Patient satisfaction and self-reported dry eye symptoms in hyperopic patients treated with femtosecond laser in situ keratomileusis

Petri Mäkinen,1,2 Anne Huhtala,1,2 Juhani Pietilä,1,2 Janika Nättinen,3 Teppo Rajala,1 Kalle Salmenhaara,2 Magomed Udratov,1 Hannu Uusitalo3,4 1Silmäasema Eye Hospital, Tampere, Finland; 2Silmäasema Eye Hospital, Helsinki, Finland; 3SILK, Department of O...

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Autores principales:	Mäkinen P, Huhtala A, Pietilä J, Nättinen J, Rajala T, Salmenhaara K, Udratov M, Uusitalo H
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	Femtosecond laser in situ keratomileusis FS-LASIK hyperopia dry eye patient satisfaction Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/f79d7a76d7d4457699164631b4dea244
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spelling	oai:doaj.org-article:f79d7a76d7d4457699164631b4dea2442021-12-02T06:49:09ZPatient satisfaction and self-reported dry eye symptoms in hyperopic patients treated with femtosecond laser in situ keratomileusis1177-5483https://doaj.org/article/f79d7a76d7d4457699164631b4dea2442019-04-01T00:00:00Zhttps://www.dovepress.com/patient-satisfaction-and-self-reported-dry-eye-symptoms-in-hyperopic-p-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Petri Mäkinen,1,2 Anne Huhtala,1,2 Juhani Pietilä,1,2 Janika Nättinen,3 Teppo Rajala,1 Kalle Salmenhaara,2 Magomed Udratov,1 Hannu Uusitalo3,4 1Silmäasema Eye Hospital, Tampere, Finland; 2Silmäasema Eye Hospital, Helsinki, Finland; 3SILK, Department of Ophthalmology, School of Medicine, University of Tampere, Tampere, Finland; 4TAUH Eye Centre, Tampere University Hospital, Tampere, Finland Purpose: To study self-reported patient satisfaction and dry eye symptoms in hyperopic correction with femtosecond laser-assisted in situ keratomileusis (FS-LASIK).Patients and methods: Ninety-eight eyes (53 patients) were treated with FS-LASIK for hyperopia. Patients’ self-reported dry eye symptoms and satisfaction with near and far vision were graded on the visual analog scale (VAS) preoperatively and 1 month postoperatively.Results: Ninety-one percent of the eyes with the plano target (54 eyes) achieved an uncorrected distance visual acuity of 20/20 or better. Predictability, defined as spherical equivalent refraction within ±0.5 D of target, was 88% of all eyes. None of the eyes lost two or more Snellen lines of corrected distance visual acuity. There was no significant change in the self-reported dry eye sensation (VAS score from 2.7±2.0 to 2.8±2.0; P=0.66). In 44 monovision patients, satisfaction with both far vision (from 71.2±19.8 to 89.2±8.7; P<0.0001) and near vision (from 51.7±26.2 to 89.3±13.2; P<0.0001) increased significantly. In nine emmetropic patients, satisfaction with neither far vision nor near vision was significantly improved, although there was a clear tendency (from 73.7±23.7 to 86.9±15.3; P=0.22, and from 58.9±29.1 to 81.6±17.4; P=0.11, respectively). In the monovision patient group, far vision satisfaction decreased when dry eye symptoms increased. Monovision patients, as predicted, were more satisfied with their near vision, when postoperative spherical equivalent from target was on the myopic side.Conclusion: FS-LASIK correction of hyperopia significantly improved patient satisfaction with both near and far vision in monovision patients. Hyperopic patients had no significant changes in postoperative dry eye symptoms compared to preoperative values. Keywords: femtosecond laser in situ keratomileusis, FS-LASIK, hyperopia, dry eye, patient satisfactionMäkinen PHuhtala APietilä JNättinen JRajala TSalmenhaara KUdratov MUusitalo HDove Medical PressarticleFemtosecond laser in situ keratomileusisFS-LASIKhyperopiadry eyepatient satisfactionOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 13, Pp 741-754 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Femtosecond laser in situ keratomileusis FS-LASIK hyperopia dry eye patient satisfaction Ophthalmology RE1-994
spellingShingle	Femtosecond laser in situ keratomileusis FS-LASIK hyperopia dry eye patient satisfaction Ophthalmology RE1-994 Mäkinen P Huhtala A Pietilä J Nättinen J Rajala T Salmenhaara K Udratov M Uusitalo H Patient satisfaction and self-reported dry eye symptoms in hyperopic patients treated with femtosecond laser in situ keratomileusis
description	Petri Mäkinen,1,2 Anne Huhtala,1,2 Juhani Pietilä,1,2 Janika Nättinen,3 Teppo Rajala,1 Kalle Salmenhaara,2 Magomed Udratov,1 Hannu Uusitalo3,4 1Silmäasema Eye Hospital, Tampere, Finland; 2Silmäasema Eye Hospital, Helsinki, Finland; 3SILK, Department of Ophthalmology, School of Medicine, University of Tampere, Tampere, Finland; 4TAUH Eye Centre, Tampere University Hospital, Tampere, Finland Purpose: To study self-reported patient satisfaction and dry eye symptoms in hyperopic correction with femtosecond laser-assisted in situ keratomileusis (FS-LASIK).Patients and methods: Ninety-eight eyes (53 patients) were treated with FS-LASIK for hyperopia. Patients’ self-reported dry eye symptoms and satisfaction with near and far vision were graded on the visual analog scale (VAS) preoperatively and 1 month postoperatively.Results: Ninety-one percent of the eyes with the plano target (54 eyes) achieved an uncorrected distance visual acuity of 20/20 or better. Predictability, defined as spherical equivalent refraction within ±0.5 D of target, was 88% of all eyes. None of the eyes lost two or more Snellen lines of corrected distance visual acuity. There was no significant change in the self-reported dry eye sensation (VAS score from 2.7±2.0 to 2.8±2.0; P=0.66). In 44 monovision patients, satisfaction with both far vision (from 71.2±19.8 to 89.2±8.7; P<0.0001) and near vision (from 51.7±26.2 to 89.3±13.2; P<0.0001) increased significantly. In nine emmetropic patients, satisfaction with neither far vision nor near vision was significantly improved, although there was a clear tendency (from 73.7±23.7 to 86.9±15.3; P=0.22, and from 58.9±29.1 to 81.6±17.4; P=0.11, respectively). In the monovision patient group, far vision satisfaction decreased when dry eye symptoms increased. Monovision patients, as predicted, were more satisfied with their near vision, when postoperative spherical equivalent from target was on the myopic side.Conclusion: FS-LASIK correction of hyperopia significantly improved patient satisfaction with both near and far vision in monovision patients. Hyperopic patients had no significant changes in postoperative dry eye symptoms compared to preoperative values. Keywords: femtosecond laser in situ keratomileusis, FS-LASIK, hyperopia, dry eye, patient satisfaction
format	article
author	Mäkinen P Huhtala A Pietilä J Nättinen J Rajala T Salmenhaara K Udratov M Uusitalo H
author_facet	Mäkinen P Huhtala A Pietilä J Nättinen J Rajala T Salmenhaara K Udratov M Uusitalo H
author_sort	Mäkinen P
title	Patient satisfaction and self-reported dry eye symptoms in hyperopic patients treated with femtosecond laser in situ keratomileusis
title_short	Patient satisfaction and self-reported dry eye symptoms in hyperopic patients treated with femtosecond laser in situ keratomileusis
title_full	Patient satisfaction and self-reported dry eye symptoms in hyperopic patients treated with femtosecond laser in situ keratomileusis
title_fullStr	Patient satisfaction and self-reported dry eye symptoms in hyperopic patients treated with femtosecond laser in situ keratomileusis
title_full_unstemmed	Patient satisfaction and self-reported dry eye symptoms in hyperopic patients treated with femtosecond laser in situ keratomileusis
title_sort	patient satisfaction and self-reported dry eye symptoms in hyperopic patients treated with femtosecond laser in situ keratomileusis
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/f79d7a76d7d4457699164631b4dea244
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Patient satisfaction and self-reported dry eye symptoms in hyperopic patients treated with femtosecond laser in situ keratomileusis

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