, and the surgical method used in the first eye, were randomized. Uncorrected and corrected visual acuity, manifest refraction, corneal haze, and topographic analysis of ablation decentration were examined. Results: The uncorrected visual acuity was 20/20 or better in 35 PRK eyes (77.8%) and 28 LASIK eyes (62.2%) at 6 months (P=.107). At 6 months, 28 eyes (62.2%) that received PRK showed a spherical equivalent of within ±0.5 D as compared with 24 eyes (53.4%) that received LASIK (P=.393). The amount of ablation decentration was0.37± 0.25 mm in PRK eyes and 0.49±0.38 mm in LASIK eyes at 3 months (P=.36). Conclusions: In our study, PRK and LASIK were found to be similarly effective and predictive of correction in low to moderate myopia. PRK has the advantage of less ablation decentration and is safer than LASIK, so we recommend PRK for eyes with low to moderate myopia.
AB - Purpose: A prospective study was conducted to compare the effectiveness, safety, and stability of photorefractive keratectomy (PRK) and laser in situ keratomileusis (LASIK) for correction of low to moderate myopia. Methods: Forty-five patients with a manifest refraction (PRK, -4.54±0.80; LASIK, -4.82±1.10) from -1.50 to -6.00 diopters (D) were treated and followed-up for 6 months. In each case, 1 eye received PRK and the other LASIK. The first eye treated, and the surgical method used in the first eye, were randomized. Uncorrected and corrected visual acuity, manifest refraction, corneal haze, and topographic analysis of ablation decentration were examined. Results: The uncorrected visual acuity was 20/20 or better in 35 PRK eyes (77.8%) and 28 LASIK eyes (62.2%) at 6 months (P=.107). At 6 months, 28 eyes (62.2%) that received PRK showed a spherical equivalent of within ±0.5 D as compared with 24 eyes (53.4%) that received LASIK (P=.393). The amount of ablation decentration was0.37± 0.25 mm in PRK eyes and 0.49±0.38 mm in LASIK eyes at 3 months (P=.36). Conclusions: In our study, PRK and LASIK were found to be similarly effective and predictive of correction in low to moderate myopia. PRK has the advantage of less ablation decentration and is safer than LASIK, so we recommend PRK for eyes with low to moderate myopia.
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U2 - 10.1016/S0021-5155(01)00406-3
DO - 10.1016/S0021-5155(01)00406-3
M3 - Article
C2 - 11583670
AN - SCOPUS:0034806632
VL - 45
SP - 487
EP - 491
JO - Japanese Journal of Ophthalmology
JF - Japanese Journal of Ophthalmology
SN - 0021-5155
IS - 5
ER -