| Functional outcomes and patient satisfaction after laser in situ keratomileusis for correction of myopia. | |
| | |
MedLine Citation:
|
PMID: 16338565 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
PURPOSE: To determine subjective patient satisfaction and self-perceived quality of vision after laser in situ keratomileusis (LASIK) to correct myopia and myopic astigmatism. SETTING: Department of Ophthalmology, Academic Hospital Maastricht, Maastricht, The Netherlands. METHODS: A validated questionnaire consisting of 66 items was self-administered by 142 consecutive patients. Seven scales covering a specific aspect of quality of vision were formulated. Aspects included global satisfaction, quality of uncorrected and corrected vision, quality of night vision, glare, daytime driving, and night driving. Main outcome measures were responses to individual questions and scale scores, and correlations with clinical parameters including refractive outcome, uncorrected visual acuity, best corrected visual acuity, ablation depth, and scotopic pupil-optical zone disparity were obtained. RESULTS: The mean score for the overall satisfaction was 4.1 +/- 0.71 (SD) (scale 0 to 5.0). A total of 92.2% of patients were satisfied or very satisfied with their surgery, 93.6% considered their main goal of surgery achieved, and 92.3% would choose to have LASIK surgery again. Satisfaction with uncorrected vision was 3.03 +/- 0.71. The mean score for glare was 3.0 +/- 0.9. At night, glare from lights was believed to be more important than before surgery by 47.2%. Glare from oncoming car headlights after surgery was reported by 58.4% and was believed to be more bothersome for night driving than before surgery by 52.8%. Night driving was rated more difficult than before surgery by 39.4%, whereas 59.3% had less difficulty driving at night. There was a significant correlation between the uncorrected vision score and the postoperative spherical equivalent (r = 0.245) and postoperative astigmatism (r = 0.265). There was no correlation between the glare or night vision scores and the degree of correction, the amount of ablation depth, or the disparity between the scotopic pupil and the optical zone. CONCLUSIONS: Self-perceived uncorrected vision after LASIK surgery for the correction of myopia and myopic astigmatism appears to be very good and is related to the postoperative residual error. Although the majority of patients postoperatively experienced glare, particularly with driving at night, this was not related to the pupil-optical zone disparity or degree of correction. |
| | |
Authors:
|
Nayyirih G Tahzib; Sander J Bootsma; Fred A G J Eggink; Vaishali A Nabar; Rudy M M A Nuijts |
Related Documents
:
|
15050265 - Comparison of nagahara phaco-chop and stop-and-chop phacoemulsification nucleotomy tech... 18268205 - Correlations of long-term matrix metalloproteinase localization in human corneas after ... 12788115 - Surgical management of cataracts in children with juvenile rheumatoid arthritis-associa... 20028265 - In vivo and in vitro investigations of fungal keratitis caused by colletotrichum gloeos... 20679905 - Cyclosporine is safe and effective in patients with severe ulcerative colitis. 21115255 - Association between preoperative inferior rectus muscle swelling and outcomes in orbita... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Journal of cataract and refractive surgery Volume: 31 ISSN: 0886-3350 ISO Abbreviation: J Cataract Refract Surg Publication Date: 2005 Oct |
Date Detail:
|
Created Date: 2005-12-12 Completed Date: 2006-01-31 Revised Date: 2008-11-21 |
Medline Journal Info:
|
Nlm Unique ID: 8604171 Medline TA: J Cataract Refract Surg Country: United States |
Other Details:
|
Languages: eng Pagination: 1943-51 Citation Subset: IM |
Affiliation:
|
Department of Ophthalmology, Academic Hospital Maastricht, Maastricht, The Netherlands. nta@soog.azm.nl |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Astigmatism / complications, physiopathology*, psychology, surgery* Automobile Driving Contact Lenses Corneal Topography Darkness Eyeglasses Glare Humans Keratomileusis, Laser In Situ* / adverse effects Middle Aged Myopia / complications, physiopathology*, psychology, surgery* Night Blindness / etiology Patient Satisfaction* Pupil Questionnaires Treatment Outcome Vision, Ocular |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Pupil decentration and iris tilting detected by Orbscan: anatomic variations among healthy subjects ...
Next Document: Quality-of-life improvements in cataract patients with bilateral blue light-filtering intraocular le...