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Corneal curvature, asphericity, and aberrations after transepithelial photorefractive keratectomy and femtosecond laser-assisted in situ keratomileusis for myopia: A prospective comparative study

PURPOSE: We aimed to compare transepithelial photorefractive keratectomy (TPRK) and femtosecond laser-assisted in situ keratomileusis (FS-LASIK) for myopia treatment by analyzing corneal curvature, asphericity (Q-value), and corneal aberration. METHODS: Corneal topography was measured before and 6 m...

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Autores principales: Zhang, Ya-Li, Xu, Xiang-Hui, Cao, Li-Jun, Liu, Lei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7856998/
https://www.ncbi.nlm.nih.gov/pubmed/33229675
http://dx.doi.org/10.4103/ijo.IJO_1106_20
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author Zhang, Ya-Li
Xu, Xiang-Hui
Cao, Li-Jun
Liu, Lei
author_facet Zhang, Ya-Li
Xu, Xiang-Hui
Cao, Li-Jun
Liu, Lei
author_sort Zhang, Ya-Li
collection PubMed
description PURPOSE: We aimed to compare transepithelial photorefractive keratectomy (TPRK) and femtosecond laser-assisted in situ keratomileusis (FS-LASIK) for myopia treatment by analyzing corneal curvature, asphericity (Q-value), and corneal aberration. METHODS: Corneal topography was measured before and 6 months after the TPRK or FS-LASIK surgery. We measured and compared corneal curvature (sagittal curvature in the 1- to 7-mm zones), change in keratometric measurements (Kmpost – Kmpre, ΔK), Q-values (from the vertex of the 6-, 7-, 8-, and 9-mm zones), higher-order aberration (HOA), vertical and horizontal trefoil (Z3(-3) and Z3(3)), vertical and horizontal coma (Z3(-1) and Z3(1)), and spherical aberration (Z4(0)) between the two surgery groups. RESULTS: The sagittal curvature Δ K in the 1-mm zone after TPRK was significantly higher than after FS-LASIK. The Δ K/ΔSE (ΔSE [spherical equivalent] = SEpre – SEpost) ratio in the 1- to 4-mm diameter zones was significantly higher after TPRK than after FS-LASIK. The preoperative Q-values of the 6- and 7-mm zones did not differ between the treatment groups, but postoperative values were significantly higher following FS-LASIK than following TPRK. HOA, Z4(0), and Z3(-1) were all significantly higher after surgery in both groups. Postoperative Z3(-3) was significantly higher following TPRK but not following FS-LASIK. There were no postoperative differences in aberrations in either group; however, the change in HOA and Z3(-1) was significantly greater following FS-LASIK. CONCLUSION: TPRK changes the corneal curvature to a greater extent and the visual quality (Q-value, aberrations) to a lesser extent than FS-LASIK.
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spelling pubmed-78569982021-02-05 Corneal curvature, asphericity, and aberrations after transepithelial photorefractive keratectomy and femtosecond laser-assisted in situ keratomileusis for myopia: A prospective comparative study Zhang, Ya-Li Xu, Xiang-Hui Cao, Li-Jun Liu, Lei Indian J Ophthalmol Original Article PURPOSE: We aimed to compare transepithelial photorefractive keratectomy (TPRK) and femtosecond laser-assisted in situ keratomileusis (FS-LASIK) for myopia treatment by analyzing corneal curvature, asphericity (Q-value), and corneal aberration. METHODS: Corneal topography was measured before and 6 months after the TPRK or FS-LASIK surgery. We measured and compared corneal curvature (sagittal curvature in the 1- to 7-mm zones), change in keratometric measurements (Kmpost – Kmpre, ΔK), Q-values (from the vertex of the 6-, 7-, 8-, and 9-mm zones), higher-order aberration (HOA), vertical and horizontal trefoil (Z3(-3) and Z3(3)), vertical and horizontal coma (Z3(-1) and Z3(1)), and spherical aberration (Z4(0)) between the two surgery groups. RESULTS: The sagittal curvature Δ K in the 1-mm zone after TPRK was significantly higher than after FS-LASIK. The Δ K/ΔSE (ΔSE [spherical equivalent] = SEpre – SEpost) ratio in the 1- to 4-mm diameter zones was significantly higher after TPRK than after FS-LASIK. The preoperative Q-values of the 6- and 7-mm zones did not differ between the treatment groups, but postoperative values were significantly higher following FS-LASIK than following TPRK. HOA, Z4(0), and Z3(-1) were all significantly higher after surgery in both groups. Postoperative Z3(-3) was significantly higher following TPRK but not following FS-LASIK. There were no postoperative differences in aberrations in either group; however, the change in HOA and Z3(-1) was significantly greater following FS-LASIK. CONCLUSION: TPRK changes the corneal curvature to a greater extent and the visual quality (Q-value, aberrations) to a lesser extent than FS-LASIK. Wolters Kluwer - Medknow 2020-12 2020-11-23 /pmc/articles/PMC7856998/ /pubmed/33229675 http://dx.doi.org/10.4103/ijo.IJO_1106_20 Text en Copyright: © 2020 Indian Journal of Ophthalmology http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Zhang, Ya-Li
Xu, Xiang-Hui
Cao, Li-Jun
Liu, Lei
Corneal curvature, asphericity, and aberrations after transepithelial photorefractive keratectomy and femtosecond laser-assisted in situ keratomileusis for myopia: A prospective comparative study
title Corneal curvature, asphericity, and aberrations after transepithelial photorefractive keratectomy and femtosecond laser-assisted in situ keratomileusis for myopia: A prospective comparative study
title_full Corneal curvature, asphericity, and aberrations after transepithelial photorefractive keratectomy and femtosecond laser-assisted in situ keratomileusis for myopia: A prospective comparative study
title_fullStr Corneal curvature, asphericity, and aberrations after transepithelial photorefractive keratectomy and femtosecond laser-assisted in situ keratomileusis for myopia: A prospective comparative study
title_full_unstemmed Corneal curvature, asphericity, and aberrations after transepithelial photorefractive keratectomy and femtosecond laser-assisted in situ keratomileusis for myopia: A prospective comparative study
title_short Corneal curvature, asphericity, and aberrations after transepithelial photorefractive keratectomy and femtosecond laser-assisted in situ keratomileusis for myopia: A prospective comparative study
title_sort corneal curvature, asphericity, and aberrations after transepithelial photorefractive keratectomy and femtosecond laser-assisted in situ keratomileusis for myopia: a prospective comparative study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7856998/
https://www.ncbi.nlm.nih.gov/pubmed/33229675
http://dx.doi.org/10.4103/ijo.IJO_1106_20
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