StreamLight Single-Step Transepithelial Photorefractive Keratectomy (PRK) for Myopia and Myopic Astigmatism.

IF 1.8 4区医学 Q3 OPHTHALMOLOGY

Journal of Ophthalmology Pub Date : 2024-11-14 eCollection Date: 2024-01-01 DOI:10.1155/2024/5597457

David J Gunn, Rebecca A Cox

{"title":"StreamLight Single-Step Transepithelial Photorefractive Keratectomy (PRK) for Myopia and Myopic Astigmatism.","authors":"David J Gunn, Rebecca A Cox","doi":"10.1155/2024/5597457","DOIUrl":null,"url":null,"abstract":"Background: To report the refractive outcomes of StreamLight transepithelial photorefractive keratectomy (PRK). Methods: A retrospective case series was conducted which included a total of 205 eyes of 109 patients who underwent StreamLight transepithelial PRK using the Alcon Wavelight EX500 excimer laser. All eyes had myopia or myopic astigmatism, and the preoperative spherical equivalent (SEQ) ranged from -0.63D to -7.25D. The primary postoperative outcomes were UDVA, CDVA and subjective refraction measured at least 3 months postoperatively. Results: Postoperatively, 196 eyes (95.6%) had a UDVA of 20/20 or better. The mean SEQ was -0.05 ± 0.31D and 189 eyes (92.2%) were within ±0.50D of the target SEQ. The mean refractive astigmatism was -0.28 ± 0.27D, and 181 eyes (88.3%) had ≤ 0.50D of astigmatism. The mean safety and efficacy indices were 1.01 ± 0.08 and 0.97 ± 0.12, respectively. Eight eyes lost 1 line of CDVA. Six of these were noted to have significant dry eyes and 2 had corneal haze. No eye lost two or more lines of CDVA. Conclusions: StreamLight transepithelial PRK results in excellent refractive outcomes for myopia and myopic astigmatism.","PeriodicalId":16674,"journal":{"name":"Journal of Ophthalmology","volume":"2024 ","pages":"5597457"},"PeriodicalIF":1.8000,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11581790/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Ophthalmology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1155/2024/5597457","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Background: To report the refractive outcomes of StreamLight transepithelial photorefractive keratectomy (PRK). Methods: A retrospective case series was conducted which included a total of 205 eyes of 109 patients who underwent StreamLight transepithelial PRK using the Alcon Wavelight EX500 excimer laser. All eyes had myopia or myopic astigmatism, and the preoperative spherical equivalent (SEQ) ranged from -0.63D to -7.25D. The primary postoperative outcomes were UDVA, CDVA and subjective refraction measured at least 3 months postoperatively. Results: Postoperatively, 196 eyes (95.6%) had a UDVA of 20/20 or better. The mean SEQ was -0.05 ± 0.31D and 189 eyes (92.2%) were within ±0.50D of the target SEQ. The mean refractive astigmatism was -0.28 ± 0.27D, and 181 eyes (88.3%) had ≤ 0.50D of astigmatism. The mean safety and efficacy indices were 1.01 ± 0.08 and 0.97 ± 0.12, respectively. Eight eyes lost 1 line of CDVA. Six of these were noted to have significant dry eyes and 2 had corneal haze. No eye lost two or more lines of CDVA. Conclusions: StreamLight transepithelial PRK results in excellent refractive outcomes for myopia and myopic astigmatism.

查看原文本刊更多论文

针对近视和近视性散光的 StreamLight 单步经皮层光屈光性角膜切割术 (PRK)。

背景：报告 StreamLight 经上皮光屈光性角膜切割术（PRK）的屈光效果。方法：进行回顾性病例系列研究：采用 Alcon Wavelight EX500 准分子激光器，对 109 名患者的 205 只眼睛进行了 StreamLight 经皮层 PRK 手术。所有患者都患有近视或近视散光，术前球面等值（SEQ）从-0.63D到-7.25D不等。术后至少 3 个月测量的主要结果是 UDVA、CDVA 和主观屈光度。结果：术后有 196 只眼睛（95.6%）的 UDVA 达到或优于 20/20。平均 SEQ 为 -0.05 ± 0.31D，189 只眼睛（92.2%）的目标 SEQ 在 ±0.50D 以内。平均屈光散光度数为 -0.28 ± 0.27D，181 只眼睛（88.3%）的散光度数小于 0.50D。平均安全性和有效性指数分别为 1.01 ± 0.08 和 0.97 ± 0.12。有 8 只眼睛的 CDVA 下降了 1 行。其中 6 只眼睛有明显的干眼症，2 只眼睛有角膜混浊。没有一只眼睛的 CDVA 下降了两行或两行以上。结论StreamLight 经皮下 PRK 对近视和近视散光有很好的屈光效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Ophthalmology MEDICINE, RESEARCH & EXPERIMENTAL-OPHTHALMOLOGY

CiteScore

4.30

自引率

5.30%

发文量

194

审稿时长

6-12 weeks

期刊介绍： Journal of Ophthalmology is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies related to the anatomy, physiology and diseases of the eye. Submissions should focus on new diagnostic and surgical techniques, instrument and therapy updates, as well as clinical trials and research findings.