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28th International Congress of German Ophthalmic Surgeons (DOC)

11.06. - 13.06.2015, Leipzig

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Transepithelial Excimer Ablation for Treatment of High Myopia (K)

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  • Philipp Baenninger - Augenklinik Luzerner Kantonsspital, Luzern, Schweiz
  • Valentina Reichmuth - Augenklinik Luzerner Kantonsspital, Luzern, Schweiz
  • Michael Thiel - Augenklinik Luzerner Kantonsspital, Luzern, Schweiz
  • Claude Kaufmann - Augenklinik Luzerner Kantonsspital, Luzern, Schweiz

28. Internationaler Kongress der Deutschen Ophthalmochirurgen. Leipzig, 11.-13.06.2015. Düsseldorf: German Medical Science GMS Publishing House; 2015. DocWK 5.1

doi: 10.3205/15doc127, urn:nbn:de:0183-15doc1275

Published: June 9, 2015

© 2015 Baenninger et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Purpose: To evaluate topography-guided transepithelial ablation in the treatment of high myopic eyes (> 7.5 dpt) using a 1KHz excimer laser.

Methods: Retrospective study of 92 eyes of 58 patients available for evaluation 3 and 12 months after surgery. Pre- and postoperative visual and refractive data as well as post-operative haze were analysed. A novel technique integrating custom refractive- and epithelial- ablation in a single uninterrupted procedure was used.

Results: The mean pre-operative spherical equivalent (SE) was: -8.94 diopters (D) ± 0.90 (SD). Uncorrected distant visual acuity after 3 and 12 months were ≥ 20/20 in 76%, respectively 88% of the eyes. Manifest refraction spherical equivalent was within ± 1.0 D of the desired refraction in 96% of the eyes. No eyes lost ≥ 2 lines of corrected distant visual acuity or formed relevant haze after 12 months.

Conclusions: One-step transepithelial topography-guided treatment for high myopia performed with a 1KHz laser provided predictable and stable results and no significant haze.