Clinical outcomes of small-incision lenticule extraction and femtosecond laser–assisted wavefront-guided laser in situ keratomileusis
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Título: | Clinical outcomes of small-incision lenticule extraction and femtosecond laser–assisted wavefront-guided laser in situ keratomileusis |
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Autor/es: | Piñero, David P. | Teus, Miguel A. |
Grupo/s de investigación o GITE: | Grupo de Óptica y Percepción Visual (GOPV) |
Centro, Departamento o Servicio: | Universidad de Alicante. Departamento de Óptica, Farmacología y Anatomía |
Palabras clave: | Small-incision lenticule extraction | Femtosecond laser-assisted | Wavefront-guided laser | Keratomileusis |
Área/s de conocimiento: | Óptica |
Fecha de publicación: | jul-2016 |
Editor: | Elsevier |
Cita bibliográfica: | Journal of Cataract & Refractive Surgery. 2016, 42(7): 1078-1093. doi:10.1016/j.jcrs.2016.05.004 |
Resumen: | Small-incision lenticule extraction and wavefront-guided femtosecond–assisted laser in situ keratomileusis (LASIK) provide good visual outcomes and an efficacious correction of myopia or myopic astigmatism with similar levels of safety. Some differences in predictability and the percentage of eyes gaining lines of corrected distance visual acuity are present. A higher level of coma is present after small-incision lenticule extraction, with no clear differences between techniques in spherical aberration. Better contrast sensitivity is achieved in the early postoperative period after wavefront-guided femtosecond laser–assisted LASIK, possibly because of less intrastromal light backscattering and Bowman layer microdistortions. Corneal sensitivity decreased less after small-incision lenticule extraction because of less severe decrease in subbasal nerve density, which has a significant effect on symptomatology and dry-eye tests (P < .05). Significant corneal biomechanical changes occurred after both techniques (P < .05), with no scientific evidence supporting the superiority of 1 technique over the other. |
URI: | http://hdl.handle.net/10045/63308 |
ISSN: | 0886-3350 (Print) | 1873-4502 (Online) |
DOI: | 10.1016/j.jcrs.2016.05.004 |
Idioma: | eng |
Tipo: | info:eu-repo/semantics/article |
Derechos: | © 2016 ASCRS and ESCRS. Published by Elsevier Inc. |
Revisión científica: | si |
Versión del editor: | http://dx.doi.org/10.1016/j.jcrs.2016.05.004 |
Aparece en las colecciones: | INV - GOPV - Artículos de Revistas |
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2016_Pinero_Teus_JCataractRefractSurg_final.pdf | Versión final (acceso restringido) | 1,72 MB | Adobe PDF | Abrir Solicitar una copia |
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