PMID- 29403606 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220311 IS - 2008-5842 (Print) IS - 2008-5842 (Electronic) IS - 2008-5842 (Linking) VI - 9 IP - 11 DP - 2017 Nov TI - Outcomes of photorefractive keratectomy in patients with atypical topography. PG - 5684-5688 LID - 10.19082/5684 [doi] AB - BACKGROUND: Photorefractive keratectomy (PRK) is at risk of serious complications such as corneal ectasia, which can reduce corrected distance visual acuity. The rate of complications of PRK is higher in patients with atypical topography. OBJECTIVE: To determine the outcomes of photorefractive keratectomy in patients with atypical topography. METHODS: This cross-sectional study was done in 2015 in Shiraz in Iran. We included 85 eyes in this study. The samples were selected using a simple random sampling method. All patients were under evaluation for uncorrected distance visual acuity, corrected distance visual acuity, manifest refraction, corneal topography, central corneal thickness using pentacam, slit-lamp microscopy, and detailed fondus evaluation. The postoperative examination was done 1-7 years after surgery. Data were analyzed using IBM SPSS 21.0 version. To analyze the data, descriptive statistics (frequency, percentage, mean, and standard deviation), chi-square, and independent samples t-test were used. RESULTS: We studied 85 eyes. Among the patients, 23 (27.1%) were male and 62 (72.9%) were female. Mean age of the participants was 28.25+/-5.55 years. Mean postoperative refraction was - 0.37+/-0.55 diopters. Keratoconus or corneal ectasia was not reported in any patient in this study. There was no statistically significant difference between SI index before and after operation (p=0.736). Mean preoperative refraction was -3.84 +/- 1.46 diopters in males and -4.20+/-1.96 diopters in females; thus there was not statistically significant difference (p = 0.435). CONCLUSION: PRK is a safe and efficient photorefractive surgery and is associated with low complication rate in patients with atypical topography. FAU - Movahedan, Hossein AU - Movahedan H AD - M.D., Associate Professor of Ophthalmology, Poostchi Ophthalmology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. FAU - Namvar, Ehsan AU - Namvar E AD - M.D., Resident of Ophthalmology, Ophtalmology Department, Shiraz University of Medical Sciences, Shiraz, Iran. FAU - Farvardin, Mohsen AU - Farvardin M AD - Professor of ophthalmology, Poostchi Ophthalmology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. LA - eng PT - Journal Article DEP - 20171125 PL - Iran TA - Electron Physician JT - Electronic physician JID - 101645099 PMC - PMC5783115 OTO - NOTNLM OT - Atypical topography OT - Keratoconus OT - Photorefractive keratectomy COIS- Conflict of Interest: There is no conflict of interest to be declared. EDAT- 2018/02/07 06:00 MHDA- 2018/02/07 06:01 PMCR- 2017/11/25 CRDT- 2018/02/07 06:00 PHST- 2016/05/12 00:00 [received] PHST- 2016/08/30 00:00 [accepted] PHST- 2018/02/07 06:00 [entrez] PHST- 2018/02/07 06:00 [pubmed] PHST- 2018/02/07 06:01 [medline] PHST- 2017/11/25 00:00 [pmc-release] AID - epj-09-5684 [pii] AID - 10.19082/5684 [doi] PST - epublish SO - Electron Physician. 2017 Nov 25;9(11):5684-5688. doi: 10.19082/5684. eCollection 2017 Nov.