Faik Orucov*, MD, Sinan Goker*,MD, Abraham Solomon**, MD, Joseph Frucht-Pery**, MD *Refractive Surgery Department, *Refractive Surgery Department, ISTANBUL SURGERY HOSPITAL ISTANBUL SURGERY HOSPITAL Istanbul, Turkey Istanbul, Turkey Comparison of Tecnolas and Allegretto Comparison of Tecnolas and Allegretto L L aser in aser in S S itu itu K K eratomileusis eratomileusis O O utcomes in utcomes in H H yperopia yperopia ** Hadassah University ** Hadassah University Hospital, Jerusalem, Hospital, Jerusalem, Israel Israel Authors have no financial interests in any of the mentioned products or companies
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Faik Orucov*, MD, Sinan Goker*,MD, Abraham Solomon**, MD, Joseph Frucht-Pery**, MD *Refractive Surgery Department, ISTANBUL SURGERY HOSPITAL Istanbul,
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Faik Orucov*, MD, Sinan Goker*,MD,
Abraham Solomon**, MD, Joseph Frucht-Pery**, MD
*Refractive Surgery Department,*Refractive Surgery Department,ISTANBUL SURGERY HOSPITALISTANBUL SURGERY HOSPITALIstanbul, TurkeyIstanbul, Turkey
Comparison of Tecnolas and Allegretto Comparison of Tecnolas and Allegretto LLaser in aser in SSitu itu KKeratomileusis eratomileusis OOutcomes in utcomes in HHyperopiayperopia
** Hadassah University ** Hadassah University Hospital, Jerusalem, IsraelHospital, Jerusalem, Israel
Authors have no financial interests in any of the mentioned products or companies
Hyperopia
Hyperopia ≥ 2D 6% of populationLow Hyperopia
good vision in youngpoor vision in adults
Hyperopia affects both distance and near vision and is compounded by presbyopia
Pt’s age > 40- Dry eyes- BMD- More epithelial defects
Flap size 9.5 mm- Small eyes and pannus
(limbal bleeding)
PROBLEMS IN HYPEROPIA
Large area of treatment Long ablation time Centration is critical
PROBLEMS IN HYPEROPIA
Initial overcorrection (myopia)
Slow regression [1 y. in high hyperopia]
Enhancement is complicated Final K-reading < 50 [D]
Hyperopic correction is significantly more likely to regress Regression greater than myopic correction. The possibility of regression;
hyperplastic healing response of the cornea to fill in this ablated step between the treated and untreated zones, thereby not only resulting in loss of effect over time but also inducing an astigmatic error in case of uneven fill-ins.
To compare visual outcome measurements in laser in situ keratomileusis (LASIK) for hyperopia using the Technolas 217 and Allegretto excimer laser.
METHODS
Two-center retrospective studyH-LASIK by the Technolas 217; 50 eyes(Hadassah Medical Organization, Jeruasalem, (2003 and 2005)) H-LASIK by Allegretto excimer laser ; 42 eyes (Istanbul Surgery Hospital, Istanbul, (2004 and 2005))Mean follow-up 23.1±13.7 months with Technolas
19.3±8.8 months with Allegretto.Inclusion criteria; - SE up to 4.00 diopters (D) of sycloplegic
Higher Myopic overcorrection on the next dayGreater regression observed during first monthRegression (month 1 to last visit) : Technolas +0.48 D
Allegretto +0.36 D (P=0.247)
UCVA
The postoperative UCVA was significantly lower in eyes treated with Tecnolas on postoperative month 1 (P=.037) . At 3, 6 ,12 months and at last visit postoperatively, no significant differences were noted in UCVA between the two lasers (P=.065 to .473).