ESCRS - PO448 - Femtosecond Laser Assisted Laser In Situ Keratomileusis To Correct Medium To High Hyperopic Refractive Error

Femtosecond Laser Assisted Laser In Situ Keratomileusis To Correct Medium To High Hyperopic Refractive Error

Published 2022 - 40th Congress of the ESCRS

Reference: PO448 | Type: Free paper | DOI: 10.82333/kzh4-8805

Authors: Luigi Mosca 1 , Laura Guccione 1 , Alessandra Balestrazzi 2 , Luca Iacobelli 3 , Luca Mosca 3 , Luca Scartozzi 1 , Romina Fasciani* 1 , Emanuele Crincoli 1 , Emilio Balestrazzi 4

1Ophthalmology Department - Cornea and Refractive Surgery Unit,A Gemelli University Polyclinic Foundation,Rome,Italy, 2Refractive Service,Ophthalmic Hospital,Rome,Italy, 3Ophthalmology Service,Italian Neurotramatologic Institute,Rome,Italy, 4Studio Medico Balestrazzi,Rome,Italy

Purpose

To investigate safety and efficacy of Femtolaser-assisted LASIK with different laser ablation patterns to correct medium to high hyperopic defect. 

Setting

Multicenter clinical practice: 1. Cornea and Refractive Surgery Unit - A. Gemelli University Polyclinic Foundation, Rome, Italy; 2. Primavista Eye Clinic, Rome, Italy

Methods

178 eyes of 104 patients with medium to high hyperopic defect. Group A1: 89 eyes (mean spherical equivalent (MRSE) of +2.99 Dioptres (D) ± 1.24 SD, range +0.75/+5.25 D) submitted to 60 kHz FemtoLASIK with Technolas 217C; Group A2: 43 eyes (MRSE of +3.18D ± 1,21 SD, range +1.25/+5.75 D) was submitted to 60 kHz FemtoLASIK with Teneo 317; Group B1: 21 eyes (MRSE of +3.43D ± 0.98 SD, range +1,25/+6 D) underwent 150 kHz FemtoLASIK with VISX S4; Group B2: 25 eyes (MRSE of +2.71D ± 1.42 SD, range +0.50/+5.25 D) was submitted to 150 kHz FemtoLASIK with VISX S4 customized wavefront laser ablation. Mainmeasures: uncorrected visual acuity (UCVA) and best-spectacle corrected visual acuity (BSCVA).

Results

One year postoperatively, UCVA was 0.96 ± 0.07 SD and BSCVA was 0.98 ± 0.05 SD in Group A1; UCVA was 0.95 ± 0.21 SD and BSCVA was 0.98 ± 0.15 SD in Group A2; in Group B1, UCVA was 0.98 ± 0.04 SD and BSCVA was 0.99 ± 0.06 SD; in Group B2, UCVA was 0.90 ± 0.17 SD and BSCVA was 0.93 ± 0.14 SD. Stability of refraction obtained from three months postoperatively.

Conclusions

Femtolaser assisted LASIK resulted safe and effective to correct medium to high hyperopia. 150 kHz femtolaser unit allows to reduce the amount of energy employed and the related surgical time. Customized wavefront treatments may be useful in case of larger pupil diameter.