Comparison of corneal centering in photorefractive keratectomy.
10.3349/ymj.1998.39.4.317
- Author:
Eung Kweon KIM
1
;
Jae Woo JANG
;
Jae Bum LEE
;
Sung Bum HONG
;
Young Ghee LEE
;
Hong Bok KIM
Author Information
1. Department Ophthalmology, Institute of Vision Research, Yonsei University College of Medicine, Seoul, Korea. eungkkim@yumc.yonsei.ac.k
- Publication Type:Original Article ; Comparative Study
- Keywords:
Centering method;
photorefractive keratectomy;
topography
- MeSH:
Adult;
Comparative Study;
Female;
Human;
Keratectomy, Photorefractive, Excimer Laser/methods*;
Male
- From:Yonsei Medical Journal
1998;39(4):317-321
- CountryRepublic of Korea
- Language:English
-
Abstract:
The present study compares three centering methods for excimer laser photorefractive keratectomy (PRK. VISX 20/20) by analyzing the corneal topography. The subjects were grouped according to three different centering methods used in the procedure: an ablation using a light reflex from the patient's cornea pursued by both eyes of the surgeon (Group 1, n = 49); an ablation using a red light reflex from the patient's cornea pursued by the surgeon's left eye only while the right eye remained closed (Group 2, n = 27); an ablation using the patient's center of the pupil pursued by the surgeon's left eye only while the right eye remained closed (Group 3, n = 21). The mean distance from the center of ablation zone to the center of the pupil were; 0.69 +/- 0.45 mm for Group 1, 1.05 +/- 0.48 mm for Group 2 and 0.63 +/- 0.28 mm for Group 3. The degree of deviation in Group 2 was significantly greater than in Group 1 or Group 3. The deviation was greater in the right eyes than the left eyes in Group 2 only. The decentration of the right eye in Group 2 was due to angle Kappa with misalignment of the fixation light and viewing tube containing reticule.
