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Longitudinal Changes in Optical Quality, Spatial Vision, and Depth Vision after Laser Refractive Surgery for Myopia / Samrat Sarkar in OVS : Optometry & Vision Science, vol. 97, 05 (Mai 2020)
[article]
in OVS : Optometry & Vision Science > vol. 97, 05 (Mai 2020) . - p. 360-369
Titre : Longitudinal Changes in Optical Quality, Spatial Vision, and Depth Vision after Laser Refractive Surgery for Myopia Type de document : article de périodique Auteurs : Samrat Sarkar ; Shrikant Bharadwaj ; Jagadesh C. Reddy ; Pravin K. Vaddavalli Année de publication : 2020 Article en page(s) : p. 360-369 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]:M:Myopie:Myopie / chirurgie
[Thésaurus Mesh]:M:Myopie:Myopie / thérapie
[Thésaurus Mesh]Chirurgie de la cornée par laser
[Thésaurus Mesh]Myopie
[Thésaurus Mesh]Procédures de chirurgie réfractive
[Thésaurus Mesh]Vision binoculaire
[Thésaurus HELB]:Optique:vision spatialeMots-clés : corneal surgery, laser myopia surgery refractive surgical procedures vision, binocular Résumé : SIGNIFICANCE: Laser refractive surgery procedures are efficacious at correcting myopia, but they result in longterm deterioration of optical quality that affects monocular and binocular visual performance. The study shows that the optical quality of the two eyes needs to be similar to optimize binocular visual performance after surgery. PURPOSE: This study aimed to systematically analyze longitudinal changes in optical quality, high- and lowcontrast logMAR acuity and random-dot stereoacuity before and after three refractive surgery procedures for correcting myopia. METHODS: A total of 106 subjects (laser-assisted in situ keratomileusis, 40; photorefractive keratectomy, 26; small-incision lenticule extraction, 40) with myopia and astigmatism ≤1.5 D participated in this prospective cohort-based study. All aforementioned outcome variables were measured in both eyes pre-operatively and 1 week and 1, 3, and 6 months post-operatively. RESULTS: Pre-operative myopic spherical equivalent of refraction (median [25th to 75th interquartile range], −6.4 D [−8.0 to −4.2 D] for laser-assisted in situ keratomileusis, −4.3 D [−5.0 to −3.5 D] for photorefractive keratectomy, −5.5 D [−6.5 to −4.3 D] for small-incision lenticule extraction) was corrected to within ±0.75 D of emmetropia in all cohorts up to 6 months post-operatively (P < .001). Higher-order wavefront aberrations, uncorrected high- and low-contrast logMAR acuity, and stereoacuity all worsened and remained so up to 6 months postoperatively, relative to pre-operative values (P < .001). Stereoacuity worsened with both interocular average and difference in the magnitude of higher-order aberrations, whereas logMAR acuities worsened only with interocular average of these aberrations (r 2 ≥ 0.40; P < .01 for all). CONCLUSIONS: Although the refractive surgery procedures tested here correct myopia, they result in a sustained (up to 6 months) loss of optical quality and spatial and depth-related visual functions post-operatively. Both interocular average and difference in the eye's optical quality seem to impair binocular visual functions after refractive surgery for myopia. Note de contenu :
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