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Influence of patient age on high myopic correction in corneal laser refractive surgery.
MedLine Citation:
PMID:  23332251     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
PURPOSE: To evaluate the influence of patient age on the postoperative outcomes in eyes with myopia higher than 5.00 diopters (D) that had laser in situ keratomileusis using the Schwind Amaris laser system.
SETTING: Private practice, Utrecht, The Netherlands.
DESIGN: Case series.
METHODS: At the 1-year follow-up, right eyes with preoperative myopia higher than 5.00 D were analyzed. The effect of the patient's age on postoperative status was assessed using univariate linear and multilinear correlations.
RESULTS: The study analyzed 612 eyes. Univariate linear analyses showed that residual refraction was correlated with patient age. Univariate multilinear analyses showed that spherical equivalent (SE) was correlated with the attempted SE and patient age, whereas cylinder was correlated with attempted cylinder only. Analyses suggested overcorrections and higher residual astigmatism values for older patients.
CONCLUSIONS: Patient age affected postoperative outcomes in a subtle, yet significant manner. An age-dependent adjustment toward greater attempted correction in younger patients and less intended correction in older patients may help optimize refractive outcomes.
FINANCIAL DISCLOSURE: Drs. Ewering and Arba-Mosquera are employees of Schwind eye-tech-solutions GmbH. Dr. Luger has no financial or proprietary interest in any material or method mentioned.
Authors:
Michiel H A Luger; Tobias Ewering; Samuel Arba-Mosquera
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of cataract and refractive surgery     Volume:  39     ISSN:  1873-4502     ISO Abbreviation:  J Cataract Refract Surg     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8604171     Medline TA:  J Cataract Refract Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  204-10     Citation Subset:  IM    
Copyright Information:
Copyright © 2013 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.
Affiliation:
From the VisionClinics (Luger), Utrecht, The Netherlands; Schwind eye-tech-solutions GmbH and Co. KG (Ewering, Arba Mosquera), Kleinostheim, Germany; Recognized Research Group in Optical Diagnostic Techniques (Arba-Mosquera), University of Valladolid and the Department of Ophthalmology and Sciences of Vision (Arba-Mosquera), University of Oviedo, Oviedo, Spain. Electronic address: luger@visionclinics.nl.
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