Safety, efficacy and refractive outcomes of LASIK surgery in patients aged 65 or older

Purpose Report on the safety, efficiency and refractive outcomes of LASIK surgery in patients aged 65 or older. Methods This study includes a case series of patients ≥65 years that underwent corneal refractive surgery during the period June 2010 to June 2015 at Hospital Zambrano Hellion, Monterrey,...

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Bibliographic Details
Published in:International ophthalmology 2018-08, Vol.38 (4), p.1515-1520
Main Authors: López-Montemayor, Paloma, Valdez-García, Jorge E., Loya-García, Denise, Hernandez-Camarena, Julio C.
Format: Article
Language:English
Subjects:
Age
Aged
Aged, 80 and over
Binocular vision
Cornea
Cornea - pathology
Cornea - surgery
Corneal Topography
Cylinders
Eye
Eye (anatomy)
Eye surgery
Female
Follow-Up Studies
Group dynamics
Humans
Hyperopia - physiopathology
Hyperopia - surgery
Keratomileusis, Laser In Situ - methods
Lasers, Excimer - therapeutic use
Male
Medicine
Medicine & Public Health
Myopia - physiopathology
Myopia - surgery
Ophthalmology
Original Paper
Patients
Presbyopia - physiopathology
Presbyopia - surgery
Refraction, Ocular - physiology
Safety
Surgery
Treatment Outcome
Vision, Binocular
Visual Acuity
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Summary:Purpose Report on the safety, efficiency and refractive outcomes of LASIK surgery in patients aged 65 or older. Methods This study includes a case series of patients ≥65 years that underwent corneal refractive surgery during the period June 2010 to June 2015 at Hospital Zambrano Hellion, Monterrey, Mexico. Inclusion criteria were normal topography, central corneal thickness >500 μm, preoperative manifest refraction spherical equivalent (MRSE) up to −8.5 D and +6.0 D, cylinder up to −6.0 D, CDVA of 20/25 or better and with no other ocular pathology. Results A total of 44 eyes (24 patients) were included. Mean age was 67.2 ± 2.1 years (range 65–80), with mean follow-up of 12.2 ± 1.3 months. Conventional LASIK was performed in 20 patients (group 1, 36 eyes) to improve UDVA (10 eyes myopic LASIK and 26 eyes hyperopic LASIK) and presbyopic LASIK (monovision) in 4 patients (group 2, 8 eyes) to restore near-vision performance. Preoperative MRSE group 1 was myopic: −2.79 ± 1.88 D; hyperopic +2.19 ± 1.88 D; and +2.10 ± 0.87 D in group 2. Preoperative UDVA in group 1 was 0.67 ± 0.30 LogMAR; 0.46 ± 0.18 LogMAR; and Jaeger ≥4 in 90% in group 2. Postoperative MRSE: −0.29 ± 0.86 D (myopic LASIK) ( p  
ISSN:0165-5701
1573-2630
DOI:10.1007/s10792-017-0614-3