دورية أكاديمية
أعرض في EDS

Short-term visual result after simultaneous photorefractive keratectomy and small-aperture cornea inlay implantation.

التفاصيل البيبلوغرافية
العنوان: Short-term visual result after simultaneous photorefractive keratectomy and small-aperture cornea inlay implantation.
المؤلفون: Moshirfar M; Hoopes, Durrie, Rivera, Research Center, Hoopes Vision, Draper, UT; Department of Ophthalmology and Visual Sciences, John A. Moran Eye Center, University of Utah School of Medicine, Salt Lake City, UT., Wallace RT; Brigham Young University, Provo, UT., Skanchy DF; McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX., Desautels JD; Tufts University School of Medicine, Boston, MA., Linn SH; Hoopes, Durrie, Rivera, Research Center, Hoopes Vision, Draper, UT., Hoopes PC Jr; Hoopes, Durrie, Rivera, Research Center, Hoopes Vision, Draper, UT., Durrie DS; Hoopes, Durrie, Rivera, Research Center, Hoopes Vision, Draper, UT; Durrie Vision, Overland Park, KS, USA.
المصدر: Clinical ophthalmology (Auckland, N.Z.) [Clin Ophthalmol] 2016 Nov 11; Vol. 10, pp. 2265-2270. Date of Electronic Publication: 2016 Nov 11 (Print Publication: 2016).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Dove Medical Press Country of Publication: New Zealand NLM ID: 101321512 Publication Model: eCollection Cited Medium: Print ISSN: 1177-5467 (Print) Linking ISSN: 11775467 NLM ISO Abbreviation: Clin Ophthalmol Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Auckland : Dove Medical Press, c2007-
مستخلص: Purpose: To report the short-term results of simultaneous photorefractive keratectomy (PRK) and small-aperture cornea inlay implantation (KAMRA) surgery in treating presbyopia.
Methods: Simultaneous PRK and KAMRA inlay surgery was performed on 21 patients from July 2015 to March 2016. Follow-up exams were conducted at 1, 3, and 6 months postoperatively. Our patients were also divided preoperatively into three categories: myopic, hyperopic, and emmetropic. Over the 6-month period, the main outcome measures were uncorrected near visual acuity (UNVA), changes in best-corrected distance visual acuity, and mean spherical equivalent refraction.
Results: At 6-month follow-up, 83% (10/12) of patients had a monocular UNVA of 20/40 or better, and 75% had a binocular UNVA of 20/40 (J5) or better. At 6 months, the overall mean refractive spherical equivalent (MRSE) was -0.60 D (±0.42 standard deviation [SD], range: -1.38 to -0.13) with a mean change of -0.43 D (±1.19 SD, range: -1.5 to 2.63) compared to preoperative data. Overall, 91% (10/11) of patients were within a ±0.5 D range of our target -0.75 D for KAMRA use. One-hundred percent (5/5) of the hyperopes, 50% (1/2) of emmetropes, and 100% (4/4) of myopes met the targeted range. At 6 months, the MRSE for the hyperopic subgroup (n=5) was 0.33 D (±0.20 SD), the MRSE for the emmetropic subgroup (n=2) was -1.19 D (±0.19 SD), and the MRSE for the myopic subgroup (n=4) was -0.66 D (±0.36 SD).
Conclusion: Based on preliminary results and a small sample size, it seems that simultaneous PRK and KAMRA is effective and predictable. There are multiple advantages in performing simultaneous PRK and KAMRA including a shorter recovery time and less steroid use than the two surgeries performed separately.
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فهرسة مساهمة: Keywords: KAMRA; PRK; PRKamra; corneal; femptosecond; presbyopia
تواريخ الأحداث: Date Created: 20161214 Latest Revision: 20200929
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC5113909
DOI: 10.2147/OPTH.S118590
PMID: 27956824
قاعدة البيانات: MEDLINE
الوصف
تدمد:1177-5467
DOI:10.2147/OPTH.S118590