Development of a nomogram for femtosecond laser astigmatic keratotomy for astigmatism after keratoplasty.
نویسندگان
چکیده
PURPOSE To develop a nomogram for femtosecond laser astigmatic keratotomy (AK) to treat post-keratoplasty astigmatism. SETTING Three academic medical centers. DESIGN Retrospective interventional case series. METHODS A review of post-keratoplasty femtosecond laser AK was performed. Uncorrected (UDVA) and corrected (CDVA) distance visual acuities, manifest refraction, and keratometry were recorded preoperatively and 1, 3, 6, and 12 months postoperatively. The location, length, depth, and diameter of the AK incisions were recorded, and the surgically induced astigmatic correction was related to these variables using regression analysis. RESULTS One hundred forty femtosecond laser AK procedures were performed after penetrating keratoplasty (PKP) (n = 129) or deep anterior lamellar keratoplasty (DALK) (n =11), with 89 procedures (80 PKP, 9 DALK) included in the analysis. The mean CDVA improved from 20/59 (0.47 logMAR ± 0.38 [SD]) preoperatively to 20/45 (0.35 ± 0.31 logMAR) postoperatively (P = .013) (n = 46). The mean keratometric astigmatism decreased from 8.26 ± 2.90 diopters (D) preoperatively to 3.62 ± 2.59 D postoperatively (P < .0001) (n = 89). The mean refractive cylinder decreased from 6.77 ± 2.80 D preoperatively to 2.85 ± 2.57 D postoperatively (P < .0001) (n = 69). A nomogram for femtosecond laser AK to treat post-keratoplasty astigmatism was generated using regression analysis. CONCLUSIONS Femtosecond laser AK significantly improved UDVA and CDVA and significantly reduced keratometric astigmatism and refractive cylinder after keratoplasty. The nomogram generated should improve the accuracy of post-keratoplasty femtosecond laser AK. FINANCIAL DISCLOSURE None of the authors has a financial or proprietary interest in any material or method mentioned.
منابع مشابه
Femtosecond - Assisted Astigmatic Keratotomy
T he treatment of moderate to high astigmatism is challenging for the refractive surgeon. Even in experienced hands, 40% of patients who undergo penetrating keratoplasty (PKP) are left with more than 4.00 D of astigmatism.1 Spectacles, contact lenses, excimer laser ablation, toric IOLs, and tissue-relaxing procedures have been used for a long time in the treatment of preexisting and postsurgica...
متن کاملFemtosecond laser-assisted astigmatic keratotomy: a review
Background Astigmatic keratotomy (AK) remains an accessible means to correct surgically induced or naturally occurring astigmatism. The advantages of femtosecond laser-assisted astigmatic keratotomy (FSAK) over conventional methods have been recognized recently. Main text This review evaluates the efficacy, complications, and different methods of FSAK for correction of astigmatism in native e...
متن کاملLong-term outcomes after mechanized arcuate keratotomy for the correction of astigmatism after keratoplasty.
The management of high postoperative astigmatism remains a major challenge for corneal refractive surgeons and various techniques have been evaluated.1 The recent introduction and development of femtosecond laser-assisted keratotomy could potentially combine a wide range of corrections with the accuracy and safety of laser treatment.2,3 Assessing the long-term visual and keratometric outcomes o...
متن کاملNon-penetrating femtosecond laser intrastromal astigmatic keratotomy in patients with mixed astigmatism after previous refractive surgery.
PURPOSE To report the outcomes of the correction of mixed astigmatism with non-penetrating femtosecond laser intrastromal astigmatic keratotomy in patients with previous refractive surgery. METHODS One hundred twelve eyes that had low mixed astigmatism after excimer laser surgery, refractive lens exchange, or phakic intraocular lens implantation underwent intrastromal astigmatic keratotomy us...
متن کاملAdvances in femtosecond laser technology
Femtosecond laser technology has become widely adopted by ophthalmic surgeons. The purpose of this study is to discuss applications and advantages of femtosecond lasers over traditional manual techniques, and related unique complications in cataract surgery and corneal refractive surgical procedures, including: LASIK flap creation, intracorneal ring segment implantation, presbyopic treatments, ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Journal of cataract and refractive surgery
دوره 42 4 شماره
صفحات -
تاریخ انتشار 2016