Journal of the Korean Ophthalmological Society 1998;39(4):658-666.
Published online April 1, 1998.
The Effect of Laser in Situ Keratomileusis to Correct Refractive Errors.
Min Seop Kim, Dam Ho Lee, Hae Ran Chang, Suk Won Kim
1Department of Ophthalmology, College of Medicine, Sung Kyun Kwan university, Kangbuk Samsung Hospital, Seoul, Korea.
2Kim Suk Won Eye Clinic, Cornea and Refractive Surgery Service, Seoul, Korea.
레이저 각막절삭가공성형술 ( Laser in situ Keratomileusis ) 의 굴절교정효과
김민섭(Min Seop Kim),이담호(Dam Ho Lee),장혜란(Hae Ran Chang),김석원(Suk Won Kim)
Abstract
We evaluated the effect of laser in situ keratomileusis(LASIK) to correct refractive errors in myopic patients. We performed LASIK using microkera-tome(SCMD, U.S.A.) an excimer laser (Aesculap Meditec, Germany). Five hundred eighty eyes of three hundred ninty-seven patients underwent LASIK from March 1996 to February 1997. Of 580 eyes, 140 eyes(male 49, female 99 eyes) of 90 patients with minimum follow-up of 6 months were included in this study. They aged from 20 to 63 and among them, simultaneous binocular surgeries were carried out in 38 patients(48%). Topical antibiotics and steroid were instilled for 1 week postoperatively. Preoperative refractive errors ranged from -24.00 to -2.13D (mean -9.17D) and postoperative refractive errors at 6 months ranged from -9.25 to +3.13D (mean -1.70D). The amount of corrected refractive errors ranged from 17.50 to 1.75D(mean 9.17D). Uncorrected visual acuity(UCVA) was hand motion to 0.5 preoperatively and 0.04 to 1.0 at 6 months postoperatively. There was no decreased UCVA postoperatively. Myopia over -1D occured in 79 eyes (56.4%). Among them, 20 eyes (14.3%) underwent enhancements. Seventy-eight percent of cases including enhancements showed UCVA of 0.5 or better at 6 months. LASIK is effective refractive surgery with relatively few complications.
Key Words: Excimer laser;Laser in situ keratomileusis;Microkeratome;Refractive errors


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