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The choice of a kind of laser operation in patients with high myopia and thin cornea

Poster Details

First Author: I.Syrykh RUSSIA

Co Author(s):                  

Abstract Details


To work out an individual approach for each patient in order to receive maximum result with the minimum possible complications.


The Academician S.N. Fyodorov FSBI IRTC " Eye Microsurgery" Tambov branch, Tambov, Russia.


Epi-LASIK, transepithelial photorefractive keratoplasty (PRK). We observed 650 eyes, operated on with epi-LASIK – 150, with PRK - 500. Male patients – 37%, female – 63%, aged from 18 to 38 years old. Mild degree of myopia – 21%, average degree – 27%, high degree – 52%. In cases when epi-LASIK and PRK are possible (acceptable corneal thickness) in postoperative period in both cases subepithelial fibroplasia may occur (as practice shows).


After epi-LASIK the late fibroplasia was revealed in 3.5% of all cases in patients with myopia of about 10-11 D. After PRK early and late fibroplasia occured in 4.0% of all cases in patients with the same degree of myopia. In patients with mild and average myopia and very thin corneas after both epi-LASIK and PRK no fibroplasia was revealed.


Therefore, there are no objective advantages in one of the operations mentioned above. And every surgeon makes the last choice, taking into consideration his preferences, qualification and a patient“s desire. FINANCIAL DISCLOSURE?: No

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