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LASIK in high hyperopia with WaveLight Allegretto Wave

Poster Details

First Author: M.Jankov SERBIA

Co Author(s):    V. Jovanovic   L. Nikolic   E. Coskunseven   P. Schor     

Abstract Details


To present 2-year results after LASIK in high hyperopia with spherical equivalent (SEQ) of more than 4D using WaveLight Allegretto Wave 400Hz excimer laser and WaveLight Rondo microkeratome.


LaserFocus – Centre for Eye Microsurgery, Belgrade, Serbia


Eighty-six eyes of a 62 patients underwent LASIK to correct hyperopia. WaveLight Allegretto Wave 400 Hz excimer laser was used and flaps were created with WaveLight Rondo microkeratome. Mean preoperative SEQ was +5.77 +/- 1.43 D (range: +4.00 to +10.00), and mean cylinder was -1.49 +/- 1.40 D (range: 0 to -6.00). Mean preoperative UVA was 0.16 +/- 0.14 (range: 0.01 to 0.50), while mean BSCVA was 0.65 +/- 0.18 (range: 0.10 to 0.80). Uncorrected and best spectacle corrected visual acuities (UVA and BSCVA), as well as manifest refraction, were recorded up to 24 months after the treatment.


Three months postoperatively UVA and BSCVA increased to 0.59 +/- 0.23 (range: 0.2 to 1.25) and 0.67 +/- 0.22 (range 0.2 to 1.25) respectively and did not change statistically over 2-year interval (p=0.500 and p=0.211 respectively). Three eyes lost one line, 75 maintained, and 8 eyes gained one line of BSCVA. Manifest SEQ decreased to +0.44 +/- 0.65 D (range: -0.50 to +2.50) at 3 months and stabilized at +0.40 +/- 0.70 D (range: 0.00 to +2.50) at 2-year follow-up (p<0.05). Manifest cylinder decreased to -0.39 +/- 0.57 D (range: 0 to -2.00) at 3 months and did not change statistically over 1-year (p=0.500).


LASIK in high hyperopia using WaveLight Allegretto Wave provided predictable and stable results over the period of 2 year follow-up, comparable to the outcomes of low to moderate hyperopia. A nomogram adjustment with initial overcorrection was planned to counteract an expected regression. FINANCIAL DISCLOSURE?: No

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