Comparison of visual acuity, refractive outcomes, and satisfaction between LASIK performed with a microkeratome and a femto laser

Comparison of visual acuity, refractive outcomes, and satisfaction between LASIK performed with a microkeratome and a femto laser

Sharif Hashmani,1 Nauman Hashmani,1 Hina Rajani,2 Priyanka Ramesh,2 Junaid Ahmed Soomro,2 Syed Rashid Hussain Shah,2 Jaish Kumar,2 Sayed Mustafa Mahmood Shah2 1Department of Ophthalmology, Hashmanis Hospital, Karachi, Pakistan; 2Dow Medical College, Karachi, Pakistan Purpose: To compare refractive...

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Autores principales: Hashmani S, Hashmani N, Rajani H, Ramesh P, Soomro JA, Hussain Shah SR, Kumar J, Mahmood Shah SM
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2017
Materias:
LASIK
Femtosecond
Microkeratome
Cornea
Refractive surgery
Ophthalmology
RE1-994
Acceso en línea:https://doaj.org/article/6be930a5308c41329bdbe0724e7aa94a
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spelling oai:doaj.org-article:6be930a5308c41329bdbe0724e7aa94a2021-12-02T02:50:08ZComparison of visual acuity, refractive outcomes, and satisfaction between LASIK performed with a microkeratome and a femto laser1177-5483https://doaj.org/article/6be930a5308c41329bdbe0724e7aa94a2017-05-01T00:00:00Zhttps://www.dovepress.com/comparison-of-visual-acuity-refractive-outcomes-and-satisfaction-betwe-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Sharif Hashmani,1 Nauman Hashmani,1 Hina Rajani,2 Priyanka Ramesh,2 Junaid Ahmed Soomro,2 Syed Rashid Hussain Shah,2 Jaish Kumar,2 Sayed Mustafa Mahmood Shah2 1Department of Ophthalmology, Hashmanis Hospital, Karachi, Pakistan; 2Dow Medical College, Karachi, Pakistan Purpose: To compare refractive outcomes, visual acuities, and satisfaction of patients between those treated with laser-assisted in situ keratomileusis (LASIK) using a Hansatome microkeratome (HM) and femto-assisted laser (FAL).Methods: This was a retrospective analysis of 1,366 eyes in 687 patients who underwent LASIK with an HM (n=1,137) and an FAL (n=229) at the two centers of Hashmanis Hospital, Karachi, Pakistan. Refractive outcomes, including sphere, cylinder, and spherical equivalent in diopters (D), and visual acuities were assessed both preoperatively and at 1 month follow-up. Patient satisfaction was gauged by contacting the patient at the time of chart review.Results: The postoperative median sphere, cylinder, and spherical equivalent values for those treated with FAL were 0.3±0.7 (-5.5–1.8), -0.5±0.6 (-5.0–1.0), and 0.0±0.7 (-6.0–1.6), respectively. For the HM arm, they were 0.0±1.28 (-10.8–6.8), -0.5±0.5 (-4.5–1.5), and -0.3±1.3 (-11.6–6.8), respectively. All preoperative values were statistically insignificant between the groups, while postoperative values were significant with P-values <0.001. Predictability and efficacy index was higher for the FAL (92.1%, 1.00) than the HM group (82.2%, 0.84). Similarly, patient satisfaction was slightly higher for those treated with FAL (93.3%) than HM (91.4%).Conclusion: Our large retrospective analysis of eyes that have undergone LASIK using HM and FAL shows superior refractive outcomes in the latter, with special regard to procedural efficacy and predictability. Keywords: laser-assisted in situ keratomileusis, femtosecond, microkeratome, cornea, refractive surgeryHashmani SHashmani NRajani HRamesh PSoomro JAHussain Shah SRKumar JMahmood Shah SMDove Medical PressarticleLASIKFemtosecondMicrokeratomeCorneaRefractive surgeryOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 11, Pp 1009-1014 (2017)
institution DOAJ
collection DOAJ
language EN
topic LASIK
Femtosecond
Microkeratome
Cornea
Refractive surgery
Ophthalmology
RE1-994
spellingShingle LASIK
Femtosecond
Microkeratome
Cornea
Refractive surgery
Ophthalmology
RE1-994
Hashmani S
Hashmani N
Rajani H
Ramesh P
Soomro JA
Hussain Shah SR
Kumar J
Mahmood Shah SM
Comparison of visual acuity, refractive outcomes, and satisfaction between LASIK performed with a microkeratome and a femto laser
description Sharif Hashmani,1 Nauman Hashmani,1 Hina Rajani,2 Priyanka Ramesh,2 Junaid Ahmed Soomro,2 Syed Rashid Hussain Shah,2 Jaish Kumar,2 Sayed Mustafa Mahmood Shah2 1Department of Ophthalmology, Hashmanis Hospital, Karachi, Pakistan; 2Dow Medical College, Karachi, Pakistan Purpose: To compare refractive outcomes, visual acuities, and satisfaction of patients between those treated with laser-assisted in situ keratomileusis (LASIK) using a Hansatome microkeratome (HM) and femto-assisted laser (FAL).Methods: This was a retrospective analysis of 1,366 eyes in 687 patients who underwent LASIK with an HM (n=1,137) and an FAL (n=229) at the two centers of Hashmanis Hospital, Karachi, Pakistan. Refractive outcomes, including sphere, cylinder, and spherical equivalent in diopters (D), and visual acuities were assessed both preoperatively and at 1 month follow-up. Patient satisfaction was gauged by contacting the patient at the time of chart review.Results: The postoperative median sphere, cylinder, and spherical equivalent values for those treated with FAL were 0.3±0.7 (-5.5–1.8), -0.5±0.6 (-5.0–1.0), and 0.0±0.7 (-6.0–1.6), respectively. For the HM arm, they were 0.0±1.28 (-10.8–6.8), -0.5±0.5 (-4.5–1.5), and -0.3±1.3 (-11.6–6.8), respectively. All preoperative values were statistically insignificant between the groups, while postoperative values were significant with P-values <0.001. Predictability and efficacy index was higher for the FAL (92.1%, 1.00) than the HM group (82.2%, 0.84). Similarly, patient satisfaction was slightly higher for those treated with FAL (93.3%) than HM (91.4%).Conclusion: Our large retrospective analysis of eyes that have undergone LASIK using HM and FAL shows superior refractive outcomes in the latter, with special regard to procedural efficacy and predictability. Keywords: laser-assisted in situ keratomileusis, femtosecond, microkeratome, cornea, refractive surgery
format article
author Hashmani S
Hashmani N
Rajani H
Ramesh P
Soomro JA
Hussain Shah SR
Kumar J
Mahmood Shah SM
author_facet Hashmani S
Hashmani N
Rajani H
Ramesh P
Soomro JA
Hussain Shah SR
Kumar J
Mahmood Shah SM
author_sort Hashmani S
title Comparison of visual acuity, refractive outcomes, and satisfaction between LASIK performed with a microkeratome and a femto laser
title_short Comparison of visual acuity, refractive outcomes, and satisfaction between LASIK performed with a microkeratome and a femto laser
title_full Comparison of visual acuity, refractive outcomes, and satisfaction between LASIK performed with a microkeratome and a femto laser
title_fullStr Comparison of visual acuity, refractive outcomes, and satisfaction between LASIK performed with a microkeratome and a femto laser
title_full_unstemmed Comparison of visual acuity, refractive outcomes, and satisfaction between LASIK performed with a microkeratome and a femto laser
title_sort comparison of visual acuity, refractive outcomes, and satisfaction between lasik performed with a microkeratome and a femto laser
publisher Dove Medical Press
publishDate 2017
url https://doaj.org/article/6be930a5308c41329bdbe0724e7aa94a
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