Dr Haralabos Eleftheriadis, M.D Ultralase Clinic Bristol UK

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Presentation transcript:

Dr Haralabos Eleftheriadis, M.D Ultralase Clinic Bristol UK Clinical results of Hyperopic Wavefront LASIK with the Bausch & Lomb Zyoptix platform Dr Haralabos Eleftheriadis, M.D Ultralase Clinic Bristol UK Financial Interest: Travelling Grants received from Bausch & Lomb ASCRS Symposium 2009, San Francisco, April 3-8,

ASCRS Symposium 2009, San Francisco, April 3-8, Purpose To study the visual and refractive results of hyperopia and compound hyperopic astigmatism treated with LASIK using the wavefront Bausch & Lomb (B&L) Zyoptix platform and flaps created with the femtosecond IntraLase laser ASCRS Symposium 2009, San Francisco, April 3-8,

ASCRS Symposium 2009, San Francisco, April 3-8, Methods 1 Hyperopic patients undergoing wavefront LASIK with the B&L Zyoptix platform were studied prospectively Flaps were created with the femtosecond IntraLase laser Data were collected at months 1, 2, 3, 6 and at the time of discharge ASCRS Symposium 2009, San Francisco, April 3-8,

ASCRS Symposium 2009, San Francisco, April 3-8, Methods 2 Studied parameters were uncorrected visual acuity (UCVA), best-corrected visual acuity (BCVA), manifest refraction as well as safety, efficacy and predictability Only eyes with preoperative manifest spherical equivalent (MSE) of ≤+4.00 dioptres (D), BCVA of ≥20/20 and target refraction of emmetropia were included in this study Results at the time of discharge are presented below as mean ± standard deviation and range ASCRS Symposium 2009, San Francisco, April 3-8,

ASCRS Symposium 2009, San Francisco, April 3-8, Results 1 114 eyes (56 right eyes) 59 patients (33 male) Age 52±7 years (range 38 to 65) Preoperative MSE +2.11±0.82 D (range +0.75 to +4.00) Preoperative Sphere: +2.47±0.87 D (range +1.00 to +4.25 D) Preoperative Cylinder: -0.70±0.40 D (range -0.25 to -2.50 D) Time of discharge: 8.3±3 months (range 3 to 22) ASCRS Symposium 2009, San Francisco, April 3-8,

ASCRS Symposium 2009, San Francisco, April 3-8, Results 2 Efficacy Index at Discharge 95.8% ASCRS Symposium 2009, San Francisco, April 3-8,

ASCRS Symposium 2009, San Francisco, April 3-8, Results 3 Safety index at Discharge 98% ASCRS Symposium 2009, San Francisco, April 3-8,

ASCRS Symposium 2009, San Francisco, April 3-8, Results 4 ±0.50 D: 88% ±1.00 D: 99% ASCRS Symposium 2009, San Francisco, April 3-8,

ASCRS Symposium 2009, San Francisco, April 3-8, Results 5 ≤0.5 D: 84% ≤1.00D: 98% ASCRS Symposium 2009, San Francisco, April 3-8,

ASCRS Symposium 2009, San Francisco, April 3-8, Results 6 Attempted vs Achieved SE at Discharge OVERCORRECTED Y=-0.110+1.093*X, R2=0.88 UNDERCORRECTED ASCRS Symposium 2009, San Francisco, April 3-8,

Evolution of Spherical Equivalent Results 7 Evolution of Spherical Equivalent 5 4 3 2 Spherical Equivalent 1 -1 Preop 1 Month 2 Months 3 Months 6 Months 9 Months 12 Months Discharge 3 eyes (2.6%) required enhancement procedures ASCRS Symposium 2009, San Francisco, April 3-8,

ASCRS Symposium 2009, San Francisco, April 3-8, Conclusions Wavefront guided LASIK for hyperopia and compound hyperopic astigmatism with the Zyoptix Bausch & Lomb platform and flaps created with the IntraLase femtosecond laser is Highly effective Very safe refractive procedure It yields very accurate visual and refractive results ASCRS Symposium 2009, San Francisco, April 3-8,