Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
J Cataract Refract Surg. 2006 Apr;32(4):584-9.

Q-factor customized ablation profile for the correction of myopic astigmatism.

Author information

  • 1Institut für Refraktive und Ophthalmo-Chirurgie, Zürich, Switzerland.

Abstract

PURPOSE:

To compare the results of the Q-factor customized aspheric ablation profile with the wavefront-guided customized ablation pattern for the correction of myopic astigmatism.

SETTING:

Institute for Refractive and Ophthalmic Surgery, Zurich, Switzerland.

METHODS:

Thirty-five patients were enrolled in a controlled study in which the nondominant eye was treated with the Q-factor customized profile (custom-Q study group) and the dominant eye was treated with wavefront-guided customized ablation (control group). Preoperative and 1-month postoperative high-contrast visual acuity, low-contrast visual acuity, and glare visual acuity, as well as aberrometry and asphericity of the cornea, were compared between the 2 groups. All eyes received laser in situ keratomileusis surgery, and the laser treatment was accomplished with the Wavelight Eye-Q 400 Hz excimer laser.

RESULTS:

For corrections up to -9 diopters (D) of myopia, there were no statistically significant differences between the 2 groups regarding any visual or optical parameter except coma-like aberrations (3rd Zernike order), where the wavefront-guided group was significantly better 1 month after surgery (P = .002). For corrections up to -5 D (spherical equivalent), the Q-factor optimized treated eyes had a significantly smaller shift toward oblate cornea: DeltaQ15 = 0.25 in Q-factor customized versus DeltaQ15 = 0.38 in wavefront-guided treatment (P = .04).

CONCLUSIONS:

Regarding safety and refractive efficacy, custom-Q ablation profiles were clinically equivalent to wavefront-guided profiles in corrections of myopia up to -9 D and astigmatism up to 2.5 D. Corneal asphericity was less impaired by the custom-Q treatment up to -5 D of myopia.

Comment in

  • Classification of excimer laser profiles. [J Cataract Refract Surg. 2006]
  • Q-factor customized ablations. [J Cataract Refract Surg. 2006]
  • Q-factor customized ablations. [J Cataract Refract Surg. 2006]
PMID:
16698476
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Write to the Help Desk