Long-term Clinical Result and Patient Satisfaction after LASIK.
- Author:
Chang Hyun SHIN
1
;
Youl Seok SEONG
;
Dalwoong HUH
Author Information
1. Department of Ophthalmology, Sungkyunkwan University School of Medicine, Kangbuk Samsung Hospital, Korea. huhdalwoong@hanmail.net
- Publication Type:Original Article
- Keywords:
Laser in situ keratomileusis;
Long term follow-up;
Satisfaction
- MeSH:
Follow-Up Studies;
Humans;
Keratomileusis, Laser In Situ*;
Myopia;
Patient Satisfaction*;
Reoperation;
Retrospective Studies;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
2003;44(9):1973-1979
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the long-term clinical result and patient satisfaction after laser in situ keratomileusis. METHODS: This is a long term (over 3 years) retrospective analysis of 107 eyes (54 patients) that has undergone LASIK since February 1996. RESULTS: Mean preoperative Spherical Equivalent(SE) was -7.81 +/- 4.07D and mean postoperative SE was -0.88 +/- 1.74D at 1 week, -1.18 +/- 1.17D at 1 month, -1.32 +/- 1.71D at 3 month and -2.44 +/- 2.20D after 3 years. At the last visit, uncorrective visual acuity was 0.5 or better in 83.1% and 26.2% of manifest SE was within the +/- 1D. However, in high myopic group (>-10.D), it has decreased to 41.7% and 0% respectively. Myopic progression occurred also in reoperation cases, 81.3% had uncorrective visual acuity of 0.5 or better and 31.3% had manifest SE within +/- 1D at the last visit. In the survey of subjective satisfaction, 80.2% of patient was satisfied with the surgery, which has decreased to 46.2% after long term follow-up. CONCLUSIONS: In conclusion, the higher the preoperative SE, the more myopic regression has occurred (p<0.01) and the clinical result was reversely related to the degree of myopia. There was no statistically significant difference between reoperation cases and the total group (p>0.05). The patient subjective satisfaction has significantly decreased after long term follow-up compared to immediate postoperative visit.
