Central islands: rate and effect on visual recovery after phototherapeutic keratectomy View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2015-11

AUTHORS

Atsufumi Hashimoto, Kazutaka Kamiya, Kimiya Shimizu, Akihito Igarashi, Hidenaga Kobashi

ABSTRACT

PURPOSE: To retrospectively assess the proportion of patients affected by a central island (CI) and its effect on visual recovery after phototherapeutic keratectomy (PTK). METHODS: This retrospective study evaluated 30 eyes of 21 consecutive patients (mean age ± standard deviation, 69.6 ± 6.8 years) undergoing PTK for the treatment of band keratopathy or granular corneal dystrophy. We investigated the rate of CI formation, which was defined as a steepening area of 3 D, 1.5 mm in diameter, on each corneal videokeratograph (ATLAS 9000; Carl Zeiss Meditec), and its effect on visual recovery at 3 months and at 1 year postoperatively. RESULTS: A CI was found in 22 of 30 eyes (73%) 3 months postoperatively and in 14 of 25 eyes (56%) 1 year postoperatively. The degree of CI was significantly correlated with the change in logMAR corrected visual acuity (Spearman correlation coefficient r = 0.445, P = 0.026). The degree of CI in eyes with band keratopathy was significantly larger than that in eyes with granular dystrophy 1 year postoperatively (Mann-Whitney test, P = 0.045). The degree of CI was not significantly correlated with the ablation depth (Spearman correlation coefficient r = 0.116, P = 0.582) or the residual corneal thickness (r = -0.235, P = 0.278). CONCLUSIONS: CI formation was found in as many as 73 and 56% of patients 3 months and 1 year after PTK, respectively, using the VISX Star S4 excimer laser system, and significantly affected the improvement of visual acuity. The anti-CI program should be applied by the manufacturer, not only for corneal refractive surgery but also for PTK in a clinical setting. More... »

PAGES

409-414

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10384-015-0403-3

DOI

http://dx.doi.org/10.1007/s10384-015-0403-3

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1017881326

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/26289725


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