Predictability of corneal flap thickness in laser in situ keratomileusis using a 200 kHz femtosecond laser.

Abstract:

PURPOSE:To compare the intended versus the resultant thickness of laser in situ keratomileusis (LASIK) flaps created with a new femtosecond laser and to report the 3-month postoperative refractive outcomes. SETTING:Wellington Eye Clinic, Dublin, Ireland. DESIGN:Retrospective consecutive case series. METHODS:A consecutive series of eyes having LASIK flaps created using a Wavelight FS200 femtosecond laser were included in this analysis. Eyes with preoperative spherical equivalent (SE) myopic refractive errors up to -12.00 diopters (D), hyperopic refractive errors up to +5.50 D, and astigmatism up to 6.00 D received primary LASIK. Outcomes included postoperative flap thickness and 3-month postoperative refraction. RESULTS:Outcomes in 431 eyes of 258 patients having LASIK with femtosecond flap creation were assessed. With an intended flap thickness of 120 μm, the mean post-LASIK flap thickness was 120.23 μm ± 13.94 (SD). In 349 of 813 eyes, EX500 optical pachymetry measurements were compared with Scheimpflug pachymetry readings. The mean corneal thickness was 553.52 ± 29.81 μm with optical pachymetry and 553.39 ± 29.12 μm with the Pentacam rotating Scheimpflug camera. In 162 eyes, the flap thickness was measured with optical coherence tomography; the mean was 121.94 ± 10.52 μm. Achieved flap dimensions were as intended. CONCLUSIONS:This study provides evidence of the predictability and lower variability of LASIK flaps created using the femtosecond laser. Consecutive patients having LASIK had good, predictable, and stable outcomes at the 3-month mark.

authors

Cummings AB,Cummings BK,Kelly GE

doi

10.1016/j.jcrs.2012.10.041

subject

Has Abstract

pub_date

2013-03-01 00:00:00

pages

378-85

issue

3

eissn

0886-3350

issn

1873-4502

pii

S0886-3350(12)01635-5

journal_volume

39

pub_type

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