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Central ablation depth and postoperative refraction in excimer laser myopic correction measured with ultrasound, Scheimpflug, and optical coherence pachymetry.

Identifieur interne : 000043 ( PubMed/Checkpoint ); précédent : 000042; suivant : 000044

Central ablation depth and postoperative refraction in excimer laser myopic correction measured with ultrasound, Scheimpflug, and optical coherence pachymetry.

Auteurs : Maria Clara Arbelaez [Oman] ; Camila Vidal ; Samuel Arba Mosquera

Source :

RBID : pubmed:19714794

English descriptors

Abstract

To compare measurements of ultrasound, Scheimpflug, and optical coherence pachymetric techniques to describe ablated depth after myopic astigmatic corneal laser refractive surgery and achieved refractive correction.

PubMed: 19714794


Affiliations:


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pubmed:19714794

Le document en format XML

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<title xml:lang="en">Central ablation depth and postoperative refraction in excimer laser myopic correction measured with ultrasound, Scheimpflug, and optical coherence pachymetry.</title>
<author>
<name sortKey="Arbelaez, Maria Clara" sort="Arbelaez, Maria Clara" uniqKey="Arbelaez M" first="Maria Clara" last="Arbelaez">Maria Clara Arbelaez</name>
<affiliation wicri:level="1">
<nlm:affiliation>Muscat Eye Laser Center, P.O. Box 938, PC 117, Muscat, Oman. drmaria@omantel.net.om</nlm:affiliation>
<country xml:lang="fr">Oman</country>
<wicri:regionArea>Muscat Eye Laser Center, P.O. Box 938, PC 117, Muscat</wicri:regionArea>
<wicri:noRegion>Muscat</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Vidal, Camila" sort="Vidal, Camila" uniqKey="Vidal C" first="Camila" last="Vidal">Camila Vidal</name>
</author>
<author>
<name sortKey="Arba Mosquera, Samuel" sort="Arba Mosquera, Samuel" uniqKey="Arba Mosquera S" first="Samuel" last="Arba Mosquera">Samuel Arba Mosquera</name>
</author>
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<idno type="wicri:source">PubMed</idno>
<date when="2009">2009</date>
<idno type="RBID">pubmed:19714794</idno>
<idno type="pmid">19714794</idno>
<idno type="wicri:Area/PubMed/Corpus">000042</idno>
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<title xml:lang="en">Central ablation depth and postoperative refraction in excimer laser myopic correction measured with ultrasound, Scheimpflug, and optical coherence pachymetry.</title>
<author>
<name sortKey="Arbelaez, Maria Clara" sort="Arbelaez, Maria Clara" uniqKey="Arbelaez M" first="Maria Clara" last="Arbelaez">Maria Clara Arbelaez</name>
<affiliation wicri:level="1">
<nlm:affiliation>Muscat Eye Laser Center, P.O. Box 938, PC 117, Muscat, Oman. drmaria@omantel.net.om</nlm:affiliation>
<country xml:lang="fr">Oman</country>
<wicri:regionArea>Muscat Eye Laser Center, P.O. Box 938, PC 117, Muscat</wicri:regionArea>
<wicri:noRegion>Muscat</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Vidal, Camila" sort="Vidal, Camila" uniqKey="Vidal C" first="Camila" last="Vidal">Camila Vidal</name>
</author>
<author>
<name sortKey="Arba Mosquera, Samuel" sort="Arba Mosquera, Samuel" uniqKey="Arba Mosquera S" first="Samuel" last="Arba Mosquera">Samuel Arba Mosquera</name>
</author>
</analytic>
<series>
<title level="j">Journal of refractive surgery (Thorofare, N.J. : 1995)</title>
<idno type="ISSN">1081-597X</idno>
<imprint>
<date when="2009" type="published">2009</date>
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<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Cornea (pathology)</term>
<term>Cornea (surgery)</term>
<term>Cornea (ultrasonography)</term>
<term>Humans</term>
<term>Keratectomy, Subepithelial, Laser-Assisted (methods)</term>
<term>Keratomileusis, Laser In Situ (methods)</term>
<term>Lasers, Excimer (therapeutic use)</term>
<term>Myopia (physiopathology)</term>
<term>Myopia (surgery)</term>
<term>Postoperative Period</term>
<term>Refraction, Ocular (physiology)</term>
<term>Retrospective Studies</term>
<term>Tomography, Optical Coherence</term>
<term>Ultrasonography</term>
<term>Visual Acuity (physiology)</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Keratectomy, Subepithelial, Laser-Assisted</term>
<term>Keratomileusis, Laser In Situ</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Cornea</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Refraction, Ocular</term>
<term>Visual Acuity</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Myopia</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Cornea</term>
<term>Myopia</term>
</keywords>
<keywords scheme="MESH" qualifier="therapeutic use" xml:lang="en">
<term>Lasers, Excimer</term>
</keywords>
<keywords scheme="MESH" qualifier="ultrasonography" xml:lang="en">
<term>Cornea</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Humans</term>
<term>Postoperative Period</term>
<term>Retrospective Studies</term>
<term>Tomography, Optical Coherence</term>
<term>Ultrasonography</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">To compare measurements of ultrasound, Scheimpflug, and optical coherence pachymetric techniques to describe ablated depth after myopic astigmatic corneal laser refractive surgery and achieved refractive correction.</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Owner="NLM" Status="MEDLINE">
<PMID Version="1">19714794</PMID>
<DateCreated>
<Year>2009</Year>
<Month>08</Month>
<Day>28</Day>
</DateCreated>
<DateCompleted>
<Year>2009</Year>
<Month>11</Month>
<Day>12</Day>
</DateCompleted>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">1081-597X</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>25</Volume>
<Issue>8</Issue>
<PubDate>
<Year>2009</Year>
<Month>Aug</Month>
</PubDate>
</JournalIssue>
<Title>Journal of refractive surgery (Thorofare, N.J. : 1995)</Title>
<ISOAbbreviation>J Refract Surg</ISOAbbreviation>
</Journal>
<ArticleTitle>Central ablation depth and postoperative refraction in excimer laser myopic correction measured with ultrasound, Scheimpflug, and optical coherence pachymetry.</ArticleTitle>
<Pagination>
<MedlinePgn>699-708</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To compare measurements of ultrasound, Scheimpflug, and optical coherence pachymetric techniques to describe ablated depth after myopic astigmatic corneal laser refractive surgery and achieved refractive correction.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Ninety-six myopic astigmatism treatments using LASIK or LASEK in 58 patients with 3-month followup were retrospectively analyzed. In all cases, standard examinations, pre-/postoperative corneal topography, ocular aberrometry, and pachymetry were performed. SCHWIND Custom Ablation Manager (CAM) software and the ESIRIS laser were used for planning treatments and performing ablations. Outcomes were evaluated in terms of predictability, safety, and wavefront aberration. Pachymetry was taken before treatment (ultrasound [DGH Pachette 2], Scheimpflug [Oculus Pentacam HR], and optical coherence pachymetry [OCP] [Heidelberg-Engineering OCP]), after lifting the flap (Pachette 2, OCP), immediately after finishing ablation (Pachette 2, OCP), and at 3-month follow-up (Pachette 2, Pentacam HR).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">At 3 months, 87 (91%) of eyes achieved 20/20 UCVA, and 89 (93%) of eyes were within +/-0.50 diopters (D). Postoperative mean spherical equivalent refraction was -0.15 +/- 0.30 D. Best spectacle-corrected visual acuity improved in 30 (31%) of eyes. Differential pachymetry correlated to intended central ablation depth for all techniques: r2 = 0.60, P < .0001, slope 0.81 for ultrasound; r2 = 0.75, P < .0001, slope 0.97 for Scheimpflug; and r2 = 0.76, P < .0001, slope 1.03 for OCR Relative differential pachymetry correlated only marginally to achieved refractive correction for ultrasound and OCP.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Differential pachymetry is a metric useful for describing intended central ablation depth but not for achieved refractive correction. The rotating Scheimpflug technique offers the best estimation (closest slope to 1) and OCP offers the best correlation (closest r2 to 1) for describing intended central ablation depth achieved. The three techniques give different measurements for ablation depth, with OCP being substantially different from ultrasound and Scheimpflug. Only borderline correlations were obtained for achieved refractive correction with ultrasound and OCP.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Arbelaez</LastName>
<ForeName>Maria Clara</ForeName>
<Initials>MC</Initials>
<AffiliationInfo>
<Affiliation>Muscat Eye Laser Center, P.O. Box 938, PC 117, Muscat, Oman. drmaria@omantel.net.om</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Vidal</LastName>
<ForeName>Camila</ForeName>
<Initials>C</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Arba Mosquera</LastName>
<ForeName>Samuel</ForeName>
<Initials>S</Initials>
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</AuthorList>
<Language>eng</Language>
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<MedlineTA>J Refract Surg</MedlineTA>
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<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D003315">Cornea</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000473">pathology</QualifierName>
<QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName>
<QualifierName MajorTopicYN="N" UI="Q000736">ultrasonography</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D049008">Keratectomy, Subepithelial, Laser-Assisted</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000379">methods</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D020731">Keratomileusis, Laser In Situ</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000379">methods</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D054018">Lasers, Excimer</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000627">therapeutic use</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D009216">Myopia</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000503">physiopathology</QualifierName>
<QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D011184">Postoperative Period</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D012029">Refraction, Ocular</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000502">physiology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D012189">Retrospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D041623">Tomography, Optical Coherence</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D014463">Ultrasonography</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D014792">Visual Acuity</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000502">physiology</QualifierName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
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<History>
<PubMedPubDate PubStatus="entrez">
<Year>2009</Year>
<Month>8</Month>
<Day>29</Day>
<Hour>9</Hour>
<Minute>0</Minute>
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<Minute>0</Minute>
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<Year>2009</Year>
<Month>11</Month>
<Day>13</Day>
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<Minute>0</Minute>
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</History>
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<ArticleIdList>
<ArticleId IdType="pubmed">19714794</ArticleId>
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<li>Oman</li>
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<name sortKey="Arba Mosquera, Samuel" sort="Arba Mosquera, Samuel" uniqKey="Arba Mosquera S" first="Samuel" last="Arba Mosquera">Samuel Arba Mosquera</name>
<name sortKey="Vidal, Camila" sort="Vidal, Camila" uniqKey="Vidal C" first="Camila" last="Vidal">Camila Vidal</name>
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<name sortKey="Arbelaez, Maria Clara" sort="Arbelaez, Maria Clara" uniqKey="Arbelaez M" first="Maria Clara" last="Arbelaez">Maria Clara Arbelaez</name>
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