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J Cataract Refract Surg. 1999 Nov;25(11):1456-60.

Photorefractive keratectomy for residual myopia after cataract surgery.

Author information

1
Refractive Surgery and Cornea Department, Alicante Institute of Ophthalmology, Miguel Hernández University School of Medicine, Spain.

Abstract

PURPOSE:

To evaluate the effectiveness, predictability, and safety of photorefractive keratectomy (PRK) for correcting residual myopia and myopic astigmatism after cataract surgery with intraocular lens implantation.

SETTING:

Refractive Surgery and Cornea Unit, Instituto Oftalmológico de Alicante, Alicante, Spain.

METHODS:

Thirty consecutive eyes (30 patients) had PRK for residual myopia after cataract surgery. Surface PRK with a VISX Twenty-Twenty excimer laser was used in all patients. Follow-up was 1 year.

RESULTS:

Before PRK, no eye had an uncorrected visual acuity (UCVA) of 20/40 or better. Twelve months after PRK, 16 eyes (53.33%) had a UCVA of 20/40 or better. After PRK, best corrected visual acuity (BCVA) improved 1 line or more in 14 eyes (46.66%) over the preoperative values, and 15 eyes (50.00%) had the same BCVA as before PRK. Mean pre-PRK refraction of -5.00 diopters (D) +/- 2.50 (SD) decreased significantly to -0.25 +/- 0.50 D at 12 months (P < .001). At 12 months, the spherical equivalent was within +/- 1.00 D of emmetropia in 27 eyes (90.00%). No vision-threatening complications occurred.

CONCLUSION:

Photorefractive keratectomy was an effective, predictable, and safe procedure for correcting residual myopia and myopic astigmatism after cataract surgery.

PMID:
10569159
[Indexed for MEDLINE]

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