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ICL vs LASIK in visual acuity outcome

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Session Details

Session Title: Presented Poster Session: Keratorefractive Results II

Venue: Poster Village: Pod 2

First Author: : B.Kostovska MACEDONIA

Co Author(s): :    F. Gilevska   V. Fileva   Z. Arnaudovski   N. Gabric     

Abstract Details

Purpose:

Purpose of this study is to compare the results in one year follow up of patients after LASIK surgery and ICL implantation surgery in uncorrected visual acuity outcome, and the possibility of treating amblyopia in adult patients by ICL implantation.

Setting:

Sistina Ophthalmology Hospital Skopje, Republic of Macedonia

Methods:

We are comparing visual acuity outcomes of 57 eyes of 39 patients with moderate and high myopia and astigmatism, who underwent LASIK surgery, and a group of 15 eyes of 11 patients with high myopia who had ICL implantation in a period of 2 years. 30 of LASIK treated eyes and 8 of ICL treated eyes were amblyopic in the range of 0.3-0.8 Patients were followed up on regular checkups 1st, 3rd,6th months and one year ( and second year) after surgery. On every checkup UCVA, refractive error on auto refractometer (TopCon), IOP, and biomicroscopy evaluation was made.

Results:

39 of 57 LASIK treated eyes archived uncorrected visual acuity of 0.9 and better. 15 of them archived visual acuity of 0.4-0.8, and those were preoperative amblyopic. After fist year follow up they all maintained the archived visual acuity and Mean postoperative spherical equivalent was −0.025D±0.47. On the second year follow up 46 of LASIK treated eyes had mean postoperative spherical equivalent of −1.025D±0.47 and others stayed stabile. Comparison of preoperative BCVA and postoperative UCVA showed that all the patients after ICL implantation have gained 8±3 letters on the Snellen chart, and refractive error remained stable.

Conclusions:

Both LASIK and ICL implantation demonstrated statistically significant improvement of visual acuity outcome after the surgery compared with preoperative BCVA. ICL implantation group showed more predictable and stabile refractive error after the surgery, and better outcome in amblyopia treatment.

Financial Disclosure:

NONE

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