The Influence Of Breastfeeding On Lasik Outcomes: A Comparison Of Visual And Refractive Results
Published 2025 - 43rd Congress of the ESCRS
Reference: PO698 | Type: Free paper | DOI: 10.82333/5ant-6368
Authors: Adir Sommer* 1 , Margarita Safir 2 , Waseem Nasser 1 , Dror Ben Ephraim Noyman 1 , Tzahi Sela 3 , Gur Munzer 3 , Igor Kaiserman 4 , Eyal Cohen 5 , Michael Mimouni 1
1Rambam Health Care Campus,Haifa,Israel, 2Rabin Medical Center,Petah Tikva,Israel, 3Care-Vision Laser Center,Tel Aviv,Israel, 4Barzilai Medical Center,Ashkelon,Israel, 5Tel Aviv Sourasky Medical Center,Tel Aviv,Israel
Purpose
To compare the visual and refractive outcomes of breastfeeding versus non-breastfeeding women who underwent laser assisted in situ keratomileusis (LASIK) surgery.
Setting
Care-Vision Laser Centers, Tel-Aviv, Israel.
Methods
Medical files of women who underwent LASIK surgery between January 2013 and December 2023 were reviewed. The patients were divided into two groups: women who reported breastfeeding during their screening examination and women who did not. Pre-, intra-, and post-operative parameters were compared between the groups.
Results
This retrospective study included 3,034 eyes from 1,595 women, with 161 eyes from breastfeeding women. The time between screening and surgery was similar for both groups (193.6±414.7 vs. 151.3±419.2 days, P=0.212). Breastfeeding women had worse preoperative UCVA (LogMAR 1.3±1.1 vs. 1.15±1.0, P=0.021) but achieved similar postoperative outcomes, including UCVA (0.03±0.7 vs. 0.03±0.72, P=0.628), BCVA (0.03±0.72 vs. 0.02±0.77, P=0.370), SEQ (-0.24±0.55 vs. -0.23±0.56 D, P=0.894), safety index (0.97±0.20 vs. 0.98±0.18, P=0.262), and efficacy index (0.96±0.21 vs. 0.98±0.20, P=0.490). Breastfeeding was not linked to higher retreatment rates (P=0.23). Multivariate analysis found no significant differences.
Conclusions
Breastfeeding women who underwent myopic LASIK surgery achieved visual and refractive outcomes comparable to those of non-breastfeeding women. These outcomes were assessed over an average follow-up period of about two months, ranging up to one year. The results suggest that LASIK surgery provides excellent visual outcomes for both breastfeeding and non-breastfeeding women within that time frame.