femtosecond laser arcuate keratotomy for the correction of postkeratoplasty high astigmatism in keratoconus
نویسندگان
چکیده
background: astigmatism is the leading complication in visual recovery after penetrating keratoplasty (pkp) and deep anterior lamellar keratoplasty (dalk); in this study, we evaluated the outcome of femtosecond laser arcuate keratotomy (flak) after dalk and pkp in iranian keratoconic patients. materials and methods: in this prospective interventional case series, refractive and keratometric predictability, efficacy, and complications of flak for postkeratoplasty astigmatism in keratoconus were evaluated; 23 eyes of 23 consecutive patients (mean age of 32.43 ± 9.11 years) with high astigmatism were enrolled. the femtosecond laser performed paired 90°?angled arcuate incisions. results: mean logarithm of the minimum angle of resolution of corrected and uncorrected visual acuity improved from preoperative values of 0.30 ± 0.18 and 0.85 ± 0.32 to 6?month values of 0.19 ± 0.17 and 0.65 ± 0.33, respectively ( p < 0.05). mean subjective astigmatism was 7.79 ± 2.64 diopter (d) preoperatively and 3.69 ± 2.25d at 6?month after surgery ( p < 0.05). surgically induced astigmatism was 9.27 ± 5.00d. mean refractive spherical equivalent showed no significant ( p = 0.69) hyperopic shift from ? 4.21 ± 4.84d preoperatively to ? 2.16 ± 6.09d postoperatively. two (8.7%) microperforations were observed. conclusion: flak is a relatively safe and effective method for the treatment of postkeratoplasty astigmatism.
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عنوان ژورنال:
journal of research in medical sciencesجلد ۲۱، شماره ۱۱، صفحات ۰-۰
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