Refractive, Optical And Patient-Related Outcomes Of Laser Refractive Procedures In Active Duty Military Personel In Poland.
Published 2024 - 42nd Congress of the ESCRS
Reference: PO1139 | Type: Poster | DOI: 10.82333/6fx7-at34
Authors: Joanna Wierzbowska* 1 , Maciej Bedliński 1 , Maciej Juda 1 , Janusz Sierdziński 2 , Marek Rękas 1
1Ophthalmology Department,Military Institute Of Medicine National Research Institute,Warsaw,Poland, 2Department of Bioinformatics ,Medical University of Warsaw ,Warsaw,Poland
Purpose
To report 3-month refractive, optical and patient-related outcomes following laser refractive procedures in active duty military personel for the correction of myopia, hyperopia and astigmatism.
Setting
Department of Ophthalmology, Military Institute of Medicine National Research Institute in Warsaw, Poland.
Methods
One houndred and one eyes of 52 subjects (50 men and 2 women, mean age 30,2 ± 4,7) were treated with FemtoLASIK (67 eyes) or ReLEX Smile (20 eyes) or LASEK (14 eyes). The mean spherical equivalent (SE) was -1,15 ± 1,53 diopters (D) (range -4,5; +6,00) and the mean cylinder (cyl) was -0,88 ± 0,96 D (range -0,25; -4,25). Standard nine graphs outcomes analysis was performed. The iTrace analyzer was used for higher order aberrations evaluation before surgery and at 1 day, 1 and 3 months after surgery. Subjective quality of life was assessed by self-reported Quality of Life Impact of Refractive Correction Questionnaire (QIRC) before surgery and at 1 and 3 months after the treatment.
Results
Three months postoperatively, uncorrected distance visual acuity (UDVA) was 1,1 and better in 98% of eyes. Percentage of eyes with UDVA same or better than corrected distance visual acuity (CDVA) preoperatively was 96%.There was a gain of 2 or more lines of CDVA in 21% of eyes. SE was within ± 0,13 D in 71% of eyes and within ± 0,5 D in 99% of eyes. The refraction was stable with a mean SE of +0,02 D. Percentage of eyes with postoperative astigmatism ≤ 0,5D cyl was 98% and ≤ 0,25D cyl was 89%. Percentage of eyes with postoperative astigmatism angle of error within ± 5 degree was 81% and within ± 15 degree was 93%. The average QIRC quality of life index increased from 46,6 before surgery to 55,3 (p<0,0001) 3 months after the treatment.
Conclusions
Three - month outcomes of laser refractive procedures performed in 52 subjects of active duty military personel demonstrated excellent efficacy, safety and predictability. Laser refractive surgery resulted in a statistically significant improvement of the quality of life measured with the QIRC.