J Korean Ophthalmol Soc.  2003 Sep;44(9):1973-1979.

Long-term Clinical Result and Patient Satisfaction after LASIK

• Shin CH
• Seong YS
• Huh D

Abstract

PURPOSE
To evaluate the long-term clinical result and patient satisfaction after laser in situ keratomileusis. METHODS: This is a long term (over 3 years) retrospective analysis of 107 eyes (54 patients) that has undergone LASIK since February 1996.
RESULTS
Mean preoperative Spherical Equivalent(SE) was -7.81 +/- 4.07D and mean postoperative SE was -0.88 +/- 1.74D at 1 week, -1.18 +/- 1.17D at 1 month, -1.32 +/- 1.71D at 3 month and -2.44 +/- 2.20D after 3 years. At the last visit, uncorrective visual acuity was 0.5 or better in 83.1% and 26.2% of manifest SE was within the +/- 1D. However, in high myopic group (>-10.D), it has decreased to 41.7% and 0% respectively. Myopic progression occurred also in reoperation cases, 81.3% had uncorrective visual acuity of 0.5 or better and 31.3% had manifest SE within +/- 1D at the last visit. In the survey of subjective satisfaction, 80.2% of patient was satisfied with the surgery, which has decreased to 46.2% after long term follow-up.
CONCLUSIONS
In conclusion, the higher the preoperative SE, the more myopic regression has occurred (p<0.01) and the clinical result was reversely related to the degree of myopia. There was no statistically significant difference between reoperation cases and the total group (p>0.05). The patient subjective satisfaction has significantly decreased after long term follow-up compared to immediate postoperative visit.

Keyword

Laser in situ keratomileusis; Long term follow-up; Satisfaction

MeSH Terms

Follow-Up Studies
Humans
Keratomileusis, Laser In Situ*
Myopia
Patient Satisfaction*
Reoperation
Retrospective Studies
Visual Acuity