Corneal Stromal Lenticule Rotation for High Astigmatism Correction

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11120%2F25%3A43928004" target="_blank" >RIV/00216208:11120/25:43928004 - isvavai.cz</a>

Výsledek na webu

<a href="https://doi.org/10.3928/1081597X-20241030-02" target="_blank" >https://doi.org/10.3928/1081597X-20241030-02</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.3928/1081597X-20241030-02" target="_blank" >10.3928/1081597X-20241030-02</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Corneal Stromal Lenticule Rotation for High Astigmatism Correction

Popis výsledku v původním jazyce

PURPOSE: To evaluate the clinical outcome of laser-assisted surgical correction of high hyperopic or mixed astigmatism using small incision intrastromal lenticule rotation (SMILERO) alone or combined with photorefractive keratectomy (PRK). METHODS: This retrospective case series enrolled 25 eyes with high astigmatism that underwent SMILERO surgery. Uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), uncorrected near visual acuity (UNVA), manifest refraction, central corneal thickness, and corneal higher order aberrations were analyzed before surgery and after 3, 6, and 12 months of follow-up. The postoperative residual refractive errors were fine-tuned using PRK. RESULTS: The median absolute preoperative cylinder of 4.50 diopters (D) decreased to 1.25 D at 3 months postoperatively. The lenticule rotation improved UDVA (0.80 vs 0.45 logMAR) due to a noticeable myopic shift. Regarding UNVA, 14 of 24 eyes were capable of reading Jaeger number 1 chart postoperatively in comparison to one eye preoperatively. The lenticule rotation led to successful correction of both astigmatic and spherical components in 13 of 25 eyes. The residual refractive errors in 12 of 25 eyes were fine-tuned postoperatively by PRK. The SMILERO and PRK combination led to a satisfactory refractive outcome with median absolute cylinder of 0.75 D, median spherical equivalent of-0.25 D, and median UDVA of 20/40 Snellen equivalent at 12 months postoperatively. CONCLUSIONS: This study demonstrates that SMILERO is capable of correcting both corneal and refractive astigmatism with mid-term corneal stability. The residual refractive errors were further minimized with subsequent PRK fine-tuning.

Název v anglickém jazyce

Corneal Stromal Lenticule Rotation for High Astigmatism Correction

Popis výsledku anglicky

PURPOSE: To evaluate the clinical outcome of laser-assisted surgical correction of high hyperopic or mixed astigmatism using small incision intrastromal lenticule rotation (SMILERO) alone or combined with photorefractive keratectomy (PRK). METHODS: This retrospective case series enrolled 25 eyes with high astigmatism that underwent SMILERO surgery. Uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), uncorrected near visual acuity (UNVA), manifest refraction, central corneal thickness, and corneal higher order aberrations were analyzed before surgery and after 3, 6, and 12 months of follow-up. The postoperative residual refractive errors were fine-tuned using PRK. RESULTS: The median absolute preoperative cylinder of 4.50 diopters (D) decreased to 1.25 D at 3 months postoperatively. The lenticule rotation improved UDVA (0.80 vs 0.45 logMAR) due to a noticeable myopic shift. Regarding UNVA, 14 of 24 eyes were capable of reading Jaeger number 1 chart postoperatively in comparison to one eye preoperatively. The lenticule rotation led to successful correction of both astigmatic and spherical components in 13 of 25 eyes. The residual refractive errors in 12 of 25 eyes were fine-tuned postoperatively by PRK. The SMILERO and PRK combination led to a satisfactory refractive outcome with median absolute cylinder of 0.75 D, median spherical equivalent of-0.25 D, and median UDVA of 20/40 Snellen equivalent at 12 months postoperatively. CONCLUSIONS: This study demonstrates that SMILERO is capable of correcting both corneal and refractive astigmatism with mid-term corneal stability. The residual refractive errors were further minimized with subsequent PRK fine-tuning.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30207 - Ophthalmology

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2025

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Journal of Refractive Surgery

ISSN

1081-597X

e-ISSN

1938-2391

Svazek periodika

41

Číslo periodika v rámci svazku

1

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

9

Strana od-do

e5-e13

Kód UT WoS článku

001401034600003

EID výsledku v databázi Scopus

2-s2.0-85214914647