ABSTRACT
·AIM: To study the results and complications of LASIK surgery after radial keratotomy.·METHODS: This descriptive study was carried out in Yazd LASIK Center, Yazd, Iran. Cases included all patients who had been operated between April 2003 and Septem-ber 2006. Data were collected via a special questionnaire and analyzed by SPSS software and paired t-test. ·RESULTS: Samples included 33 eyes of 23 patients of whom 11 (48%) were women and 12 (52%) were men. Their age ranged from 28 to 49 years old and the mean age was 31.6 years old. Two cases (6%) had openings of the previous radial keratotomy incisions during flap lifting and one case (3%) had moderate non-infec-tious keratitis. The mean preoperative spherical equivalent (SE) was -2.17±0.94D, while the posto-perative SE was -0.17±0.19D, the difference of which was significant (P=0.0001). Mean preoperative uncorrected visual acuity (UCVA) was 0.07±0.02 and the postopera-tive was 0.88±0.16, the difference of which was also significant (P=0.0001). The mean best spectacle correct-ed visual acuity prior to the operation was 0.93±0.08 and 0.92±0.08 after the operation, the difference of which was not significant (P=0.268).·CONCLUSION: LASIK surgery could improve residual myopia after the radial keratotomy without major complications during or postoperation, but necessity of the second procedure must be pondering and require careful case selection and assessment.
ABSTRACT
PURPOSE: To evaluate the predisposing factors for enhancement and assess the efficacy of LASIK enhancement using a technique of lifting the flap for residual myopia after laser assisted in situ keratomileusis (LASIK). METHODS: 46 eyes that underwent LASIK enhancement by lifting the flap using the same excimer laser as primary LASIK were retrospectively studied for the predisposing factors for enhancement and the efficacy of LASIK enhancement for residual myopia. LASIK of 20 eyes were performed by STAR and 26 eyes by Mel 70. RESULTS: The higher the initial spherical eqivalent (SE) and keratometer, the larger the amount of undercorrection (p<0.05), and the higher the initial SE and the change of corneal thickness during regression, the larger the amount of regression (p<0.01). There was no difficulty during lifting the flap regardless of time after primary LASIK and no complication during or after enhancement. The SE before and after enhancement was -2.38+/-0.86 D and -0.93+/-0.87 D. Uncorrected visual acuity was 20/25 or better in 80% of eyes. CONCLUSIONS: LASIK enhancement by lifting the flap for correctable residual myopia after primary LASIK was relatively easy to perform and effective for correction of residual myopia.