Approach to Postoperative Astigmatism after Perforating Keratoplasty by the
LASIK Method
Vlková E., Horáčková M., Hlinomazová Z., Neugebauerová T.
Oční klinika LF MU, Brno Bohunice, přednosta prof. MUDr. E. Vlková, CSc. |
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Summary:
The authors present an account on a group of 10 eyes treated by the LASIK method
on an apparatus Keracor 117. In four instances hyperopia with astigmatism was
involved and in six eyes myopia with astigmatism, the mean age of the patients
being 46.25 years. The mean values of the preoperative spherical hyperopic
componenent was +1.37 D and of the myopic spherical component -2.12 D. The
preoperative hyperopic astigmatism was +4.5 D and the myopic astigmatism -5.84
D. The follow up period was 9.5 months (1-25 months). The authors evaluate the
postoperative natural vision, the resulting postoperative refraction , the incidence
of complications and changes of endothelial cells before and after surgery.
The resulting mean postoperative hyperopic astigmatism was + 0.5 D and the
myopic astigmatism -2.4 D. The reduction of values of hyperopic astigmatism was
88.9 % and of myopic astigmatism 58.9 %, the reduction of the spherical hyperopic
component was 100 % and of the myopic component 75 %.
On account of the stabilization of the postoperative refraction, low incidence of
peroperative and postoperative complications and the insignificant decrease of
endothelial cells the LASIK method is evaluated as effective.
Key words:
LASIK, perfora-
ting keratoplasty, astigma-
tism
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