Preview

Ophthalmology in Russia

Advanced search

Visual Outcomes of the FemtoLASIK Technology Using Excimer Lasers with Frequency More 1000 Hz in Low to Moderate Myopia Correction

https://doi.org/10.18008/1816-5095-2021-1-46-53

Abstract

Purpose: to evaluate the clinical and functional results of the operation the FemtoLASIK by excimer lasers with frequency more 1000 Hz in patients with low to moderate myopia.

Patients and methods. The 84 eyes of 84 patients with low to moderate myopia who had undergone FemtoLASIK procedure using with excimer lasers: Schwind Amaris 1050 Hz (Germany) and Microscan Visum 1100 Hz (Russia) were included in the study. The “Schwind Amaris 1050 Hz” and “Microscan Visum 1100 Hz” groups were comparable in terms of pre-operative data (age, sex, corneal curvature, central thickness of the cornea, sphere, cylinder, SE) (p > 0.05). All patients underwent complete ophthalmological examination before refractive laser surgery, and also patients were examined on the 1st day and 1 month after FemtoLASIK.

Results. One month postoperatively, in the “Schwind Amaris 1050 Hz” group the UDVA 1.0 or better (20/20 or better by Snellen) was achieved in 100 %, in the “Microscan Visum 1100 Hz” group — in 100 % (p > 0.05). There wasn’t observed a loss of the CDVA lines in both groups. In the “Schwind Amaris 1050 Hz” group gain of one or more lines of the CDVA was 14 %, in the “Microscan Visum 1100 Hz” group — in 12.2 % (p > 0.05). In the “Schwind Amaris 1050 Hz” group the predictability of targeted refraction within ±0.5 D was in 90.7, within ± 1.0 D — in 100 %, in the “Microscan Visum 1100 Hz” group — in 90.2 % and 100 %, respectively (p > 0.05).

Conclusions. The FemtoLASIK procedure using with different high-frequency excimer lasers is an effective, safe and predictable method for correcting low to moderate myopia.

 

About the Authors

A. V. Doga
S. Fyodorov Eye Microsurgery Federal State Institution
Russian Federation

Doga Alexander V. MD, Professor, deputy main director on scientific-clinical work

Beskudnikovsky blvd, 59A, Moscow, 127486



I. A. Mushkova
S. Fyodorov Eye Microsurgery Federal State Institution
Russian Federation

Mushkova Irina A. MD, head the of Refractive laser surgery department

Beskudnikovsky blvd, 59A, Moscow, 127486



A. N. Karimova
S. Fyodorov Eye Microsurgery Federal State Institution
Russian Federation

Karimova Adelya N. PhD, researcher of the Refractive laser surgery department

Beskudnikovsky blvd, 59A, Moscow, 127486



E. V. Kechin
S. Fyodorov Eye Microsurgery Federal State Institution
Russian Federation

Kechin Evgeny V. PhD, researcher of the Organizational and methodological department

Beskudnikovsky blvd, 59A, Moscow, 127486



A. E. Kopylov
Tambov branch of S. Fyodorov Eye Microsurgery Federal State Institution
Russian Federation

Kopylov Andrey E. ophthalmologist

Rasskazovskoe highway, 1, Tambov, 392000



References

1. Doga A.V., Mushkova I.A., Karimova A.N., Kechin E.V. Clinical and functional outcomes of correcting low to moderate myopia with FemtoLASIK performed with Russian and Swiss femtolaser platforms. Annals of Ophthalmology = Vestnik oftal’mologii. 2019;5(135)13–23 (in Russ.). DOI: 10.17116/oftalma201913505113

2. Doga A.V., Vartapetov S.K., Mushkova I.A., Kostenev S.V., Maychuk N.V., Karimova A.N. Laser keratorefractive surgery. Russian technology. Moscow: Ophthalmology; 2018. 114 p. (In Russ.).

3. Пожарицкий М.Д., Трубилин В.Н. Фемтоласик. М.: Апрель; 2012. 96 c. [Pozharickij M.D., Trubilin V.N. Femtolasik. Moscow: Aprel’: 2012. 96 p. (In Russ.)].

4. Khoramnia R., Salgado J.P., Wuellner, Donitzky C. Safety, efficacy, predictability and stability of laser in situ keratomileusis (LASIK) with a 1000 Hz scanning spot excimer laser. Acta ophthalmologica. 2012;90(6):508–513. DOI: 10.1111/j.17553768.2010.02052.x

5. Ortueta D., Arba-Mosquera S., Magnago T. High-speed recording of thermal load during laser trans-epithelial corneal refractive surgery using a 750 Hz ablation system. Journal Optometry. 2019;12(2):84–91. DOI: 10.1016/j.optom.2018.05.002

6. Sandoval H.P., Donnenfeld E.D., Kohnen T., Lindstrom R.L., Potvin R., Tremblay D.M., Solomon K.D. Modern laser in situ keratomileusis outcomes. Journal of Cataract & Refractive Surgery. 2016;42(8):1224–1234. DOI: 10.1016/j.jcrs.2016.07.012

7. Moshirfar M., Shah T.J., Skanchy D.F. Meta-analysis of the FDA reports on patientreported outcomes using the three latest platforms for LASIK. Journal Refractive Surgery. 2017;33(6):362–368. DOI: 10.3928/1081597X-20161221-02

8. Shanyfelt L.M., Dickrell P.L., Edelhauser H.F. Effects of laser repetition rate on corneal tissue ablation for 193‐nm excimer laser light. Lasers Surg. Med. 2008;40:483– 493. DOI: 10.1002/lsm.20656

9. Doga A.V., Mushkova I.A., Karimova A.N., Kechin E.V., Kopylov A.E. Comparative evaluation of the FemtoLASIK visual outcomes in low to moderate myopia using different excimer lasers. Fyodorov Journal of Ophthalmic Surgery = Oftal’mohirurgija. 2019;(2):38–43 (In Russ.). DOI: 10.25276/02354160-2019-2-38-43

10. D’Arcy F., Kirwan C., Qasem Q., O’Keefe M. Prospective contralateral eye study to compare conventional and wavefront-guided laser in situ keratomileusis. Acta ophthalmologica. 2012;90(1):76–80. DOI: 10.1111/j.1755-3768.2009.01845.x

11. Sajjadi V., Ghoreishi M., Jafarzadehpour E. Refractive and Aberration Outcomes after Customized Photorefractive Keratectomy in Comparison with Customized Femtosecond Laser. Medical hypothesis, discovery & innovation ophthalmology journal. 2015;4(4):136–141.

12. Anderle R., Ventruba J., Skorkovská S. Comparison of visual acuity and higher-order aberrations after standard and wavefront-guided myopic femtosecond LASIK. Czech and Slovak Ophthalmology. 2015;71(1):44–50.

13. Kymionis G.D., Kontadakis G.A., Grentzelos M.A., Panagopoulou S.I., Stojanovic N., Kankariya V.P., Henderson B.A., Pallikaris I.G. Thin-flap laser in situ keratomileusis with femtosecond-laser technology. Journal of Cataract & Refractive Surgery. 2013;39(9):1366–1371. DOI: 10.1016/j.jcrs.2013.03.024

14. Torky M.A., Al Zafiri Y.A., Khattab A.M., Farag R.K., Awad E.A. Visumax femtolasik versus Moria M2 microkeratome in mild to moderate myopia: efficacy, safety, predictability, aberrometric changes and flap thickness predictability. Biomed central ophthalmology. 2017;17;17(1):125. DOI: 10.1186/s12886-0170520-5

15. Yu C.Q., Manche E.E. Comparison of 2 wavefront-guided excimer lasers for myopic laser in situ keratomileusis: one-year results. Journal of Cataract & Refractive Surgery. 2014;40(3):412–422. DOI: 10.1016/j.jcrs.2013.08.050


Review

For citations:


Doga A.V., Mushkova I.A., Karimova A.N., Kechin E.V., Kopylov A.E. Visual Outcomes of the FemtoLASIK Technology Using Excimer Lasers with Frequency More 1000 Hz in Low to Moderate Myopia Correction. Ophthalmology in Russia. 2021;18(1):46-53. (In Russ.) https://doi.org/10.18008/1816-5095-2021-1-46-53

Views: 851


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1816-5095 (Print)
ISSN 2500-0845 (Online)