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Published in: International Ophthalmology 1/2024

Open Access 01-12-2024 | Keratectomy | Original Paper

Refractive results of photorefractive keratectomy comparing trans-PRK and PTK−PRK for correction of myopia and myopic astigmatism

Authors: Ahmed Saad, Amr Saad, Andreas Frings

Published in: International Ophthalmology | Issue 1/2024

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Abstract

Purpose

To compare refractive outcomes after transepithelial photorefractive keratectomy (tPRK) and combined phototherapeutic keratectomy (PTK−PRK) procedure using two different excimer laser platforms for correction of myopia and myopic astigmatism.

Methods

In this retrospective multicenter study, we compared the results of two different PRK methods. The first group received a tPRK treatment with the Amaris750 excimer laser (Schwind eye-tech solutions). The second group received a combined PTK−PRK treatment with the MEL90 excimer laser (Carl Zeiss). Only healthy eyes with no previous surgery and a spherical equivalent (SE) of −1 to −8 diopters (D) were included. Preoperative spherical equivalent (SE), age, and sex were matched among the two groups. All treatments were performed by the same surgeon in different clinics. This study was approved by the local Ethics Committee (No. 2022–1980).

Results

We included 154 eyes of 86 patients in our study. There was no difference in predictability of SE between the two groups. Efficacy and safety indices were equally high in both groups. Similarly, no significant differences were seen in change of higher order aberrations (HOA) between the two groups (p > 0.05). No complications occurred.

Conclusion

Both investigated methods provide safe and effective refractive results. The combination of PTK with PRK may be a suitable option to the already used one-step tPRK for the correction of myopia.
Literature
Metadata
Title
Refractive results of photorefractive keratectomy comparing trans-PRK and PTK−PRK for correction of myopia and myopic astigmatism
Authors
Ahmed Saad
Amr Saad
Andreas Frings
Publication date
01-12-2024
Publisher
Springer Netherlands
Published in
International Ophthalmology / Issue 1/2024
Print ISSN: 0165-5701
Electronic ISSN: 1573-2630
DOI
https://doi.org/10.1007/s10792-024-02999-w

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