Outcomes of retreatment after laser in situ keratomileusis

David Zadok*, George Maskaleris, Valente Garcia, Sujal Shah, Miguel Montes, Arturo Chayet

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

51 Scopus citations

Abstract

Objective: To evaluate the safety and efficacy of retreatment after myopic laser in situ keratomileusis (LASlK). Design: Retrospective, noncomparative case series. Participants: A total of 962 eyes of 566 patients underwent LASIK for up to -20.0 diopters (D) of myopia, of which 53 eyes (5.5%) were retreated. Intervention: Retreatments were performed by lifting the original flap and using the Nidek EC-5000 excimer laser (Nidek Inc., Tokyo, Japan). Main Outcome Measures: Uncorrected visual acuity (UCVA), best spectacle-corrected visual acuity (BCVA), fogged manifest refraction, and complications were evaluated 6 months after retreatment. Results: Overall, 53 (5.5%) of 962 eyes underwent LASIK retreatment. Before retreatment, the mean spherical equivalent (MSE) was -1.7 ± 1.1 D (range, +0.3 to -5.0 D), UCVA ranged from 20/25 to 20/400, and BCVA ranged from 20/20 to 20/50. Six months after retreatment, the MSE was -0.09 ± 0.29 D, 48 (90.6%) eyes were within ±0.5 D, and all eyes were within ±1.0 D of the attempted correction. The UCVA improved to 20/20 or better in 21 (39.6%) eyes and 20/40 or better in 51 (96.2%) eyes. The BCVA was maintained in 33 eyes (62.3%), 15 eyes (28.3%) gained 1 line or more of vision, whereas 5 eyes (9.4%) lost 1 line. All eyes had a BCVA of 20/50 or better. No retreated eye lost two or more lines of BCVA. No complications were observed. Conclusion: Retreatment for low amounts of residual myopia performed by lifting the original flap within the first year after surgery after myopic LASIK is safe, effective, and predictable.

Original languageEnglish
Pages (from-to)2391-2394
Number of pages4
JournalOphthalmology
Volume106
Issue number12
DOIs
StatePublished - 1 Dec 1999
Externally publishedYes

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