[About Journal of Refractive Surgery ] [Table of Contents]

Volume 17 (1) * January/February 2001 * Original Article (abstract)

Laser in situ Keratomileusis to Correct Residual Myopia After Cataract Surgery

Maria J. Ayala, MD, PhD; Juan J. Pérez-Santonja, MD; Alberto Artola, MD, PhD; Pascual Claramonte, MD; Jorge L. Alió, MD, PhD

PURPOSE

To evaluate the effectiveness, predictability, and safety of laser in situ keratomileusis (LASIK) for correcting residual myopia after cataract surgery with intraocular lens implantation.

METHODS

Twenty-two eyes of 22 patients underwent LASIK for the correction of residual myopia after cataract surgery. LASIK was carried out using the Chiron Automated Corneal Shaper and the NIDEK EC-5000 excimer laser. In all eyes, the follow-up was 12 months.

RESULTS

Before LASIK, 1 eye (4.5%) had an uncorrected visual acuity of 0.5 or better; 12 months after LASIK, 10 eyes (45.4%) achieved this level of visual acuity and 0 eyes achieved 1.00 or better. Before LASIK, mean refraction was -2.90 ± 1.80 D; 12 months after LASIK it decreased significantly to 0.40 ± 0.60 D (P < .01). In 18 eyes (81.8%) at 12 months after LASIK, spherical equivalent refraction was within ±1.00 D of emmetropia; 11 eyes (50%) were within 0.50 D. No vision-threatening complications occurred.

CONCLUSION

LASIK with the Automated Corneal Shaper and Nidek EC-5000 excimer laser was an effective, predictable, stable, and safe procedure for correcting residual myopia after cataract surgery. No intraocular lens or cataract incision related complications occurred when LASIK was performed at least 3 months after phacoemulsification. [J Refract Surg 2001;17:12-16]

AUTHORS

From the Refractive Surgery and Cornea Department, Alicante Institute of Ophthalmology, Miguel Hernández University School of Medicine, Alicante, Spain.

None of the authors has a propietary interest in any material described herein.

Correspondence: Maria J. Ayala, MD, Refractive Surgery and Cornea Department, Alicante Institute of Ophthalmology, Avd Denia 111, 03015-Alicante, Spain. Tel: 34.96.5919378; Fax: 34.96.5919420; E-mail: oftalio@ibm.net

Received: February 3, 1999

Accepted: September 18, 2000

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