Abstract：
INTRODUCTION:To evaluate the long-term refractive results of laser in situ keratomileusis (LASIK) and photorefractive keratectomy (PRK) performed by the military in a veteran population. MATERIALS AND METHODS:Three Department of Veterans Affairs (VA) hospital sites (Puget Sound, Buffalo, and Washington D.C.) obtained IRB approval for this multi-center study. Comprehensive ophthalmologic assessment including refraction and keratometry were obtained at the time of the long-term VA examination and compared to the patients' postoperative military records. RESULTS:Eighty patients (160 eyes) enrolled in this study. At the time of treatment, patients were 21-52 years of age. Long-term post-operative data was available from 4 to 17 years post-operatively. Fifteen percent of the treatment types were LASIK and 85% PRK. At the time of their military post-operative exam (range 3-14 months, mean 4 months), 82% of patients had uncorrected visual acuity (UCVA) of 20/20 or better, and their average manifest refraction was -0.08 D (SD ± 0.48 D). At the time of the long-term ophthalmological exam at the VA medical centers (range 4-11 years, mean of 8.2 years), 49% of patients had an UCVA of 20/20 or better and an average manifest refraction was -0.64 D (SD ± 0.69 D). CONCLUSION:This is the first long-term study evaluating refractive surgery outcomes up to 17 years in a military population. Our study demonstrates safety after refractive surgery in the military with less than 0.1D increase in myopia per year and strong keratometric stability. Other changes in the eye may be the likely cause for this observed mild refractive shift.
journal_name
Mil Medjournal_title
Military medicineauthors
Godiwalla RY,Magone MT,Kaupp SB,Jung H,Cason JBdoi
10.1093/milmed/usz096subject
Has Abstractpub_date
2019-12-01 00:00:00pages
e808-e812issue
11-12eissn
0026-4075issn
1930-613Xpii
5498199journal_volume
184pub_type
杂志文章abstract：INTRODUCTION:Medical error is the third leading cause of death in the United States, contributing to suboptimal care, serious patient injury, and mortality among beneficiaries in the Military Health System. Recent media reports have scrutinized the safety and quality of military healthcare, including surgical complicat...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz330
更新日期：2020-03-02 00:00:00
abstract：:To date, there has been no analysis of the skills or attributes predicting success in female trainees who undergo traditionally male elite military training. This retrospective case control study characterized variables specific to females in the Special Operations Combat Medic course. 20/39 males and 15/38 females su...
journal_title：Military medicine
pub_type： 杂志文章
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abstract：:Spectacle incompatibility has been a major problem in the fielding of advanced Army avionic and electro-optical systems. As a result, routine contact lens wear may be instituted as an option to spectacles. Refractive error data were extracted from the Aviation Epidemiological Data Registry, a computer-accessible repos...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1993-08-01 00:00:00
abstract：Introduction:This review summarizes the research conducted on botulinum toxin (BoTx) from 1943 to 1956 by a small group of Camp Detrick investigators and their staff. A systematic, cross-disciplinary approach was used to develop effective vaccines against this biological warfare threat agent. In response to the potenti...
journal_title：Military medicine
pub_type： 历史文章,杂志文章,评审
doi：10.1093/milmed/usx047
更新日期：2018-05-01 00:00:00
abstract：:Data from 12 Department of Veterans Affairs patients hospitalized for status asthmaticus were analyzed to determine the rate and degree of response to therapy. The time to achieve recovery was directly related to the level of baseline obstruction at the time of hospital admission. The recovery rate was constant and co...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1998-03-01 00:00:00
abstract：:This study compared the effects of a higher protein supplement manufactured from milk vs. a commercially available higher carbohydrate supplement on serum markers of muscle damage, anaerobic exercise, choice reaction time, and body composition during 2 weekends of vigorous hikes with simulated mountain skirmishes. Thi...
journal_title：Military medicine
pub_type： 杂志文章,随机对照试验
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更新日期：2012-06-01 00:00:00
abstract：:The regulatory aspects of generic drug substitution and the scientific concepts that serve as the basis for generic drug approval are discussed, with emphasis on the source of therapeutic equivalence information compiled by the Food and Drug Administration in Approved Drug Products with Therapeutic Equivalence Evaluat...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1998-04-01 00:00:00
abstract：:This study of 10 patients presents the early results of a protocol of debridement, antibiotic bead placement, and use of the Ilizarov method with a circular external fixator for treatment of infected nonunions of the tibia in a military population. The nonunions resulted from high-energy fractures in nine cases and an...
journal_title：Military medicine
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更新日期：2004-09-01 00:00:00
abstract：:Despite significant advances in hearing protection and compliance with protective standards, military personnel are still subject to noise-induced hearing loss in many combat and combat support operations. Although the Army has experienced a decrease of some 15% in primary hearing loss disability cases since 1986, a f...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2003-06-01 00:00:00
abstract：:Damage to the lymphatic vessels may occur after surgery on the greater saphenous vein. We describe the development of a lymphocele in a patient after saphenous vein harvesting for a coronary artery bypass graft. Treatment of these lymphoceles should initially be conservative, but if this approach fails, surgical excis...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1991-03-01 00:00:00
abstract：:Leishmania infections in American veterans of Iraq and Afghanistan have raised concern that veterans could serve as reservoirs of Old World parasites for domestic vector populations. A survey of sand flies on three U.S. Army facilities in the southern United States was conducted to identify potential vectors. Five spe...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-00-4309
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abstract：:Laser in situ keratomileusis (LASIK) has become the community standard in corneal refractive surgery and is being performed by surgeons in the Army, Navy, and Air Force. LASIK differs from photorefractive keratectomy (PRK) in that a partial-thickness corneal flap is created in the LASIK procedure before removing a mic...
journal_title：Military medicine
pub_type： 杂志文章
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更新日期：2004-04-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1994-05-01 00:00:00
abstract：:The potential of dental emergencies to reduce combat effectiveness is a major concern of military planners. The dental fitness classification is teh primary measure of an airman's dental readiness. A dental class 3 identification means that the airman has a dental condition that is likely to cause a dental emergency w...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1998-04-01 00:00:00
abstract：BACKGROUND:Combat casualties have endured an increase in traumatic lower extremity amputations secondary to improvised explosive devices. Often surgical control of the proximal vasculature is required. We evaluate the safety profile of exploratory laparotomy (EXLAP) for proximal control (PC) in combat-injured patients....
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00155
更新日期：2016-05-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usx191
更新日期：2018-09-01 00:00:00
abstract：:Critically injured patients are at risk for hypothermia. This study determined the efficacy of three hypothermia prevention strategies: the ChillBuster warming blanket, ChillBuster with a reflective blanket, and two wool blankets. A quasi-experimental design was used to compare changes in core temperature. Following r...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.172.3.322
更新日期：2007-03-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa029
更新日期：2020-09-18 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.171.11.1051
更新日期：2006-11-01 00:00:00
abstract：:Spouse abuse is a major social issue in our country. Based on national samples, between 10 and 20% of couples report some type of violence during the course of their marriage. In the United States, 1.8 million women are physically abused by their spouses each year. Within the military, it is estimated that the inciden...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1999-01-01 00:00:00
abstract：Background:Return to play and risk factors for functional limitations have been widely reported among athletes following anterior cruciate ligament reconstruction (ACLR) but has not been well studied in the military population. Methods:We conducted a retrospective review of all active duty service members who underwen...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usx007
更新日期：2018-01-01 00:00:00
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doi：10.7205/MILMED-D-14-00296
更新日期：2015-04-01 00:00:00
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journal_title：Military medicine
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doi：
更新日期：1998-07-01 00:00:00
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更新日期：2017-11-01 00:00:00
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更新日期：2019-07-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1995-11-01 00:00:00
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更新日期：2007-07-01 00:00:00
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更新日期：2013-08-01 00:00:00
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journal_title：Military medicine
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doi：
更新日期：2002-02-01 00:00:00
abstract：:Post-conflict hospitalization rates of active duty Marines deployed to the Persian Gulf War were compared with hospitalization rates of similar Marine Corps units returning from the Vietnam conflict. The aggregated Gulf War units exhibited lower hospitalization rates than their Vietnam counterparts. Examined separatel...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2001-07-01 00:00:00
