A Comparative Study of Effect after Treatment with TPRK and FS-LASIK
Shan Yang, Ying Li, Yang Jiang, Zhonghai Wang, Yumei Jin
Department of Ophthalmology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China
Abstract:Objective: To compare efficiency and vision quality after treatment with either transepithelial photorefractive keratectomy (TPRK) or femtosecond assisted laser in situ keratomileusis (FS-LASIK). Methods: This prospective study included 240 eyes of 120 patients at Peking Union Medical College Hospital from January to December 2016. One hundred twenty eyes of 60 patients underwent TPRK, 120 eyes of 60 patients underwent FS-LASIK. Uncorrected visual acuity (UCVA), spherical and cylindrical values, and spherical equivalent (SE) were recorded before surgery and 1 year after surgery; meanwhile, a general evaluation and a comparison of pre- and postoperative visual quality and symptoms were performed. A t test, Mann-Whitney U test and χ2 test were used for statistical analysis. Results: At 3 d after surgery, UCVA in the FS-LASIK group was better than in the TPRK group (86.7% versus 39.2%) (χ2=12.80, P=0.007), but the difference in UCVA was not significant at 1, 3, 6 or 12 months. Patients reported that diurnal distance vision and quality of life improved most after surgery but they complained about glare and nocturnal vision, especially tiredness when staring at close objects, which was reflected in nocturnal and low nocturnal vision scores. Female patients complained most about tiredness when staring at close objects (χ2=10.68, P=0.046), while male patients complained most about poor nocturnal vision (χ2=11.32, P=0.002). Conclusions: There is no statistically significant difference between postoperative visual quality scores between the FS-LASIK group and TPRK group. Tiredness when staring at close objects and poor nocturnal vision are the most common postoperative problems.
阳珊, 李莹, 姜洋, 王忠海, 金玉梅. TPRK与FS-LASIK矫正近视散光疗效的比较[J]. 中华眼视光学与视觉科学杂志, 2019, 21(2): 122-126.
Shan Yang, Ying Li, Yang Jiang, Zhonghai Wang, Yumei Jin. A Comparative Study of Effect after Treatment with TPRK and FS-LASIK. Chinese Journal of Optometry Ophthalmology and Visual science, 2019, 21(2): 122-126. DOI: 10.3760/cma.j.issn.1674-845X.2019.02.008
Nichols JJ, Twa MD, Mitchell GL.Sensitivity of the National Eye Institute Refractive Error Quality of Life instrument to refractive surgery outcomes. J Cataract Refract Surg, 2005, 31(12): 2313-2318. DOI: 10.1016/j.jcrs.2005.04.033.
[6]
Hays RD, Tarver ME, Spritzer KL, et al.Assessment of the Psychometric Properties of a Questionnaire Assessing Patient-Reported Outcomes With Laser In Situ Keratomileusis (PROWL). JAMA Ophthalmol, 2017, 135(1): 3-12. DOI: 10.1001/jamaophthalmol.2016.4597.
Anera RG, Castro JJ, Jiménez JR, et al.Optical quality and visual discrimination capacity after myopic LASIK with a standard and aspheric ablation profile. J Refract Surg, 2011, 27(8): 597-601. DOI: 10.3928/1081597X-20110303-01.
Ondategui JC, Vilaseca M, Arjona M, et al.Optical quality after myopic photorefractive keratectomy and laser in situ keratomileusis: comparison using a double-pass system. J Cataract Refract Surg, 2012, 38(1): 16-27. DOI: 10.1016/j.jcrs. 2011.07.037.