Astigmatic change 1 year after excimer laser treatment of myopia and myopic astigmatism. Melbourne Excimer Laser Group.

G. C. Tabin, N. Alpins, G. F. Aldred, C. A. McCarty, H. R. Taylor

Research output: Contribution to journalArticlepeer-review

29 Scopus citations

Abstract

PURPOSE: To evaluate the surgically induced astigmatism (SIA) 1 year after excimer laser photorefractive astigmatic keratectomy (PARK) and photorefractive keratectomy (PRK). SETTING: Royal Victorian Ear and Eye Hospital, Melbourne, Australia. METHODS: This study comprised 333 PARK patients and 155 PRK patients treated with a VISX 20/20 excimer laser and followed prospectively for 12 months. Vector analysis of the change in astigmatism was used to calculate the SIA in the PRK group and the percentage of astigmatism corrected in the PARK group. RESULTS: Among patients with low cylinders astigmatic correction varied greatly, particularly in those treated for large amounts of myopia. The spherical PRK treatments yielded a mean induced postoperative astigmatism of 0.47 diopter. There was a linear relationship between this inadvertent SIA and increasing myopia. CONCLUSION: Excimer laser surgery for myopia creates a low degree of random, unpredictable SIA that may be the result of irregular epithelial thickening during postoperative healing. This creates a background noise of astigmatic change upon which the targeted astigmatic correction is superimposed.

Original languageEnglish (US)
Pages (from-to)924-930
Number of pages7
JournalJournal of cataract and refractive surgery
Volume22
Issue number7
DOIs
StatePublished - Sep 1996

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