PMID- 28188942 OWN - NLM STAT- MEDLINE DCOM- 20170404 LR - 20220321 IS - 1735-9694 (Electronic) IS - 0044-6025 (Linking) VI - 55 IP - 1 DP - 2017 Jan TI - Photorefractive Keratectomy With Mitomycin-C for High Myopia: Three Year Follow-Up Results. PG - 42-48 AB - Photorefractive keratectomy (PRK) is a safe and effective surgical keratorefractive technique which is done with the application of mitomycin-C (MMC) in cases of high myopia to prevent the formation of corneal haze This study was conducted to evaluate 3-year visual acuity and quality outcomes of PRK-MMC in high myopia. This before-after study was conducted on 20 individuals (40 eyes) with myopia more than 6.0 diopter (D). Visual acuity and quality indices were evaluated before and three years after the procedure and their stability was examined between the 1st and 3rd years. At 3 years after surgery, mean uncorrected visual acuity was 0.03+/-0.06 in the logarithm of minimum angle of resolution (logMAR) unit which showed a significant improvement when compared to baseline (P<0.001) and means best corrected visual acuity was 0.03+/-0.06 logMAR, which showed no significant difference (P=0.730). Manifest refraction spherical equivalent (MRSE) at 3 years (-0.12+/-0.2D) was significantly decreased when compared to baseline (P<0.001), but it did not change significantly after the 1st year and was stable (P=0.368). Mean coma and spherical aberration 3 years postoperatively were -0.54+/-0.26 microm and 0.46+/-0.19 microm, respectively, and neither parameter showed significant differences when compared to baseline (P<0.001). No significant change was found in mesopic contrast sensitivity. The long-term results of this study showed that PRK-MMC could be regarded an effective, safe, and stable procedure in patients with myopia more than 6.0 D. FAU - Hashemi, Hassan AU - Hashemi H AD - Noor Ophthalmology Research Center, Noor Eye Hospital, Tehran, Iran. FAU - Salimi, Yahya AU - Salimi Y AD - Noor Ophthalmology Research Center, Noor Eye Hospital, Tehran, Iran. AND Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. FAU - Pir, Poopak AU - Pir P AD - Noor Research Center for Ophthalmic Epidemiology, Noor Eye Hospital, Tehran, Iran. FAU - Asgari, Soheila AU - Asgari S AD - Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. LA - eng PT - Journal Article PL - Iran TA - Acta Med Iran JT - Acta medica Iranica JID - 14540050R RN - 50SG953SK6 (Mitomycin) SB - IM MH - Adult MH - Contrast Sensitivity MH - Cornea/metabolism MH - Female MH - Follow-Up Studies MH - Humans MH - Lasers, Excimer/therapeutic use MH - Male MH - Mitomycin/*administration & dosage MH - Myopia/*surgery MH - Photorefractive Keratectomy/*methods MH - Postoperative Period MH - Treatment Outcome MH - *Visual Acuity MH - Young Adult OTO - NOTNLM OT - Aberration OT - High myopia OT - Mitomycin C OT - Photorefractive keratectomy OT - Visual acuity OT - Visual quality EDAT- 2017/02/12 06:00 MHDA- 2017/04/05 06:00 CRDT- 2017/02/12 06:00 PHST- 2017/01/05 00:00 [accepted] PHST- 2017/02/12 06:00 [entrez] PHST- 2017/02/12 06:00 [pubmed] PHST- 2017/04/05 06:00 [medline] PST - ppublish SO - Acta Med Iran. 2017 Jan;55(1):42-48.