Journal of the Korean Ophthalmological Society 2005;46(11):1848-1854.
Published online November 30, 2005.
Change of High-order Aberration after Wavefront-guided LASIK and LASEK.
Seung Jae Lee, Hyo Jin Kim, Choun Ki Joo
1Department of Ophthalmology, Kangnam St. mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. ckjoo@catholic.ac.kr
2Laboratory of Ophthalmology and Visual Science, College of Medicine, The Catholic University of Korea, Seoul, Korea.
웨이브프런트 라식과 라섹 후 고위수차의 변화
이승재1,김효진2,주천기1,2
Department of Ophthalmology, Kangnam St. mary`s Hospital, College of Medicine, The Catholic University of Korea1, Seoul, Korea Laboratory of Ophthalmology and Visual Science, College of Medicine, The Catholic University of Korea2, Seoul, Korea
Correspondence:  Seung-Jae Lee, M.D.1
Abstract
PURPOSE
To evaluate the changes in ocular high-order aberration after wavefront-guided laser in situ keratomileusis (LASIK) and wavefront-guided laser-assisted subepithelial keratectomy (LASEK). METHODS: Twenty-four eyes of 14 patients who underwent wavefront-guided LASIK, and ten eyes of six patients who underwent wavefront-guided LASEK were retrospectively reviewed. Uncorrected visual acuity, best corrected visual acuity, manifest refraction and high order aberration were evaluated before the operation and at 1 week, 1 month, 2 months and 6 months after the operation. Aberrations were measured using a WaveScan Wavefront System (VISX, Santa Clara, CA). We analyzed the total high-order aberration, coma aberration and spherical aberration before and after surgery. RESULTS: There were no statistically significant differences in total high-order aberration or coma aberration between preoperative and postoperative 6 month measurements in either group. However the spherical aberration showed a statistically significant increase between the preoperative and postoperative 6 month measurements in the wavefront-guided LASEK group (p=0.037). The total high order aberration showed no correlation with the preoperative spherical equivalent (p=0.55), and the change in total high-order aberration did not correlate with the amount of surgically achieved correction in either group at all follow-up periods. CONCLUSIONS: Wavefront-guided LASIK and wavefront-guided LASEK showed no statistically significant changes in total high-order aberration at postoperative 6 months.
Key Words: High-order aberration;Wavefront-guided LASEK;Wavefront-guided LASIK


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