Comparison of Technolas and Allegretto laser in situ keratomileusis outcomes in hyperopia
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Original Article
P: 436-440
November 2009

Comparison of Technolas and Allegretto laser in situ keratomileusis outcomes in hyperopia

Turk J Ophthalmol 2009;39(6):436-440
1.
2.
No information available.
No information available
Received Date: 14.06.2009
Accepted Date: 12.09.2009
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ABSTRACT

Methods:

In this two-center retrospective study, 50 consecutively treated hyperopic eyes that had LASIK by the Technolas were compared to 42 eyes treated with the Allegretto excimer laser. Inclusion criteria were spherical equivalent up to 4.00 diopters (D) of sycloplegic hyperopia, with minimum follow up of 12 months.

Results:

The mean spherical equivalent manifest refraction was +2.5±0.8 D in Technolas and 2.37±0.81 D in Allegretto preoperatively and -0.06 ±0.67 D and -0.03 ±0.41 D respectively at the last visit (p=0.317 and 0.615).The mean optical zone was 6.0±0.1mm and 6.8±0.2mm for Tecnolas and Allegretto and the required mean ablation depth was 68.8±21.5 and 58.2±16.4_, respectively (p0.05). The mean preoperative BCVAwas 0.92±0.15 and 0.96±0.1 respectively, and 0.94±0.1 and 0.97±0.1 postoperatively (p=0.157 and 0.201). At the postoperative last visit, the percentage of eyes with UCVA ≥ 20/25, accuracy of treatment within ±0.5 D, loss of ≥ 1 lines and gain of ≥ 1 lines BSCVAfor the Technolas and Allegretto, respectively was: 55.8% vs. 69%, 69% vs. 78.7%, 11.4% vs. 4.8% and 19.2% vs. 16.7%. The safety index was 1.03±0.12 for Tecnolas and 1.01±0.05 for Allegretto (p=0.409) and efficacy index was 0.87±0.21 and 0.90±0.16, respectively (p=0.444).

Purpose:

To compare visual outcome measurements in LASIK for hyperopia using the Technolas and Allegretto excimer laser.

Keywords:
LASIK, Hyperopia

References

1
Hyams SW, Pokotilo E, Shkurko G, Prevalence of refractive errors in adults over 40: a survey of 8102 eyes. Br J Ophthalmol. Jun61(6): 428&ndash 1977
2
Ainslie D, The surgical correction of refractive errors by keratomileusis and keratophakia. Ann Ophthalmol. 19768(3): 349&ndash
3
Neumann AC, McCarty GR, Hexagonal keratotomy for correction of low hyperopia: preliminary results of a prospective study. J Cataract Refract Surg. 14(3):265&ndash 1988
4
Gozum N, Ayoglu B, Gezer A, ve ark, Holmium laser thermal keratoplasty for hyperopia in eyes overcorrected with laser in situ keratomileusis for myopia. J Refract Surg. 20(3): 253&ndash 2004
5
Asbell PA, Maloney RK, Davidorf J, ve ark, Conductive Keratoplasty Study Group. Conductive keratoplasty for the correction of hyperopia. Trans Am Ophthalmol Soc. 99: 79&ndash 2001
6
Pop M, Payette Y, Refractive lens exchange versus irisclaw Artisan phakic intraocular lens for hyperopia. J Refract Surg. 20(1): 20&ndash 2004
7
Dausch D, Smecka Z, Klein R, ve ark, Excimer laser photorefractive keratectomy for hyperopia. J Cataract Refract Surg. 23(2): 169&ndash 1997
8
Lian J, Ye W, Zhou D, Wang K, Laser in situ keratomileusis for correction of hyperopia and hyperopic astigmatism with the Technolas 117C. J Refract Surg. 18:435&ndash 2002
9
Ditzen K, Fiedler J, Pieger S, Laser in situ keratomileusis for hyperopia and hyperopic astigmatism using the Meditec MEL 70 spot scanner. J Refract Surg. 18:430&ndash 2002
10
Salz JJ, Stevens CA, LADARVision LASIK Hyperopia Study Group. LASIK correction of spherical hyperopia, hyperopic astigmatism, and mixed astigmatism with the LADARVision excimer laser system. Ophthalmology. 109: 1647&ndash 2002
11
Kanellopoulos AJ, Conway J, Pe LH, LASIK for hyperopia with the WaveLight excimer laser. J Refract Surg. 22(1): 43&ndash 2006
12
Eren MH, Kucumser Y, Sivrikaya H, ve ark, Hipermetropik LASIK Tedavisi: Alti Aylik Sonuclarimiz. T&uumlrk Oftalmoloji Gazetesi 32(4/1): 596&ndash 2002
13
Williams DK, One-year results of laser vision correction for low to moderate hyperopia. Ophthalmology. 107(1): 72&ndash 2000
14
Göker S, Er H, Kahvecioglu C, Laser in situ keratomileusis to correct hyperopia from +4.25 to +8.00 diopters. J Refract Surg. 199814(1):26&ndash 800
15
Esquenazi S, Five-year follow-up of laser in situ keratomileusis for hyperopia using the Technolas Keracor 117C excimer laser. J Refract Surg. 20(4): 356&ndash 2004
16
Kezirian GM, Moore CR, Stonecipher KG, Four-year postoperative results of the US ALLEGRETTO WAVE clinical trial for the treatment of hyperopia. J Refract Surg. 24(4): S431&ndash 2008
17
Rashad KM, Laser in situ keratomileusis for the correction of hyperopia from +1.25 to +5.00 diopters with the Technolas Keracor 117C laser. J Refract Surg. 200117(2): 113&ndash 500
18
Argento CJ, Cosentino MJ, Comparison of optical zones in hyperopic laser in situ keratomileusis: 5.9 mm versus smaller optical zones. J Cataract Refract Surg. 200026(8): 1137&ndash 59
19
Kermani O, Schmeidt K, Oberheide U,ve ark, Hyperopic laser in situ keratomileusis with 5.5, 6.5, and 7.0mm optical zones. J Refract Surg. 21(1): 52&ndash 2005