{"title":"患者报告了地形引导LASIK术后的视力结果、干眼症状和满意度。","authors":"Phillip B Brunson, Paul M Mann Ii, Brad Hall","doi":"10.2147/OPTH.S542097","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To assess the subjective satisfaction, visual disturbances, and dry eye symptoms following Phorcides planned Contoura topography-guided LASIK.</p><p><strong>Methods: </strong>This was a single site, single arm, prospective study of patient reported outcomes after bilateral Phorcides planned Contoura topography-guided LASIK. Preoperative and postoperative data were collected for responses on the Patient-Reported Outcomes with LASIK Symptoms and Satisfaction (PROWL-SS) questionnaire (a lower score represented a worse outcome), Ocular Surface Disease Index (OSDI) questionnaire (a higher score represented a worse outcome), refraction, and visual acuity. Linear mixed effect models were used to compare preoperative and postoperative scores on the PROWL-SS for satisfaction, and the frequency, bothersomeness, and visual impact of glare, halo, starbursts, and double images.</p><p><strong>Results: </strong>A total of 50 subjects completed the study. Mean age was 29.3 ± 5.0 years (range 20 to 39 years). The mean 3-month postoperative satisfaction score was 53.2 higher than the mean preoperative score (p <0.0001). Mean 3-month postoperative scores were 7.4, 13.7, 18.0, and 29.2 higher postoperatively compared to preoperatively for double image, glare, halo, and starburst, respectively. All differences were significant (p <0.0001) with the exception of double image. Mean score on the OSDI questionnaire was 27.0 ± 22.4 preoperatively, compared to 7.5 ± 6.7 at 3 months postoperatively (p <0.0001). Postoperatively, 97% of eyes (90/100) had MRSE within ± 0.5 D and postoperative residual astigmatism was ≤ 0.5 D in 96% of eyes (96/100). Postoperative UDVA was 20/20 or better in 98% (98/100) of eyes, 20/16 or better in 81% (81/100) of eyes, and 20/12.5 or better in 31% (31/100) of eyes.</p><p><strong>Conclusion: </strong>The results of this study suggest improved patient reported satisfaction, reduced dry eye symptoms, and overall decrease in visual disturbances at 3 months following Phorcides planned Contoura LASIK.</p>","PeriodicalId":93945,"journal":{"name":"Clinical ophthalmology (Auckland, N.Z.)","volume":"19 ","pages":"3363-3369"},"PeriodicalIF":0.0000,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12439825/pdf/","citationCount":"0","resultStr":"{\"title\":\"Patient Reported Visual Outcomes, Dry Eye Symptoms, and Satisfaction Following Topography-Guided LASIK.\",\"authors\":\"Phillip B Brunson, Paul M Mann Ii, Brad Hall\",\"doi\":\"10.2147/OPTH.S542097\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To assess the subjective satisfaction, visual disturbances, and dry eye symptoms following Phorcides planned Contoura topography-guided LASIK.</p><p><strong>Methods: </strong>This was a single site, single arm, prospective study of patient reported outcomes after bilateral Phorcides planned Contoura topography-guided LASIK. Preoperative and postoperative data were collected for responses on the Patient-Reported Outcomes with LASIK Symptoms and Satisfaction (PROWL-SS) questionnaire (a lower score represented a worse outcome), Ocular Surface Disease Index (OSDI) questionnaire (a higher score represented a worse outcome), refraction, and visual acuity. Linear mixed effect models were used to compare preoperative and postoperative scores on the PROWL-SS for satisfaction, and the frequency, bothersomeness, and visual impact of glare, halo, starbursts, and double images.</p><p><strong>Results: </strong>A total of 50 subjects completed the study. Mean age was 29.3 ± 5.0 years (range 20 to 39 years). The mean 3-month postoperative satisfaction score was 53.2 higher than the mean preoperative score (p <0.0001). Mean 3-month postoperative scores were 7.4, 13.7, 18.0, and 29.2 higher postoperatively compared to preoperatively for double image, glare, halo, and starburst, respectively. All differences were significant (p <0.0001) with the exception of double image. Mean score on the OSDI questionnaire was 27.0 ± 22.4 preoperatively, compared to 7.5 ± 6.7 at 3 months postoperatively (p <0.0001). Postoperatively, 97% of eyes (90/100) had MRSE within ± 0.5 D and postoperative residual astigmatism was ≤ 0.5 D in 96% of eyes (96/100). Postoperative UDVA was 20/20 or better in 98% (98/100) of eyes, 20/16 or better in 81% (81/100) of eyes, and 20/12.5 or better in 31% (31/100) of eyes.</p><p><strong>Conclusion: </strong>The results of this study suggest improved patient reported satisfaction, reduced dry eye symptoms, and overall decrease in visual disturbances at 3 months following Phorcides planned Contoura LASIK.</p>\",\"PeriodicalId\":93945,\"journal\":{\"name\":\"Clinical ophthalmology (Auckland, N.Z.)\",\"volume\":\"19 \",\"pages\":\"3363-3369\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-09-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12439825/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical ophthalmology (Auckland, N.Z.)\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.2147/OPTH.S542097\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical ophthalmology (Auckland, N.Z.)","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2147/OPTH.S542097","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
Patient Reported Visual Outcomes, Dry Eye Symptoms, and Satisfaction Following Topography-Guided LASIK.
Purpose: To assess the subjective satisfaction, visual disturbances, and dry eye symptoms following Phorcides planned Contoura topography-guided LASIK.
Methods: This was a single site, single arm, prospective study of patient reported outcomes after bilateral Phorcides planned Contoura topography-guided LASIK. Preoperative and postoperative data were collected for responses on the Patient-Reported Outcomes with LASIK Symptoms and Satisfaction (PROWL-SS) questionnaire (a lower score represented a worse outcome), Ocular Surface Disease Index (OSDI) questionnaire (a higher score represented a worse outcome), refraction, and visual acuity. Linear mixed effect models were used to compare preoperative and postoperative scores on the PROWL-SS for satisfaction, and the frequency, bothersomeness, and visual impact of glare, halo, starbursts, and double images.
Results: A total of 50 subjects completed the study. Mean age was 29.3 ± 5.0 years (range 20 to 39 years). The mean 3-month postoperative satisfaction score was 53.2 higher than the mean preoperative score (p <0.0001). Mean 3-month postoperative scores were 7.4, 13.7, 18.0, and 29.2 higher postoperatively compared to preoperatively for double image, glare, halo, and starburst, respectively. All differences were significant (p <0.0001) with the exception of double image. Mean score on the OSDI questionnaire was 27.0 ± 22.4 preoperatively, compared to 7.5 ± 6.7 at 3 months postoperatively (p <0.0001). Postoperatively, 97% of eyes (90/100) had MRSE within ± 0.5 D and postoperative residual astigmatism was ≤ 0.5 D in 96% of eyes (96/100). Postoperative UDVA was 20/20 or better in 98% (98/100) of eyes, 20/16 or better in 81% (81/100) of eyes, and 20/12.5 or better in 31% (31/100) of eyes.
Conclusion: The results of this study suggest improved patient reported satisfaction, reduced dry eye symptoms, and overall decrease in visual disturbances at 3 months following Phorcides planned Contoura LASIK.
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