Patient Reported Outcomes Of Topography And Wavefront-Guided Lasik Surgery: One-Year Results
Published 2025 - 43rd Congress of the ESCRS
Reference: PP15.10 | Type: Free paper | DOI: 10.82333/rnfd-an67
Authors: Mostafa Roudbaraki 1 , Michel Haagdorens* 2 , Marie-Claude Robert 3 , Mohand Bellil 4 , Christos Boutopoulos 4 , Isabelle Brunett 4 , May Griffith 4
1Centre de recherche de l'Hôpital Maisonneuve-Rosemont,Université de Montréal,montréal,Canada, 2Ophthalmology,Université de Montréal,montréal,Canada, 3Ophthalmology,Université de Montréal,Montréal,Canada;Ophthalmology,Centre Hospitalier de l'Université de Montréal,Montréal,Canada, 4Centre de recherche de l'Hôpital Maisonneuve-Rosemont,Université de Montréal,Montréal,Canada
Purpose
To analyze patient-reported outcomes following wavefront-guided LASIK and topography-guided LASIK in a randomized contralateral fellow eye study in participants with myopia and compound myopic astigmatism.
Setting
Academic based refractive surgery service
Methods
One-hundred eyes from 50 participants who received wavefront-guided LASIK in one eye and topography-guided LASIK in their fellow eye as part of a prospective, randomized clinical trial. All participants had myopia between -1.00 and -9.00 diopters with up to 3.00 diopters of astigmatism. Wavefront-guided ablations were performed using the Johnson and Johnson Visx CustomVue excimer laser. Topography-guided ablations were performed using the Alcon Allegretto Wavelight excimer laser. The primary outcomes of this study were scaled scores from the Patient-Reported Outcomes with LASIK (PROWL) survey administered 3, 6 and 12 months after LASIK.
Results
Self-reported worry related to vision and ability to perform daily activities significantly improved 3, 6 and 12 months after LASIK compared to pre-operatively (p<0.001). The prevalence of double images, glare, halos, or starbursts decreased from 70% preoperatively to 48%, and no participants reported “very” or "extremely" bothersome visual symptoms after 12 months. Vision-related impact on work productivity and dry eye symptoms decreased significantly at all time points after surgery. Overall, 56% of participants preferred wavefront- compared to topography-guided LASIK. There was a 100% satisfaction rate with visual outcomes and time to improvement in vision following surgery.
Conclusions
There were significant improvements in the presence of starbursts, halos, double images and glare and in vision-related quality-of-life metrics after LASIK compared to pre-operative levels. Patient self-reported satisfaction rates with post-procedural vision and time to recovery were high. More patients preferred the vision from their wavefront- guided treated eye compared to their topography-guided LASIK treated eye.