The Influence of LASIK to the Retinal Nerve Fiber Layer in Myopia
Hlaváčová P., Horáčková M., Vlková E., Goutaib M.
Oftalmologická klinika LF MU a FN, Brno Bohunice, prednosta prof. MUDr. E. Vlková, CSc. |
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Summary:
Purpose of this paper was to evaluate statistically the thickness of the retinal
nerve fiber layer (RNFL) measured by means of the GDx analyzer in middle and
high degrees of myopia before laser assisted in situ mileusis (LASIK) and in the
postoperative period of 6 months. Material and methods: The group consisted
of 35 eyes of 18 patients (8 men and 10 women), the average age was 28.9 ± 5.08
years of age. The refractive error was from -3.25 dioptres (D) to -11.5 D (average
-5.5 ± 1.4 D). The patients underwent the corrective refractive procedure by
means of LASIK to correct the myopia. The thickness of RNFL was measured by
means of GDx analyzer with Variable Corneal Compensator before the
refractive procedure and 3 and 6 months after this. Before each measurement, a new compensation of the cornea according to the actual refractive status was
used. The RNFL thickness values (in μm) were compared and statistically
evaluated using of the Wilcoxon’s nonparametric pair test in the whole
peripapilary ellipse area (TSNIT) and in the superior and inferior quadrants of
this ellipse.
Results: Statistically significant difference of the RNFL thickness at the 5 %
level of significance was found in the TSNIT area after 3 months and after
LASIK. Statistically significant difference of the RNFL thickness at the 1 % level
of significance was found in the superior quadrant after 3 months and in the
inferior quadrant after 3 and 6 months after LASIK.
Key words:
LASIK, GDx, VCC analyzer, thickness of the RNFL
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