Effect of laser in situ keratomileusis on retinal nerve fiber layer thickness measurements by scanning laser polarimetry

Purpose: To determine the effect of laser in situ keratomileusis (LASIK) on retinal nerve fiber layer measurements by scanning laser polarimetry in a large clinical trial. Setting: Asan Medical Center, University of Ulsan, Department of Ophthalmology, Seoul, Korea. Methods: Scanning laser polarimetr...

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Veröffentlicht in:Journal of cataract and refractive surgery 2002-04, Vol.28 (4), p.670-675
Hauptverfasser: Kook, Michael S, Lee, Sang-un, Tchah, Hung-won, Sung, Kyung-rim, Park, Ryu-hwa, Kim, Kyung-rhee
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container_end_page 675
container_issue 4
container_start_page 670
container_title Journal of cataract and refractive surgery
container_volume 28
creator Kook, Michael S
Lee, Sang-un
Tchah, Hung-won
Sung, Kyung-rim
Park, Ryu-hwa
Kim, Kyung-rhee
description Purpose: To determine the effect of laser in situ keratomileusis (LASIK) on retinal nerve fiber layer measurements by scanning laser polarimetry in a large clinical trial. Setting: Asan Medical Center, University of Ulsan, Department of Ophthalmology, Seoul, Korea. Methods: Scanning laser polarimetry measurements were performed in 59 eyes of 59 consecutive patients who had LASIK. The mean retardation values of the whole measurement ellipse and of the superior, inferior, temporal, and nasal sectors of the ellipse before and after LASIK were compared statistically. Results: The mean spherical equivalent refractive error was −6.10 diopters (D) ± 2.34 (SD) (range −1.19 to –15.50 D) preoperatively and –0.31 ± 0.52 D (range +0.68 to –2.13 D) postoperatively. The mean ablation depth was 94.0 ± 30.49 μm (range 28.0 to 161.1 μm). The mean postoperative retardation values of all the sectors and of the superior, temporal, inferior, and nasal sectors showed reduced nerve fiber layer thickness ( P = .000, P = .000, P = .011, P = .000, and P= .002, respectively). Conclusion: Laser in situ keratomileusis affected nerve fiber layer thickness measurements by scanning laser polarimetry. The change in nerve fiber layer thickness was probably due to modification of the corneal architecture. This effect of keratorefractive surgery should be considered when using scanning laser polarimetry as a diagnostic and follow-up tool for glaucoma.
doi_str_mv 10.1016/S0886-3350(01)01310-4
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Setting: Asan Medical Center, University of Ulsan, Department of Ophthalmology, Seoul, Korea. Methods: Scanning laser polarimetry measurements were performed in 59 eyes of 59 consecutive patients who had LASIK. The mean retardation values of the whole measurement ellipse and of the superior, inferior, temporal, and nasal sectors of the ellipse before and after LASIK were compared statistically. Results: The mean spherical equivalent refractive error was −6.10 diopters (D) ± 2.34 (SD) (range −1.19 to –15.50 D) preoperatively and –0.31 ± 0.52 D (range +0.68 to –2.13 D) postoperatively. The mean ablation depth was 94.0 ± 30.49 μm (range 28.0 to 161.1 μm). The mean postoperative retardation values of all the sectors and of the superior, temporal, inferior, and nasal sectors showed reduced nerve fiber layer thickness ( P = .000, P = .000, P = .011, P = .000, and P= .002, respectively). Conclusion: Laser in situ keratomileusis affected nerve fiber layer thickness measurements by scanning laser polarimetry. The change in nerve fiber layer thickness was probably due to modification of the corneal architecture. This effect of keratorefractive surgery should be considered when using scanning laser polarimetry as a diagnostic and follow-up tool for glaucoma.</description><identifier>ISSN: 0886-3350</identifier><identifier>EISSN: 1873-4502</identifier><identifier>DOI: 10.1016/S0886-3350(01)01310-4</identifier><identifier>PMID: 11955909</identifier><identifier>CODEN: JCSUEV</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Anthropometry ; Biological and medical sciences ; Cornea - surgery ; Female ; Humans ; Keratomileusis, Laser In Situ ; Lasers ; Male ; Medical sciences ; Middle Aged ; Myopia - surgery ; Nerve Fibers ; Optic Nerve - anatomy &amp; histology ; Prospective Studies ; Retinal Ganglion Cells - cytology ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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Setting: Asan Medical Center, University of Ulsan, Department of Ophthalmology, Seoul, Korea. Methods: Scanning laser polarimetry measurements were performed in 59 eyes of 59 consecutive patients who had LASIK. The mean retardation values of the whole measurement ellipse and of the superior, inferior, temporal, and nasal sectors of the ellipse before and after LASIK were compared statistically. Results: The mean spherical equivalent refractive error was −6.10 diopters (D) ± 2.34 (SD) (range −1.19 to –15.50 D) preoperatively and –0.31 ± 0.52 D (range +0.68 to –2.13 D) postoperatively. The mean ablation depth was 94.0 ± 30.49 μm (range 28.0 to 161.1 μm). The mean postoperative retardation values of all the sectors and of the superior, temporal, inferior, and nasal sectors showed reduced nerve fiber layer thickness ( P = .000, P = .000, P = .011, P = .000, and P= .002, respectively). Conclusion: Laser in situ keratomileusis affected nerve fiber layer thickness measurements by scanning laser polarimetry. The change in nerve fiber layer thickness was probably due to modification of the corneal architecture. This effect of keratorefractive surgery should be considered when using scanning laser polarimetry as a diagnostic and follow-up tool for glaucoma.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Anthropometry</subject><subject>Biological and medical sciences</subject><subject>Cornea - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Keratomileusis, Laser In Situ</subject><subject>Lasers</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Myopia - surgery</subject><subject>Nerve Fibers</subject><subject>Optic Nerve - anatomy &amp; histology</subject><subject>Prospective Studies</subject><subject>Retinal Ganglion Cells - cytology</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Graft diseases</topic><topic>Surgery of the eye and orbit</topic><topic>Visual Field Tests - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kook, Michael S</creatorcontrib><creatorcontrib>Lee, Sang-un</creatorcontrib><creatorcontrib>Tchah, Hung-won</creatorcontrib><creatorcontrib>Sung, Kyung-rim</creatorcontrib><creatorcontrib>Park, Ryu-hwa</creatorcontrib><creatorcontrib>Kim, Kyung-rhee</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cataract and refractive surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kook, Michael S</au><au>Lee, Sang-un</au><au>Tchah, Hung-won</au><au>Sung, Kyung-rim</au><au>Park, Ryu-hwa</au><au>Kim, Kyung-rhee</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of laser in situ keratomileusis on retinal nerve fiber layer thickness measurements by scanning laser polarimetry</atitle><jtitle>Journal of cataract and refractive surgery</jtitle><addtitle>J Cataract Refract Surg</addtitle><date>2002-04-01</date><risdate>2002</risdate><volume>28</volume><issue>4</issue><spage>670</spage><epage>675</epage><pages>670-675</pages><issn>0886-3350</issn><eissn>1873-4502</eissn><coden>JCSUEV</coden><abstract>Purpose: To determine the effect of laser in situ keratomileusis (LASIK) on retinal nerve fiber layer measurements by scanning laser polarimetry in a large clinical trial. 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subjects Adolescent
Adult
Anthropometry
Biological and medical sciences
Cornea - surgery
Female
Humans
Keratomileusis, Laser In Situ
Lasers
Male
Medical sciences
Middle Aged
Myopia - surgery
Nerve Fibers
Optic Nerve - anatomy & histology
Prospective Studies
Retinal Ganglion Cells - cytology
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the eye and orbit
Visual Field Tests - methods
title Effect of laser in situ keratomileusis on retinal nerve fiber layer thickness measurements by scanning laser polarimetry
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