Corneal topography of photorefractive keratectomy versus laser in situ keratomileusisHistorical images☆
Section snippets
Study design and laser procedure
As part of an ongoing, multicenter prospective, randomized clinical study of PRK versus LASIK for the treatment of myopia of 6.0 to 15.0 diopters (D) using the Summit Apex excimer laser (Summit Technology, Inc, Waltham, MA), the corneal topography of 64 eyes treated with PRK and 54 eyes treated with LASIK was studied. Treatments were performed at one of seven clinical centers. This article reports topography results at 1 and 3 months after surgery.
All study centers conformed to standardized
Characterization of treatment zone topography and changes over time
Table 1 and Figure 1 show the topography classification at 1 and 3 months after PRK and LASIK. At 1 month, the semicircular group comprised the highest percentage of PRK eyes (35%), and the focal topographic variant comprised the highest percentage of LASIK eyes (41.1%). Thirty-eight eyes (63.3%) in the PRK group compared with 10 eyes (19.6%) in the LASIK group were in the combined irregular topography group (irregularly irregular, central island, keyhole, or semicircular). This difference in
Discussion
Laser in situ keratomileusis is a methodologic alternative to PRK. Laser ablation takes place on stroma beneath a lamellar corneal flap rather than on the de-epithelialized surface of the cornea. After surgery, the former is characterized by lamellar flap adherence to the underlying stroma, the latter by re-epithelialization and anterior stromal wound healing.
After PRK, identifiable patterns of corneal topography have been well documented.1, 5, 7 Some of these patterns have been reported to be
References (34)
- et al.
Corneal topography of phase III excimer laser photorefractive keratectomy. Characterization and clinical effects
Ophthalmology
(1995) - et al.
Corneal optical irregularity after excimer laser photorefractive keratectomy
J Cataract Refract Surg
(1996) - et al.
Corneal topography of excimer laser photorefractive keratectomy using a 6-mm beam diameter
Ophthalmology
(1997) - et al.
Corneal topography of excimer laser photorefractive keratectomy
J Cataract Refract Surg
(1993) - et al.
Corneal topography following excimer photorefractive keratectomy for myopia
J Cataract Refract Surg
(1993) - et al.
Changes in corneal topography after excimer laser photorefractive keratectomy for myopia
Ophthalmology
(1991) - et al.
Prevalence of central islands after excimer laser refractive surgery
J Cataract Refract Surg
(1995) - et al.
Centering corneal surgical procedures
Am J Ophthalmol
(1987) - et al.
Corneal topography of phase III excimer laser photorefractive keratectomyoptical zone centration analysis
Ophthalmology
(1995) - et al.
Disparity between refractive error and visual acuity after excimer laser photorefractive keratectomymultifocal corneal effects
J Cataract Refract Surg
(1997)
Quantitative analysis of wound healing after cylindrical and spherical excimer laser ablations
Ophthalmology
Results of phase III photorefractive keratectomy for myopia of 1.5 to 6.0 diopters
Ophthalmology
Characteristics influencing outcomes of excimer laser photorefractive keratectomy
Ophthalmology
Influence of ablation plume dynamics on the formation of central islands in excimer laser photorefractive keratectomy
Ophthalmology
Corneal asphericity following excimer laser photorefractive keratectomy
Ophthalmic Surg Lasers
A standardized classification of corneal topography after laser refractive surgery
J. Refract Surg
Corneal topography and optical zone location in photorefractive keratectomy
Refract Corneal Surg
Cited by (0)
- ☆
Supported in part by an unrestricted grant to the Department of Ophthalmology from Research to Prevent Blindness, Inc., New York, New York, and Summit Technology, Inc., Waltham, Massachusetts.
- 1
Dr. Hersh is a consultant for Summit Technology, Inc.