Document Detail


Effect of preoperative pupil size on quality of vision after wavefront-guided LASIK.
MedLine Citation:
PMID:  21093922     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To evaluate the effect of preoperative pupil size on quality of vision after wavefront-guided LASIK.
DESIGN: Prospective study.
PARTICIPANTS: One hundred two eyes.
INTERVENTION: LASIK for mild to moderate myopia or astigmatism (preoperative manifest spherical equivalent, -3.99±1.42 diopters).
MAIN OUTCOME MEASURES: Questionnaires evaluating specific visual symptoms before and after surgery. Each eye was evaluated before surgery, and 1 week and 1, 3, 6, and 12 months postoperatively. Pupils were stratified according to size: small (≤5.5 mm), medium (5.6-6.4 mm), or large (≥6.5 mm). Mesopic pupil size and preoperative and postoperative variables were evaluated using an analysis of variance. A regression model was also performed to determine the correlation between mean spherical equivalent and cylinder and visual symptoms.
RESULTS: In the early postoperative period, there was no difference between the 3 groups with regard to any of the symptoms. At the final 12-month postoperative visit, patients with medium pupils experienced less glare at night than small pupils (P = 0.02), medium pupils had less halos than small or large pupils (P = 0.001 and P = 0.02, respectively), and medium pupils experienced greater satisfaction in visual improvement than small pupils (P = 0.014).
CONCLUSIONS: Twelve months after wavefront-guided LASIK surgery, large pupil size does not positively correlate with any postoperative visual symptoms.
Authors:
Annie Chan; Edward E Manche
Publication Detail:
Type:  Journal Article     Date:  2010-11-20
Journal Detail:
Title:  Ophthalmology     Volume:  118     ISSN:  1549-4713     ISO Abbreviation:  Ophthalmology     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-04-04     Completed Date:  2011-06-06     Revised Date:  2012-10-02    
Medline Journal Info:
Nlm Unique ID:  7802443     Medline TA:  Ophthalmology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  736-41     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Ophthalmology, Stanford University School of Medicine, Stanford, California 94305, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Astigmatism / surgery*
Female
Glare
Humans
Keratomileusis, Laser In Situ*
Lasers, Excimer / therapeutic use*
Male
Middle Aged
Myopia / physiopathology,  surgery*
Postoperative Period
Preoperative Period
Prospective Studies
Pupil / physiology*
Questionnaires
Visual Acuity / physiology*
Comments/Corrections
Comment In:
Ophthalmology. 2012 Apr;119(4):883-4; author reply 884-5   [PMID:  22472258 ]
Ophthalmology. 2011 Dec;118(12):2525-6; author reply 2526-7   [PMID:  22136680 ]
Ophthalmology. 2012 Apr;119(4):882-3; author reply 884-5   [PMID:  22472256 ]
Ophthalmology. 2012 Aug;119(8):1715-6; author reply 1716-7   [PMID:  22858030 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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