Treatment of high myopia/myopic astigmatism with a combination of WaveLight Contoura with LYRA protocol and wavefront-optimized treatment
Manoj Motwani Motwani LASIK Institute, San Diego, CA, USA Purpose: The aim of this article was to demonstrate how WaveLight Contoura and wavefront optimization (WFO) can be used together to treat high myopia/myopic astigmatism corrections. Materials and methods: A retrospective analysis was conduc...
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Dove Medical Press
2018
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oai:doaj.org-article:94bc8dc9796b484aaf8338b56fdd34242021-12-02T01:42:07ZTreatment of high myopia/myopic astigmatism with a combination of WaveLight Contoura with LYRA protocol and wavefront-optimized treatment1177-5483https://doaj.org/article/94bc8dc9796b484aaf8338b56fdd34242018-05-01T00:00:00Zhttps://www.dovepress.com/treatment-of-high-myopiamyopic-astigmatism-with-a-combination-of-wavel-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Manoj Motwani Motwani LASIK Institute, San Diego, CA, USA Purpose: The aim of this article was to demonstrate how WaveLight Contoura and wavefront optimization (WFO) can be used together to treat high myopia/myopic astigmatism corrections. Materials and methods: A retrospective analysis was conducted on 24 consecutive myopic/myopic astigmatism eyes that exceeded the Contoura labeling of -8.00 with -3.00 D of astigmatism. Residual correction after Contoura with Layer Yolked Reduction of Astigmatism protocol was treated with WFO Contoura LASIK correction. All patients had 3 months of follow-up. Accuracy to the desired refractive goal was assessed by postoperative refraction, regression, postoperative vision, and anecdotal subjective night vision quality. Results: No eyes lost best-corrected visual acuity (BCVA), and 54% of eyes gained BCVA. Out of 22 distance eyes, five achieved 20/15 or better, 18 achieved 20/20 vision, two achieved 20/25, and three achieved 20/30 vision. Preoperatively, only 14 eyes could achieve 20/20 vision. No night vision issues were observed in anecdotal reporting by patients except for those who needed enhancements that had not yet been performed. Conclusion: Treatment of high myopia/astigmatism with this combination of Contoura with LYRA protocol and WFO results in excellent visual outcomes, large ablation zones on topography, and few subjective reported night vision issues. Keywords: Contoura, topographic guided ablation, high myopia, ICL, WaveLight lasers, LYRA ProtocolMotwani MDove Medical Pressarticlecorneal ablationtopographic guided ablationlaser-assisted in situ keratomileusisphotorefractive keratectomyWaveLight ContouramyopiaOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 12, Pp 875-883 (2018) |
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corneal ablation topographic guided ablation laser-assisted in situ keratomileusis photorefractive keratectomy WaveLight Contoura myopia Ophthalmology RE1-994 |
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corneal ablation topographic guided ablation laser-assisted in situ keratomileusis photorefractive keratectomy WaveLight Contoura myopia Ophthalmology RE1-994 Motwani M Treatment of high myopia/myopic astigmatism with a combination of WaveLight Contoura with LYRA protocol and wavefront-optimized treatment |
description |
Manoj Motwani Motwani LASIK Institute, San Diego, CA, USA Purpose: The aim of this article was to demonstrate how WaveLight Contoura and wavefront optimization (WFO) can be used together to treat high myopia/myopic astigmatism corrections. Materials and methods: A retrospective analysis was conducted on 24 consecutive myopic/myopic astigmatism eyes that exceeded the Contoura labeling of -8.00 with -3.00 D of astigmatism. Residual correction after Contoura with Layer Yolked Reduction of Astigmatism protocol was treated with WFO Contoura LASIK correction. All patients had 3 months of follow-up. Accuracy to the desired refractive goal was assessed by postoperative refraction, regression, postoperative vision, and anecdotal subjective night vision quality. Results: No eyes lost best-corrected visual acuity (BCVA), and 54% of eyes gained BCVA. Out of 22 distance eyes, five achieved 20/15 or better, 18 achieved 20/20 vision, two achieved 20/25, and three achieved 20/30 vision. Preoperatively, only 14 eyes could achieve 20/20 vision. No night vision issues were observed in anecdotal reporting by patients except for those who needed enhancements that had not yet been performed. Conclusion: Treatment of high myopia/astigmatism with this combination of Contoura with LYRA protocol and WFO results in excellent visual outcomes, large ablation zones on topography, and few subjective reported night vision issues. Keywords: Contoura, topographic guided ablation, high myopia, ICL, WaveLight lasers, LYRA Protocol |
format |
article |
author |
Motwani M |
author_facet |
Motwani M |
author_sort |
Motwani M |
title |
Treatment of high myopia/myopic astigmatism with a combination of WaveLight Contoura with LYRA protocol and wavefront-optimized treatment |
title_short |
Treatment of high myopia/myopic astigmatism with a combination of WaveLight Contoura with LYRA protocol and wavefront-optimized treatment |
title_full |
Treatment of high myopia/myopic astigmatism with a combination of WaveLight Contoura with LYRA protocol and wavefront-optimized treatment |
title_fullStr |
Treatment of high myopia/myopic astigmatism with a combination of WaveLight Contoura with LYRA protocol and wavefront-optimized treatment |
title_full_unstemmed |
Treatment of high myopia/myopic astigmatism with a combination of WaveLight Contoura with LYRA protocol and wavefront-optimized treatment |
title_sort |
treatment of high myopia/myopic astigmatism with a combination of wavelight contoura with lyra protocol and wavefront-optimized treatment |
publisher |
Dove Medical Press |
publishDate |
2018 |
url |
https://doaj.org/article/94bc8dc9796b484aaf8338b56fdd3424 |
work_keys_str_mv |
AT motwanim treatmentofhighmyopiamyopicastigmatismwithacombinationofwavelightcontourawithlyraprotocolandwavefrontoptimizedtreatment |
_version_ |
1718402908482961408 |