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       XXVI Annual Congress of the Iranian Society of Ophthalmology        بـیــست و ششمین کنــگــره سـالیـانه انـجـمـن چـشـم پـزشـکی ایـــران
مقاله Abstract


Title: Evaluation of corneal biomechanics after excimer laser corneal refractive surgery in high myopic patients using dynamic Scheimpflug technology: 18 months follow up
Author(s): Hassan Hashemi MD1 , Hadith Rastad PhD2, Reza Ghaffari MD3, Soheila Asgari PhD 1
Presentation Type: Oral
Subject: Cornea and Anterior Segment
Others:
Presenting Author:
Name: Hassan Hashemi
Affiliation :(optional) Noor Ophthalmology Research Center, Noor Eye Hospital, Tehran, Iran; Noor Research Center for Ophthalmic Epidemiology, Noor Eye Hospital, Tehran, Iran;
E mail: research@noorvision.com
Phone: 02182401614
Mobile: 09121127421
Purpose:

To evaluate corneal biomechanical properties after femtosecond laser assisted in situ keratomileusis (FS-LASIK) and photorefractive keratectomy with mitomycin-C (PRK-MMC) in high myopic patients (>7.0D) at long time follow up using the Corvis ST (Oculus Optikgeräte GmbH).

Methods:

In this prospective comparative interventional case series, sixty patients were enrolled (30 patients in each group) with a manifest refraction spherical equivalent (MRSE) >7.0 diopter (D). The main outcome evaluated was change in corneal biomechanical properties at postoperative18 months. Corneal biomechanical parameters were evaluated at 3, 6 and 18 months using Corvis ST.

Results:

Preoperatively, mean MRSE was -8.65±1.51D in FS-LASIK and -8.04±1.70 D in PRK-MMC groups (P=0.15), and corneal thickness was 570.67±36.79µm and 507.12±32.55µm, respectively (P<0.001). At 18 months, Corneal biomechanical parameters change were not significantly different between the two procedures ( all p value > 0.05) except about peak distance (mm). At 12 months, peak distance change was greater in PRK-MMC than FS-LASIK (p value =0.026).

Conclusion:

This study demonstrated no significant differences in corneal biomechanical parameters change over time between the study groups.

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