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• W2294634212 startingPage "343" @default.
• W2294634212 abstract "ABSTRACT PURPOSE: To investigate the efficacy of laser epithelial keratomileusis (LASEK) for the correction of hyperopia using a 7.0-mm optical zone and a 9.0-mm total ablation zone diameter with the Schwind ESIRIS flying-spot laser. METHODS: Forty-seven patients (70 eyes) were treated with a mean preoperative spherical equivalent refraction of +2.32 diopters (D) (range: 0 to +5.00 D). All eyes underwent LASEK using 15% alcohol with a 20-second application. RESULTS: An intact epithelial flap was obtained in 66 (94%) eyes. In 70 eyes at 12 months, the mean spherical equivalent refraction was +0.09 D (range: -0.75 to + 1.00 D) with all (100%) eyes within ±1.00 D of the intended correction and 60 (86%) eyes within ±0.50 D. In 40 eyes with 24-month follow-up, the refractive correction remained stable after 6 months. Hyperopic cylindrical corrections were attempted in 49 eyes (range: +0.25 to +5.00 D) with vector analysis demonstrating a mean 102% correction at 12 to 24 months. In 60 nonamblyopic eyes, uncorrected visual acuity was s= 20/20 in 47 (78%) eyes. Thirty-three (47%) eyes gained 1 to 2 lines of Snellen decimal equivalent best spectacle-corrected visual acuity, 30 (43%) eyes showed no change, and 7 (10%) eyes lost 1 line. Eight (11%) eyes at 12 to 24 months had grade s*+l of paracentral corneal haze and 57 (81%) had no haze. At 12 months (n=70), the safety index was 1.06 with an efficacy index of 0.95. Analysis of higher order wavefront aberrations showed no significant changes in root-mean-square values postoperatively, except for a significant reduction of fourth order spherical aberration (P<.05). CONCLUSIONS: Laser epithelial keratomileusis for hyperopia up to +5.00 D using a 7.0-mm optical zone with the Schwind ESIRIS laser provides excellent refractive and visual outcomes with minimal complications. In eyes followed for 24 months, the refractive correction remained stable after 6 months. [J Refract Surg. 2007;23:343-354.]" @default.
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• W2294634212 date "2007-04-01" @default.
• W2294634212 modified "2023-10-09" @default.
• W2294634212 title "Laser Epithelial Keratomileusis for the Correction of Hyperopia Using a 7.0-mm Optical Zone With the Schwind ESIRIS Laser" @default.
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• W2294634212 doi "https://doi.org/10.3928/1081-597x-20070401-06" @default.
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