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  • By Ted Pasquali, MD
    Refractive Mgmt/Intervention

    This study found that high-frequency LASIK yielded stable, positive outcomes in high myopes.

    Fifty-eight highly myopic patients (-6.00 to -13.00 D with up to -5.00 D cylinder) underwent uncomplicated primary bilateral LASIK performed by the same surgeon using Alcon’s WaveLight Refractive Suite, which combines the FS200 femtosecond and EX500 excimer lasers.

    The results demonstrate the rehabilitative role of LASIK in high myopes: Only 70 percent of patients were able to achieve CDVA of 20/20 or better prior to surgery compared to 91 percent 12 months after surgery. 

    Predictability was equally remarkable with only 3 percent of eyes slightly undercorrected and 3 percent slightly overcorrected, while the rest were on target; 100 percent of eyes had 0.25 D or less of refractive cylinder at one year. 

    While refractive stability was maintained at 12 months, the keratometric readings demonstrated a small trend toward progressive steepening, perhaps portending myopic regression.

    The authors write that the WaveLight Refractive Suite’s safety, efficacy and ergonomy are of the highest level and that the networking of diagnostic devices increases ease and safety in using both the femtosecond and excimer laser.