Journal of the Korean Ophthalmological Society 2007;48(5):642-648.
Published online May 31, 2007.
Clinical Outcomes of Wavefront-Guided Epi-LASIK: 6-Months Follow-up.
So Jung Shin, Min Jung Kim, Shin Hae Park, Choun Ki Joo
Department of Ophthamology, Laboratory of Ophthalomology and Visual Science, The Catholic University of Korea, College of Medicine, Seoul, Korea. ckjoo@catholic.ac.kr
웨이브프런트 에피라식의 6개월 임상성적
신소정,김민정,박신혜,주천기
Department of Ophthamology, Laboratory of Ophthalomology and Visual Science, The Catholic University of Korea, College of Medicine, Seoul, Korea
Correspondence:  So Jung Shin, M.D.
Abstract
PURPOSE
We evaluate the clinical outcomes after wavefront-guided (WFG) Epi-LASIK in mild and moderate myopia . METHODS: The uncorrected visual acuity (UCVA), best corrected visual acuity (BCVA), manifest refraction, total high order aberrations, contrast sensitivity for day and night vision, and pain score in 114 eyes of 61 patients who had undergone WFG Epi-LASIK were measured preoperatively and at 1 day, 1 week, 1 month, 2 months, and 6 months postoperatively. RESULTS: At 1 day, 1 week, 1 month, 2 months and 6 months postoperatively, UCVA & BCVA had improved significantly. At 1 month postoperatively, the spherical equivalent was -0.93+/-0.74 and showed a stable pattern at 6 months postoperatively. There was no statistically significant difference in total high-order aberration between preoperatively measurements and measurements taken at 6 months postoperative (p=0.745). At a frequency of 19 cpd, night contrast sensitivity showed significant statistical difference (p=0.010) but no difference at low and medium frequencies between preoperative measurements and postoperative six months measurements. Pain subsided at 2 weeks postoperative. All patients maintained clear cornea and suffered no complications. CONCLUSIONS: At 6 months postoperatively, patients who underwent Wavefront-guided Epi-LASIK showed successful results for the correction of moderate myopia and excellent contrast sensitivity at night time. Wavefront-guided Epi-LASIK may solve the visual quality problem after refractive surgery and, therefore, may be clinically useful.
Key Words: Wavefront-guided Epi-LASIK;Visual quality;Total high order aberrations;Contrast sensitivity in day & night time


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