Changes in ocular biomechanics after femtosecond laser creation of a laser in situ keratomileusis flap
- PMID: 26948787
- DOI: 10.1016/j.jcrs.2015.07.047
Changes in ocular biomechanics after femtosecond laser creation of a laser in situ keratomileusis flap
Abstract
Purpose: To evaluate ocular biomechanical parameters with the Corvis ST, a noncontact tonometer combined with an ultra-high-speed Scheimpflug camera, before and after creation of a femtosecond laser-created laser in situ keratomileusis (LASIK) flap.
Setting: Private practice, Siena, Italy.
Design: Prospective consecutive study.
Methods: Right eyes of patients having LASIK were assessed with the dynamic Scheimpflug camera before and after femtosecond laser (LDV Z4) flap creation but before mechanical flap lifting.
Results: Twenty-eight eyes of 28 patients were evaluated. Before flap creation, the mean values on the dynamic Scheimpflug camera were intraocular pressure (IOP), 15.04 mm Hg ± 3.99 (SD); central pachymetry, 550.8 ± 101.0 μm; applanation 1 length, 1.721 ± 0.134 mm; applanation 2 length, 1.674 ± 0.287 mm; applanation 1 velocity, 0.126 ± 0.031 m/s; and deflection amplitude, 1.039 ± 0.141 mm. After flap creation, the mean values were IOP, 16.10 ± 3.11 mm Hg (95% confidence interval [CI], 0.44-1.78; P < .05); central pachymetry, 561.8 ± 35.9 μm (95% CI, -28.9 to 50.9; P = .21); applanation 1 length, 1.789 ± 0.1492 mm (95% CI, 0.003-0.134; P < .05); applanation 2 length, 1.759 ± 0.259 mm (95% CI, -0.005 to 0.173; P = .08); applanation 1 velocity, 0.136 ± 0.022 m/s (95% CI, 0.001-0.017; P < .05); and deflection amplitude, 1.029 ± 0.151 mm (95% CI: -0.043 to 0.025; P = .34).
Conclusion: The dynamic Scheimpflug camera showed changes in biomechanical properties after femtosecond creation of a LASIK flap as indicated by an increased applanation 1 length and applanation 1 velocity.
Financial disclosure: No author has a financial or proprietary interest in any material or method mentioned.
Copyright © 2016 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.
Similar articles
-
Changes in biomechanical properties of the cornea and intraocular pressure after myopic laser in situ keratomileusis using a femtosecond laser for flap creation determined using ocular response analyzer and Goldmann applanation tonometry.J Glaucoma. 2015 Mar;24(3):195-201. doi: 10.1097/IJG.0b013e31829da1ec. J Glaucoma. 2015. PMID: 23807345
-
Predictability of corneal flap thickness in laser in situ keratomileusis using a 200 kHz femtosecond laser.J Cataract Refract Surg. 2013 Mar;39(3):378-85. doi: 10.1016/j.jcrs.2012.10.041. Epub 2013 Jan 23. J Cataract Refract Surg. 2013. PMID: 23352500
-
Femtosecond-assisted laser in situ keratomileusis for consecutive hyperopia after radial keratotomy.J Cataract Refract Surg. 2015 Aug;41(8):1594-601. doi: 10.1016/j.jcrs.2015.08.014. J Cataract Refract Surg. 2015. PMID: 26432115
-
Comparison of corneal biomechanical changes after refractive surgery by noncontact tonometry: small-incision lenticule extraction versus flap-based refractive surgery - a systematic review.Acta Ophthalmol. 2019 Mar;97(2):127-136. doi: 10.1111/aos.13906. Epub 2018 Sep 10. Acta Ophthalmol. 2019. PMID: 30203530
-
Femtosecond laser in laser in situ keratomileusis.J Cataract Refract Surg. 2010 Jun;36(6):1024-32. doi: 10.1016/j.jcrs.2010.03.025. J Cataract Refract Surg. 2010. PMID: 20494777 Free PMC article. Review.
Cited by
-
Evaluation of corneal biomechanics in patients with keratectasia following LASIK using dynamic Scheimpflug analyzer.Jpn J Ophthalmol. 2018 Jul;62(4):443-450. doi: 10.1007/s10384-018-0594-5. Epub 2018 Apr 26. Jpn J Ophthalmol. 2018. PMID: 29700642
-
Cataract surgery causes biomechanical alterations to the eye detectable by Corvis ST tonometry.PLoS One. 2017 Feb 21;12(2):e0171941. doi: 10.1371/journal.pone.0171941. eCollection 2017. PLoS One. 2017. PMID: 28222145 Free PMC article.
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources