gms | German Medical Science

28th International Congress of German Ophthalmic Surgeons (DOC)

11.06. - 13.06.2015, Leipzig

Transepithelial Excimer Ablation for Treatment of High Astigmatism (K)

Meeting Abstract

  • 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 5.2

doi: 10.3205/15doc128, urn:nbn:de:0183-15doc1285

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

Text

Background: To evaluate topography-guided transepithelial ablation in the treatment of high astigmatic eyes (> 3 diopters).

Material and Methods: Retrospective study of 71 eyes of 56 patients three and twelve months after surgery using a 1KHz excimer laser. Pre- and postoperative visual and refractive data as well as post-operative haze were analysed.

Results: The mean pre-operative astigmatism was 3.65 diopters (D) with a range of 3.0 to 6.0. Uncorrected distant visual acuity after three and twelve months were ≥ 20/20 in 63%, respectively 76% of the eyes. Postoperative astigmatism was within ± 0.5 D in 76%, within ± 1.0 D in 92% of eyes after twelve months. No eyes lost ≥ 2 lines of corrected distant visual acuity and 4% of eyes formed haze.

Conclusions: One-step transepithelial topography-guided treatment for high regular astigmatism provided predictable and stable results.