PMID- 36913543
OWN - NLM
STAT- MEDLINE
DCOM- 20230703
LR  - 20231127
IS  - 1873-4502 (Electronic)
IS  - 0886-3350 (Linking)
VI  - 49
IP  - 7
DP  - 2023 Jul 1
TI  - Long-term results of hyperopic ablations using alcohol-assisted PRK and FS-LASIK: 
      comparative study.
PG  - 716-723
LID - 10.1097/j.jcrs.0000000000001183 [doi]
AB  - PURPOSE: To evaluate the long-term visual and refractive outcomes of hyperopic 
      excimer ablation using alcohol-assisted photorefractive keratectomy (PRK) and 
      femtosecond laser-assisted laser in situ keratomileusis (FS-LASIK). SETTING: 
      American University of Beirut Medical Center, Beirut, Lebanon. DESIGN: 
      Retrospective, matched comparative study. METHODS: Eyes that underwent 
      alcohol-assisted PRK were compared to matched eyes that underwent FS-LASIK. All 
      patients were followed up for at least 3 years after surgery. The refractive and 
      visual outcomes of each group were compared at different postoperative time 
      points. The main outcome measures were spherical equivalent deviation from target 
      (SEDT), manifest refraction, and visual acuity. RESULTS: 83 eyes underwent 
      alcohol-assisted PRK and 83 matched eyes underwent FS-LASIK. Preoperative 
      manifest refraction spherical equivalent was 2.44 +/- 1.18 diopters (D) and 2.20 +/- 
      0.87 D ( P = .133) in the PRK and FS-LASIK groups, respectively. Preoperative 
      manifest cylinder was -0.77 +/- 0.89 D and -0.61 +/- 0.59 D ( P = .175) for the PRK 
      and LASIK groups, respectively. 3 years postoperatively, SEDT was 0.28 +/- 0.66 D 
      and 0.40 +/- 0.56 D for the PRK and LASIK groups, respectively ( P = .222), whereas 
      manifest cylinder was -0.55 +/- 0.49 D and -0.30 +/- 0.34 D for PRK and LASIK, 
      respectively ( P < .001). The mean difference vector was 0.59 +/- 0.46 for PRK and 
      0.38 +/- 0.32 for LASIK ( P < .001). 13.3% of PRK eyes and 0% of LASIK eyes had >1 
      D of manifest cylinder ( P = .003). CONCLUSIONS: Both alcohol-assisted PRK and 
      FS-LASIK are safe and effective for the treatment of hyperopia. PRK induces 
      slightly more postoperative astigmatism than LASIK. Larger optical zones and 
      recently introduced ablation profiles that lead to a smoother ablation surface 
      might improve the clinical results of hyperopic PRK.
CI  - Copyright (c) 2023 Published by Wolters Kluwer on behalf of ASCRS and ESCRS.
FAU - Asroui, Lara
AU  - Asroui L
AD  - From the Department of Ophthalmology, American University of Beirut Medical 
      Center, Beirut, Lebanon (Asroui, Torbey, Ahmed, Fattah, Koaik, Awwad); Department 
      of Research and Development, SCHWIND eye-tech-solutions GmbH & Co. KG, 
      Kleinostheim, Germany (Arba-Mosquera).
FAU - Arba-Mosquera, Samuel
AU  - Arba-Mosquera S
AUID- ORCID: 0000-0002-3152-0557
FAU - Torbey, Julien
AU  - Torbey J
AUID- ORCID: 0000-0001-6303-5989
FAU - Ahmed, Mohamad A
AU  - Ahmed MA
FAU - Fattah, Maamoun A
AU  - Fattah MA
AUID- ORCID: 0000-0003-3462-4260
FAU - Koaik, Mona
AU  - Koaik M
FAU - Awwad, Shady T
AU  - Awwad ST
AUID- ORCID: 0000-0002-6100-0587
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Cataract Refract Surg
JT  - Journal of cataract and refractive surgery
JID - 8604171
SB  - IM
MH  - Humans
MH  - *Photorefractive Keratectomy/methods
MH  - *Keratomileusis, Laser In Situ/methods
MH  - *Hyperopia/surgery
MH  - Retrospective Studies
MH  - Lasers, Excimer/therapeutic use
MH  - Refraction, Ocular
MH  - Cornea/surgery
MH  - Treatment Outcome
EDAT- 2023/03/14 06:00
MHDA- 2023/07/03 06:42
CRDT- 2023/03/13 14:43
PHST- 2022/10/21 00:00 [received]
PHST- 2023/03/04 00:00 [accepted]
PHST- 2023/07/03 06:42 [medline]
PHST- 2023/03/14 06:00 [pubmed]
PHST- 2023/03/13 14:43 [entrez]
AID - 02158034-202307000-00012 [pii]
AID - 10.1097/j.jcrs.0000000000001183 [doi]
PST - ppublish
SO  - J Cataract Refract Surg. 2023 Jul 1;49(7):716-723. doi: 
      10.1097/j.jcrs.0000000000001183.