PMID- 8753984
OWN - NLM
STAT- MEDLINE
DCOM- 19960917
LR  - 20081121
IS  - 0941-293X (Print)
IS  - 0941-293X (Linking)
VI  - 93
IP  - 3
DP  - 1996 Jun
TI  - [Intrastromal keratectomy in high myopia. 1 year results].
PG  - 237-41
AB  - Photorefractive keratectomy (PRK) by excimer laser is now a scientifically 
      established treatment method in low and moderate myopia. In high and very high 
      myopia, however, the formation of severe corneal haze or scars and a considerable 
      regression of refraction remain obstacles to the use of PRK. One approach to 
      these two problems is to perform an intrastromal keratectomy. PATIENTS AND 
      METHOD. Between September 1992 and September 1994 intrastromal keratectomy was 
      carried out in 42 eyes with myopia between -8.625 and -36 D. Twenty-one eyes 
      (spherical equivalent of pre-operative refraction between -12.12 and -36 D) were 
      treated by keratomileusis in situ, and 21 eyes (spherical equivalent of 
      pre-operative refraction between -8.625 and -29.25 D) by intrastromal excimer 
      laser keratectomy. Thirty-two eyes were followed up for at least 12 months. 
      RESULTS. The post-operative refraction (spherical equivalent) ranged between 
      +1.375 D and -5.0 D in the keratomileusis in situ group and between +1.5 D and 
      -3.0 D in the intrastromal excimer laser keratectomy group. Nearly all patients 
      regained their pre-operative visual acuity quickly. In the long-term follow-up (1 
      year) no significant regression of refraction occurred; the pre-operative visual 
      acuity was regained in both groups after 1 year. Significant astigmatism was not 
      induced. CONCLUSIONS. Intrastromal keratectomy is able to correct even very high 
      myopias quite precisely and without regression of the refractive outcome. In 
      addition, considerable haze can be avoided. For these reasons, in high and very 
      high myopia intrastromal keratectomy seems to be superior to conventional 
      anterior photorefractive keratectomy (PRK) by excimer laser.
FAU - Wiegand, W
AU  - Wiegand W
AD  - Allgemeines Krankenhaus Heidberg, Hamburg.
FAU - Krusenberg, B
AU  - Krusenberg B
FAU - Volk, J
AU  - Volk J
FAU - Kroll, P
AU  - Kroll P
LA  - ger
PT  - English Abstract
PT  - Journal Article
TT  - Intrastromale Keratektomie bei hoher Myopie. 1-Jahres-Ergebnisse.
PL  - Germany
TA  - Ophthalmologe
JT  - Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
JID - 9206148
SB  - IM
MH  - Adult
MH  - Corneal Stroma/*surgery
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Lasers, Excimer
MH  - Male
MH  - Middle Aged
MH  - Myopia/classification/*surgery
MH  - *Photorefractive Keratectomy
MH  - Postoperative Complications/*etiology
MH  - *Refraction, Ocular
MH  - Treatment Outcome
MH  - Visual Acuity/physiology
EDAT- 1996/06/01 00:00
MHDA- 1996/06/01 00:01
CRDT- 1996/06/01 00:00
PHST- 1996/06/01 00:00 [pubmed]
PHST- 1996/06/01 00:01 [medline]
PHST- 1996/06/01 00:00 [entrez]
PST - ppublish
SO  - Ophthalmologe. 1996 Jun;93(3):237-41.