Abstract
Purpose: To compare the visual and refractive outcomes of laser in situ keratomileusis (LASIK) and laser-assisted subepithelial keratectomy (LASEK) in the treatment of high myopia. Setting: Institute of Vision Research, Department of Ophthalmology, College of Medicine, Yonsei University, and Balgeunsesang Ophthalmology Clinic, Seoul, South Korea. Methods: Four hundred seventy eyes of 240 patients with manifest refraction spherical components greater than -6.00 diopters (D) were assigned to 2 groups: 324 eyes (167 patients) were treated with LASIK and 146 eyes (73 patients), with LASEK. Uncorrected visual acuity (UCVA), best spectacle-corrected visual acuity (BSCVA), remaining refractive error, corneal haze, and complications were followed in both groups for 12 months. Results: At 12 months, the mean spherical equivalent (SE) was within ±0.50 D of emmetropia in 205 eyes (63.3%) in the LASIK group and 81 eyes (55.5%) in the LASEK group and within ±1.00 D in 261 eyes (80.6%) and 104 eyes (71.2%), respectively. The UCVA was 20/25 or better in 269 LASIK eyes (83.0%) and 111 LASEK eyes (76.0%). There was more than a 1-line loss of BSCVA in 4 LASIK eyes (1.2%) and 21 LASEK eyes (14.3%). The between-group differences in SE, magnitude of cylinder, UCVA, and haze were statistically significant (P<.05). Conclusions: Both LASIK and LASEK were safe and effectively treated eyes with high myopia. Laser in situ keratomileusis provided superior results in visual predictability and corneal opacity.
| Original language | English |
|---|---|
| Pages (from-to) | 1405-1411 |
| Number of pages | 7 |
| Journal | Journal of Cataract and Refractive Surgery |
| Volume | 30 |
| Issue number | 7 |
| DOIs | |
| Publication status | Published - 2004 Jul 1 |
Fingerprint
All Science Journal Classification (ASJC) codes
- Surgery
- Ophthalmology
- Sensory Systems
Cite this
}
Laser in situ keratomileusis versus laser-assisted subepithelial keratectomy for the correction of high myopia. / Kim, Jin Kook; Kim, Sung Soo; Lee, Hyung Keun; Lee, In Sik; Seong, Gong Je; Kim, Eungkweon; Han, Sueng Han.
In: Journal of Cataract and Refractive Surgery, Vol. 30, No. 7, 01.07.2004, p. 1405-1411.Research output: Contribution to journal › Article
TY - JOUR
T1 - Laser in situ keratomileusis versus laser-assisted subepithelial keratectomy for the correction of high myopia
AU - Kim, Jin Kook
AU - Kim, Sung Soo
AU - Lee, Hyung Keun
AU - Lee, In Sik
AU - Seong, Gong Je
AU - Kim, Eungkweon
AU - Han, Sueng Han
PY - 2004/7/1
Y1 - 2004/7/1
N2 - Purpose: To compare the visual and refractive outcomes of laser in situ keratomileusis (LASIK) and laser-assisted subepithelial keratectomy (LASEK) in the treatment of high myopia. Setting: Institute of Vision Research, Department of Ophthalmology, College of Medicine, Yonsei University, and Balgeunsesang Ophthalmology Clinic, Seoul, South Korea. Methods: Four hundred seventy eyes of 240 patients with manifest refraction spherical components greater than -6.00 diopters (D) were assigned to 2 groups: 324 eyes (167 patients) were treated with LASIK and 146 eyes (73 patients), with LASEK. Uncorrected visual acuity (UCVA), best spectacle-corrected visual acuity (BSCVA), remaining refractive error, corneal haze, and complications were followed in both groups for 12 months. Results: At 12 months, the mean spherical equivalent (SE) was within ±0.50 D of emmetropia in 205 eyes (63.3%) in the LASIK group and 81 eyes (55.5%) in the LASEK group and within ±1.00 D in 261 eyes (80.6%) and 104 eyes (71.2%), respectively. The UCVA was 20/25 or better in 269 LASIK eyes (83.0%) and 111 LASEK eyes (76.0%). There was more than a 1-line loss of BSCVA in 4 LASIK eyes (1.2%) and 21 LASEK eyes (14.3%). The between-group differences in SE, magnitude of cylinder, UCVA, and haze were statistically significant (P<.05). Conclusions: Both LASIK and LASEK were safe and effectively treated eyes with high myopia. Laser in situ keratomileusis provided superior results in visual predictability and corneal opacity.
AB - Purpose: To compare the visual and refractive outcomes of laser in situ keratomileusis (LASIK) and laser-assisted subepithelial keratectomy (LASEK) in the treatment of high myopia. Setting: Institute of Vision Research, Department of Ophthalmology, College of Medicine, Yonsei University, and Balgeunsesang Ophthalmology Clinic, Seoul, South Korea. Methods: Four hundred seventy eyes of 240 patients with manifest refraction spherical components greater than -6.00 diopters (D) were assigned to 2 groups: 324 eyes (167 patients) were treated with LASIK and 146 eyes (73 patients), with LASEK. Uncorrected visual acuity (UCVA), best spectacle-corrected visual acuity (BSCVA), remaining refractive error, corneal haze, and complications were followed in both groups for 12 months. Results: At 12 months, the mean spherical equivalent (SE) was within ±0.50 D of emmetropia in 205 eyes (63.3%) in the LASIK group and 81 eyes (55.5%) in the LASEK group and within ±1.00 D in 261 eyes (80.6%) and 104 eyes (71.2%), respectively. The UCVA was 20/25 or better in 269 LASIK eyes (83.0%) and 111 LASEK eyes (76.0%). There was more than a 1-line loss of BSCVA in 4 LASIK eyes (1.2%) and 21 LASEK eyes (14.3%). The between-group differences in SE, magnitude of cylinder, UCVA, and haze were statistically significant (P<.05). Conclusions: Both LASIK and LASEK were safe and effectively treated eyes with high myopia. Laser in situ keratomileusis provided superior results in visual predictability and corneal opacity.
UR - http://www.scopus.com/inward/record.url?scp=3042649532&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=3042649532&partnerID=8YFLogxK
U2 - 10.1016/j.jcrs.2003.12.053
DO - 10.1016/j.jcrs.2003.12.053
M3 - Article
VL - 30
SP - 1405
EP - 1411
JO - Journal of Cataract and Refractive Surgery
JF - Journal of Cataract and Refractive Surgery
SN - 0886-3350
IS - 7
ER -