Wydanie 2/2006

Dziesięć lat doświadczeń w korekcji krótkowzroczności

Ten Years Experience in Myopic Laser Correction

Jerzy Szaflik1,2, Iwona Liberek3,2, Małgorzata Gadomska2, Elżbieta Archacka2, Justyna Izdebska1,2

1 Katedra i Klinika Okulistyki II Wydziału Lekarskiego Akademii Medycznej w Warszawie
Kierownik: prof. dr hab. n. med. Jerzy Szaflik
2 Centrum Mikrochirurgii Oka LASER w Warszawie
Kierownik: prof. dr hab. n. med. Jerzy Szaflik
3 Klinika Okulistyki Centrum Medycznego Kształcenia Podyplomowego w Warszawie
Po. kierownika: dr n. med. Iwona Liberek


Summary: The aim of our study was to evaluate the cases of myopia and myopic astigmatism treated in CMO LASER between 1996-2006.
Purpose: to analyse the cases of myopia and myopic astigmatism treated in Eye Microsurgery Centre LASER between 1996-2006 to evaluate long-term results of surgical methods: PRK, LASIK, LASEK and examine the disqualification reasons.
Design: Retrospective case – control study.
Participants: 1.035 patients receiving primary LASIK, LASEK and photorefractive keratotomy.
Methods: All procedures were performed using MEL 60, MEL 70 G-Scan, LASIK procedures were performed with microkeratom Hansatom B&L Main Outcome Measures. Non corrected visual acuity UCVA and main complications patient satisfaction.
Results: Patients aged between 20 and 30 comprised the largest group (605 cases – 58%). Refractive errors in operated patients ranged between -1.0 to – 12.0 Dsph and astigmatism between – 0.5 to – 6.00 Dcyl. The most frequent reasons for disqualification included ≥12.0 D error, myopia, early cataract and too low central corneal thickness (CCT). UCVA was ≥0.8 in over 78% of eyes in 6-year observation (680 of the analysed cases). Complications were few. When asked in the satisfaction survey about their satisfaction after the procedure, 79% of the surveyed patients said they were satisfied.
Conclusions: The 6-year observation gave good, satisfactory results. High patient satisfaction and only few complications indicate that these procedures are effective and safe.

Keywords: haze, LASEK, LASIK, PRK, corneal laser surgery


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