Background Laser in situ keratomileusis （LASIK） has become an efficient and commonly performed procedure to reduce refractive errors. In order to further increase the postoperative visual quality, the wavefront-guid...Background Laser in situ keratomileusis （LASIK） has become an efficient and commonly performed procedure to reduce refractive errors. In order to further increase the postoperative visual quality, the wavefront-guided refractive surgery has been a research hotspot in customized surgery. This study was conducted to compare the visual acuity, higher-order aberration, and contrast sensitivity of wavefront-guided LASIK with iris-registration and conventional LASIK. Methods Two hundred and eleven myopic eyes of 109 patients were enrolled in this prospective study and randomly divided into two groups： the wavefront-guided LASIK （wg LASIK） group （94 eyes） and conventional LASIK group （117 eyes）. A Wavescan Wavefront aberrometer was used to analyze Zernike coefficients and the root-mean-square （RMS） of higher order aberrations with 6.0 mm pupil size, and Optec 6500 visual function instrument was used to measure contrast sensitivity （CS） under 5 spatial frequencies before and after surgery in both groups.Results The uncorrected visual acuity （UCVA） and the mean spherical equivalent （SE） in wg LASIK group were significantly better than those in conventional LASIK （UCVA, z=2.339, P=0.019; SE, t=2.838, P=0.005） at 3 months after surgery. Moreover, the increase in Z3^-3, Z3^1, Z3^3, Z4^0, Z5^-1, Z5^1 Z5^-5 and Z6^-6 in wg LASIK group was statistically smaller than that in conventional LASIK group （P〈0.05）. In wg LASIK group, eyes with a higher amount of the preoperative RMS of the higher order aberrations （RMSh≥0.30μm） showed a statistically lower increase （13.5%） than those in conventional LASIK group at 3 months after surgery （33.3%） （P=0.004）. And the values of 4th order spherical aberration （4thSA） and the root mean square of 6th order aberration （RMS6） in wg LASIK group were significantly lower than those in conventional group in eyes which had higher preoperative astigmatism （≥1.0D） （4thSA, P=0.03; RMS6, P=0.02）. Wg LASIK group showed bett展开更多
AIM:To compare visual performance of wavefrontguided laser in situ keratomileusis(LASIK) with iris-registration(Wg-LASIK group) and conventional LASIK(LASIK group) one year after surgery and analyze the correlation be...AIM:To compare visual performance of wavefrontguided laser in situ keratomileusis(LASIK) with iris-registration(Wg-LASIK group) and conventional LASIK(LASIK group) one year after surgery and analyze the correlation between wavefront aberrations and visual performance.·METHODS:Eight hundred and fifty-two myopic eyes of 430 patients were enrolled in this prospective study and divided into two groups:Wg-LASIK group(436eyes) and LASIK group(416 eyes).A Wavescan Wavefront aberrometer was used to analyze Zernike coefficients and the root-mean-square(RMS) of higher order aberrations,and Optec 6500 visual function instrument was used to measure contrast sensitivity(CS)before and 3,6,12 months after surgery.·RESULTS:The mean spherical equivalent(SE) in WgLASIK group was significantly better than those in LASIK group one year after surgery(P =0.024).Wg-LASIK eyes showed better CS values than LASIK eyes at all spatial frequencies with and without glare after surgery(P all【0.01).Moreover,the increase of higher RMS(RMSh),coma,RMS3,RMS4,RMS5 in Wg-LASIK group were significantly lower than those in LASIK group 1 year after surgery(P all 【0.05).The increase of coma,spherical aberration(SA),RMS3 and RMS4 in Wg-LASIK and coma and RMS3 in LASIK group were negatively correlated with reduction of contrast sensitivity 1 year after surgery.·CONCLUSION:A significant better visual performance is got in Wg-LASIK group compared with LASIK group 1year after surgery,and the Wg-LASIK is particularly suitable for eyes with high-magnitude RMSh.展开更多
文摘Background Laser in situ keratomileusis （LASIK） has become an efficient and commonly performed procedure to reduce refractive errors. In order to further increase the postoperative visual quality, the wavefront-guided refractive surgery has been a research hotspot in customized surgery. This study was conducted to compare the visual acuity, higher-order aberration, and contrast sensitivity of wavefront-guided LASIK with iris-registration and conventional LASIK. Methods Two hundred and eleven myopic eyes of 109 patients were enrolled in this prospective study and randomly divided into two groups： the wavefront-guided LASIK （wg LASIK） group （94 eyes） and conventional LASIK group （117 eyes）. A Wavescan Wavefront aberrometer was used to analyze Zernike coefficients and the root-mean-square （RMS） of higher order aberrations with 6.0 mm pupil size, and Optec 6500 visual function instrument was used to measure contrast sensitivity （CS） under 5 spatial frequencies before and after surgery in both groups.Results The uncorrected visual acuity （UCVA） and the mean spherical equivalent （SE） in wg LASIK group were significantly better than those in conventional LASIK （UCVA, z=2.339, P=0.019; SE, t=2.838, P=0.005） at 3 months after surgery. Moreover, the increase in Z3^-3, Z3^1, Z3^3, Z4^0, Z5^-1, Z5^1 Z5^-5 and Z6^-6 in wg LASIK group was statistically smaller than that in conventional LASIK group （P〈0.05）. In wg LASIK group, eyes with a higher amount of the preoperative RMS of the higher order aberrations （RMSh≥0.30μm） showed a statistically lower increase （13.5%） than those in conventional LASIK group at 3 months after surgery （33.3%） （P=0.004）. And the values of 4th order spherical aberration （4thSA） and the root mean square of 6th order aberration （RMS6） in wg LASIK group were significantly lower than those in conventional group in eyes which had higher preoperative astigmatism （≥1.0D） （4thSA, P=0.03; RMS6, P=0.02）. Wg LASIK group showed bett
文摘AIM:To compare visual performance of wavefrontguided laser in situ keratomileusis(LASIK) with iris-registration(Wg-LASIK group) and conventional LASIK(LASIK group) one year after surgery and analyze the correlation between wavefront aberrations and visual performance.·METHODS:Eight hundred and fifty-two myopic eyes of 430 patients were enrolled in this prospective study and divided into two groups:Wg-LASIK group(436eyes) and LASIK group(416 eyes).A Wavescan Wavefront aberrometer was used to analyze Zernike coefficients and the root-mean-square(RMS) of higher order aberrations,and Optec 6500 visual function instrument was used to measure contrast sensitivity(CS)before and 3,6,12 months after surgery.·RESULTS:The mean spherical equivalent(SE) in WgLASIK group was significantly better than those in LASIK group one year after surgery(P =0.024).Wg-LASIK eyes showed better CS values than LASIK eyes at all spatial frequencies with and without glare after surgery(P all【0.01).Moreover,the increase of higher RMS(RMSh),coma,RMS3,RMS4,RMS5 in Wg-LASIK group were significantly lower than those in LASIK group 1 year after surgery(P all 【0.05).The increase of coma,spherical aberration(SA),RMS3 and RMS4 in Wg-LASIK and coma and RMS3 in LASIK group were negatively correlated with reduction of contrast sensitivity 1 year after surgery.·CONCLUSION:A significant better visual performance is got in Wg-LASIK group compared with LASIK group 1year after surgery,and the Wg-LASIK is particularly suitable for eyes with high-magnitude RMSh.
