PMID- 31024822 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 2222-3959 (Print) IS - 2227-4898 (Electronic) IS - 2222-3959 (Linking) VI - 12 IP - 4 DP - 2019 TI - Paired eye-control study of unilateral opaque bubble layer in femtosecond laser assisted laser in situ keratomileusis. PG - 654-659 LID - 10.18240/ijo.2019.04.21 [doi] AB - AIM: To investigate the predictive factors of the opaque bubble layer (OBL) compared to the fellow eye of same patients in FS200 femtosecond laser assisted laser in situ keratomileusis (FS-LASIK). METHODS: This study consisted of 60 consecutive patients (120 eyes) with unilateral OBL during FS-LASIK. Eyes were divided into OBL (the OBL eyes) and OBL-free groups (the fellow eyes) based on the occurrence of OBL. The preoperative demographic data, refraction, keratometry, corneal astigmatism, pachymetry, intraocular pressure and intraoperative data including the outlet location of gas diffusing canal were collected. Conditional logistic regression analysis was performed to find the associated factors with OBL in the two groups by determining odds ratios (OR) and 95%CI. RESULTS: The preoperative demographic data, mean spherical errors, mean K value, suction time, intraocular pressure and central cornea thickness were not significantly different between the two groups. The outlet location of gas diffusing canal (P<0.01, OR 7.16, 95%CI 2.53-20.32) and the corneal astigmatism (P=0.013, OR 0.13, 95%CI 0.03-0.65) were significantly associated with the incidence of OBL by multivariate logistic regression analysis. Visual acuity, efficacy, and safety were comparable between the two groups two months after surgery except for a slightly lower predictability value for the hard OBL eyes. CONCLUSION: The reduction of the incidence of OBL is obvious when the outlet of gas diffusing canal located at the posterior border of the corneoscleral limbus. This is probably consequent to more effectiveness of gas diffusing canal. Corneal astigmatism is also an independent protective factor for OBL formation. FAU - Wei, Cheng-Hua AU - Wei CH AD - Department of Ophthalmology, the Second Affiliated Hospital of Soochow University, Suzhou 215004, Jiangsu Province, China. AD - Department of Ophthalmology, the First Affiliated Hospital of Wannan Medical College, Wuhu 241000, Anhui Province, China. FAU - Dai, Qiao-Yun AU - Dai QY AD - Department of Ophthalmology, the First Affiliated Hospital of Wannan Medical College, Wuhu 241000, Anhui Province, China. FAU - Mei, Li-Xin AU - Mei LX AD - Department of Ophthalmology, the First Affiliated Hospital of Wannan Medical College, Wuhu 241000, Anhui Province, China. FAU - Ge, Yao AU - Ge Y AD - Department of Ophthalmology, the First Affiliated Hospital of Wannan Medical College, Wuhu 241000, Anhui Province, China. FAU - Zhang, Peng-Fei AU - Zhang PF AD - Department of Ophthalmology, the First Affiliated Hospital of Wannan Medical College, Wuhu 241000, Anhui Province, China. FAU - Song, E AU - Song E AD - Department of Ophthalmology, Lixiang Eye Hospital of Soochow University, Suzhou 215021, Jiangsu Province, China. LA - eng PT - Journal Article DEP - 20190418 PL - China TA - Int J Ophthalmol JT - International journal of ophthalmology JID - 101553860 PMC - PMC6469571 OTO - NOTNLM OT - LASIK OT - femtosecond laser OT - location of gas diffusing canal OT - opaque bubble layer EDAT- 2019/04/27 06:00 MHDA- 2019/04/27 06:01 PMCR- 2019/04/18 CRDT- 2019/04/27 06:00 PHST- 2018/09/05 00:00 [received] PHST- 2018/10/19 00:00 [accepted] PHST- 2019/04/27 06:00 [entrez] PHST- 2019/04/27 06:00 [pubmed] PHST- 2019/04/27 06:01 [medline] PHST- 2019/04/18 00:00 [pmc-release] AID - ijo-12-04-654 [pii] AID - 10.18240/ijo.2019.04.21 [doi] PST - epublish SO - Int J Ophthalmol. 2019 Apr 18;12(4):654-659. doi: 10.18240/ijo.2019.04.21. eCollection 2019.