Corneal densitometry after photorefractive keratectomy, laser-assisted in situ keratomileusis, and small-incision lenticule extraction

Purpose The aim of this study was to gain greater insight into the corneal densitometry changes occurring as a result of refractive surgery and to compare these changes across three widely used surgical techniques, namely, photorefractive keratectomy (PRK), laser-assisted in situ keratomileusis with...

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Veröffentlicht in:Eye (London) 2017-12, Vol.31 (12), p.1647-1654
Hauptverfasser: Poyales, F, Garzón, N, Mendicute, J, Illarramendi, I, Caro, P, Jáñez, O, Argüeso, F, López, A
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container_end_page 1654
container_issue 12
container_start_page 1647
container_title Eye (London)
container_volume 31
creator Poyales, F
Garzón, N
Mendicute, J
Illarramendi, I
Caro, P
Jáñez, O
Argüeso, F
López, A
description Purpose The aim of this study was to gain greater insight into the corneal densitometry changes occurring as a result of refractive surgery and to compare these changes across three widely used surgical techniques, namely, photorefractive keratectomy (PRK), laser-assisted in situ keratomileusis with a femtosecond laser (LASIK-FS), or ReLEx small-incision lenticule extraction (ReLEx SMILE). Patients and methods Three hundred and thirty-six patients (184 male and 152 female patients) participated in this study. They were split into three groups according to the refractive surgery technique they had undergone: LASIK-FS (74 patients), PRK (153 patients), and ReLEx SMILE (109 patients). All participants underwent an exhaustive eye examination both before and after surgery. Pre- and postoperative corneal densitometry was measured using an Oculus Pentacam system. Results The mean postoperative total corneal densitometry values were 16.53±1.94 for the LASIK-FS group, 15.53±1.65 for PRK, and 16.10±1.54 for ReLEx SMILE. When corneal densitometry was analyzed for specific corneal areas, the values corresponding to the 0–2, 2–6, and 6–10 mm annuli were similar across the three surgical techniques. The only region in which differences were found was the peripheral area ( P
doi_str_mv 10.1038/eye.2017.107
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Patients and methods Three hundred and thirty-six patients (184 male and 152 female patients) participated in this study. They were split into three groups according to the refractive surgery technique they had undergone: LASIK-FS (74 patients), PRK (153 patients), and ReLEx SMILE (109 patients). All participants underwent an exhaustive eye examination both before and after surgery. Pre- and postoperative corneal densitometry was measured using an Oculus Pentacam system. Results The mean postoperative total corneal densitometry values were 16.53±1.94 for the LASIK-FS group, 15.53±1.65 for PRK, and 16.10±1.54 for ReLEx SMILE. When corneal densitometry was analyzed for specific corneal areas, the values corresponding to the 0–2, 2–6, and 6–10 mm annuli were similar across the three surgical techniques. The only region in which differences were found was the peripheral area ( P &lt;0.05), but these variations across techniques were not statistically significant. Conclusions Corneal densitometry can be used as an objective metric to assess corneal response to refractive surgery, and to monitor patients over time. Corneal densitometry was not negatively affected by any of the refractive surgical procedures under evaluation.</description><identifier>ISSN: 0950-222X</identifier><identifier>EISSN: 1476-5454</identifier><identifier>DOI: 10.1038/eye.2017.107</identifier><identifier>PMID: 28622316</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/308 ; 692/308/409 ; Clinical Study ; Cornea ; Densitometry ; Eye examinations ; Eye surgery ; Laboratory Medicine ; Lasers ; Medicine ; Medicine &amp; Public Health ; Ophthalmology ; Pharmaceutical Sciences/Technology ; Statistical analysis ; Surgery ; Surgical Oncology ; Surgical techniques</subject><ispartof>Eye (London), 2017-12, Vol.31 (12), p.1647-1654</ispartof><rights>Macmillan Publishers Limited, part of Springer Nature. 2017</rights><rights>Copyright Nature Publishing Group Dec 2017</rights><rights>Copyright © 2017 Macmillan Publishers Limited, part of Springer Nature. 2017 Macmillan Publishers Limited, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c450t-91b7d6693d163b346239b95ece1a0c5e81ac0f7949c60f980877a8768151f5ff3</citedby><cites>FETCH-LOGICAL-c450t-91b7d6693d163b346239b95ece1a0c5e81ac0f7949c60f980877a8768151f5ff3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5733279/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5733279/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,41464,42533,51294,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28622316$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Poyales, F</creatorcontrib><creatorcontrib>Garzón, N</creatorcontrib><creatorcontrib>Mendicute, J</creatorcontrib><creatorcontrib>Illarramendi, I</creatorcontrib><creatorcontrib>Caro, P</creatorcontrib><creatorcontrib>Jáñez, O</creatorcontrib><creatorcontrib>Argüeso, F</creatorcontrib><creatorcontrib>López, A</creatorcontrib><title>Corneal densitometry after photorefractive keratectomy, laser-assisted in situ keratomileusis, and small-incision lenticule extraction</title><title>Eye (London)</title><addtitle>Eye</addtitle><addtitle>Eye (Lond)</addtitle><description>Purpose The aim of this study was to gain greater insight into the corneal densitometry changes occurring as a result of refractive surgery and to compare these changes across three widely used surgical techniques, namely, photorefractive keratectomy (PRK), laser-assisted in situ keratomileusis with a femtosecond laser (LASIK-FS), or ReLEx small-incision lenticule extraction (ReLEx SMILE). Patients and methods Three hundred and thirty-six patients (184 male and 152 female patients) participated in this study. They were split into three groups according to the refractive surgery technique they had undergone: LASIK-FS (74 patients), PRK (153 patients), and ReLEx SMILE (109 patients). All participants underwent an exhaustive eye examination both before and after surgery. Pre- and postoperative corneal densitometry was measured using an Oculus Pentacam system. Results The mean postoperative total corneal densitometry values were 16.53±1.94 for the LASIK-FS group, 15.53±1.65 for PRK, and 16.10±1.54 for ReLEx SMILE. When corneal densitometry was analyzed for specific corneal areas, the values corresponding to the 0–2, 2–6, and 6–10 mm annuli were similar across the three surgical techniques. The only region in which differences were found was the peripheral area ( P &lt;0.05), but these variations across techniques were not statistically significant. Conclusions Corneal densitometry can be used as an objective metric to assess corneal response to refractive surgery, and to monitor patients over time. 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Patients and methods Three hundred and thirty-six patients (184 male and 152 female patients) participated in this study. They were split into three groups according to the refractive surgery technique they had undergone: LASIK-FS (74 patients), PRK (153 patients), and ReLEx SMILE (109 patients). All participants underwent an exhaustive eye examination both before and after surgery. Pre- and postoperative corneal densitometry was measured using an Oculus Pentacam system. Results The mean postoperative total corneal densitometry values were 16.53±1.94 for the LASIK-FS group, 15.53±1.65 for PRK, and 16.10±1.54 for ReLEx SMILE. When corneal densitometry was analyzed for specific corneal areas, the values corresponding to the 0–2, 2–6, and 6–10 mm annuli were similar across the three surgical techniques. The only region in which differences were found was the peripheral area ( P &lt;0.05), but these variations across techniques were not statistically significant. Conclusions Corneal densitometry can be used as an objective metric to assess corneal response to refractive surgery, and to monitor patients over time. Corneal densitometry was not negatively affected by any of the refractive surgical procedures under evaluation.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>28622316</pmid><doi>10.1038/eye.2017.107</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects 692/308
692/308/409
Clinical Study
Cornea
Densitometry
Eye examinations
Eye surgery
Laboratory Medicine
Lasers
Medicine
Medicine & Public Health
Ophthalmology
Pharmaceutical Sciences/Technology
Statistical analysis
Surgery
Surgical Oncology
Surgical techniques
title Corneal densitometry after photorefractive keratectomy, laser-assisted in situ keratomileusis, and small-incision lenticule extraction
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