Increased preference of surface ablation over laser in situ keratomileusis between 2008&ndash;2011 is correlated to risk of ecatasia

Elad Moisseiev,1,3 Tzahi Sela,2 Liza Minkev,2 David Varssano1,31Department of Ophthalmology, Tel-Aviv Medical Center, Tel-Aviv, Israel; 2Care Vision, Tel Aviv, Israel; 3Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, IsraelPurpose: To evaluate the trends in corneal refractive procedure s...

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Autores principales:	Moisseiev E, Sela T, Minkev L, Varssano D
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/44f2d21b969e4be7afbc617ef1d0fc12
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spelling	oai:doaj.org-article:44f2d21b969e4be7afbc617ef1d0fc122021-12-02T02:11:38ZIncreased preference of surface ablation over laser in situ keratomileusis between 2008&ndash;2011 is correlated to risk of ecatasia1177-54671177-5483https://doaj.org/article/44f2d21b969e4be7afbc617ef1d0fc122013-01-01T00:00:00Zhttp://www.dovepress.com/increased-preference-of-surface-ablation-over-laser-in-situ-keratomile-a11925https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Elad Moisseiev,1,3 Tzahi Sela,2 Liza Minkev,2 David Varssano1,31Department of Ophthalmology, Tel-Aviv Medical Center, Tel-Aviv, Israel; 2Care Vision, Tel Aviv, Israel; 3Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, IsraelPurpose: To evaluate the trends in corneal refractive procedure selection for the correction of myopia, focusing on the relative proportions of laser in situ keratomileusis (LASIK) and surface ablation procedures.Methods: Only eyes that underwent LASIK or surface ablation for the correction of myopia between 2008&ndash;2011 were included in this retrospective study. Additional recorded parameters included patient age, preoperative manifest refraction, corneal thickness, and calculated residual corneal bed thickness. A risk score was given to each eye, based on these parameters, according to the Ectasia Risk Factor Score System (ERFSS), without the preoperative corneal topography.Results: This study included 16,163 eyes, of which 38.4% underwent LASIK and 61.6% underwent surface ablation. The risk score correlated with procedure selection, with LASIK being preferred in eyes with a score of 0 and surface ablation in eyes with a score of 2 or higher. When controlling for age, preoperative manifest refraction, corneal thickness, and all parameters, the relative proportion of surface ablation compared with LASIK was found to have grown significantly during the study period.Conclusions: Our results indicate that with time, surface ablation tended to be performed more often than LASIK for the correction of myopia in our cohort. Increased awareness of risk factors and preoperative risk assessment tools, such as the ERFSS, have shifted the current practice of refractive surgery from LASIK towards surface ablation despite the former&#39;s advantages, especially in cases in which the risk for ectasia is more than minimal (risk score 2 and higher).Keywords: surface ablation, LASIK, PRK, myopia correction, ectasiaMoisseiev ESela TMinkev LVarssano DDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2013, Iss default, Pp 93-98 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Moisseiev E Sela T Minkev L Varssano D Increased preference of surface ablation over laser in situ keratomileusis between 2008&ndash;2011 is correlated to risk of ecatasia
description	Elad Moisseiev,1,3 Tzahi Sela,2 Liza Minkev,2 David Varssano1,31Department of Ophthalmology, Tel-Aviv Medical Center, Tel-Aviv, Israel; 2Care Vision, Tel Aviv, Israel; 3Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, IsraelPurpose: To evaluate the trends in corneal refractive procedure selection for the correction of myopia, focusing on the relative proportions of laser in situ keratomileusis (LASIK) and surface ablation procedures.Methods: Only eyes that underwent LASIK or surface ablation for the correction of myopia between 2008&ndash;2011 were included in this retrospective study. Additional recorded parameters included patient age, preoperative manifest refraction, corneal thickness, and calculated residual corneal bed thickness. A risk score was given to each eye, based on these parameters, according to the Ectasia Risk Factor Score System (ERFSS), without the preoperative corneal topography.Results: This study included 16,163 eyes, of which 38.4% underwent LASIK and 61.6% underwent surface ablation. The risk score correlated with procedure selection, with LASIK being preferred in eyes with a score of 0 and surface ablation in eyes with a score of 2 or higher. When controlling for age, preoperative manifest refraction, corneal thickness, and all parameters, the relative proportion of surface ablation compared with LASIK was found to have grown significantly during the study period.Conclusions: Our results indicate that with time, surface ablation tended to be performed more often than LASIK for the correction of myopia in our cohort. Increased awareness of risk factors and preoperative risk assessment tools, such as the ERFSS, have shifted the current practice of refractive surgery from LASIK towards surface ablation despite the former&#39;s advantages, especially in cases in which the risk for ectasia is more than minimal (risk score 2 and higher).Keywords: surface ablation, LASIK, PRK, myopia correction, ectasia
format	article
author	Moisseiev E Sela T Minkev L Varssano D
author_facet	Moisseiev E Sela T Minkev L Varssano D
author_sort	Moisseiev E
title	Increased preference of surface ablation over laser in situ keratomileusis between 2008&ndash;2011 is correlated to risk of ecatasia
title_short	Increased preference of surface ablation over laser in situ keratomileusis between 2008&ndash;2011 is correlated to risk of ecatasia
title_full	Increased preference of surface ablation over laser in situ keratomileusis between 2008&ndash;2011 is correlated to risk of ecatasia
title_fullStr	Increased preference of surface ablation over laser in situ keratomileusis between 2008&ndash;2011 is correlated to risk of ecatasia
title_full_unstemmed	Increased preference of surface ablation over laser in situ keratomileusis between 2008&ndash;2011 is correlated to risk of ecatasia
title_sort	increased preference of surface ablation over laser in situ keratomileusis between 2008&ndash;2011 is correlated to risk of ecatasia
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/44f2d21b969e4be7afbc617ef1d0fc12
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_version_	1718402590163599360

Increased preference of surface ablation over laser in situ keratomileusis between 2008&amp;ndash;2011 is correlated to risk of ecatasia

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