J Korean Ophthalmol Soc.  2017 Jan;58(1):13-20. 10.3341/jkos.2017.58.1.13.

The Effect of Anti-glaucoma Eyedrops and 0.1% Fluorometholone on Myopic Regression after LASIK or LASEK

• Ryu IH
• Kim HS
• Lee HK
• Kim JS
• Kim JK
• Kim WK

• KMID: 2367836
• DOI: http://doi.org/10.3341/jkos.2017.58.1.13

Abstract

PURPOSE
To evaluate the effect of combined medical treatment with anti-glaucoma eyedrops and 0.1% fluorometholone on visual acuity and refractive errors in patients complaining of blurred vision due to myopic regression after laser-assisted in-situ keratomileusis (LASIK) or laser-assisted sub-epithelial keratectomy (LASEK).
METHODS
This study comprised 155 patients (155 eyes) who were diagnosed with myopic regression after LASIK or LASEK and received medical treatment from January 2015 to January 2016. The visual acuity and refractive errors were compared before and after medical treatment and evaluated to determine whether the results differ between LASIK and LASEK.
RESULTS
The mean time of medical treatment was 64.1 ± 36.8 months after surgery. The responder group whose vision was improved and whose myopic error was decreased after medical treatment was comprised of 63 patients (41%). Their visual acuity in this group improved -0.21 ± 0.11 logMAR, and the amount of myopic error decreased 0.56 ± 0.32 diopters. The full responder group was 24 patients (15%), and the partial responder group was 39 patients (26%). The frequency of response to medical treatment was higher after LASIK than after LASEK, but the difference was not statistically significant.
CONCLUSIONS
The combined medical treatment with anti-glaucoma eyedrops and 0.1% fluorometholone was effective in 41% of patients with regard to visual acuity improvement when used for post-LASIK or post-LASEK myopic regression. The medical treatment was effective after both LASIK and LASEK.

Keyword

Anti-glaucoma eyedrops; Fluorometholone; Laser-assisted in-situ keratomileusis (LASIK); Laser-assisted sub-epithelial keratectomy (LASEK); Myopic regression

MeSH Terms

Fluorometholone*
Humans
Keratectomy, Subepithelial, Laser-Assisted*
Keratomileusis, Laser In Situ*
Ophthalmic Solutions*
Refractive Errors
Visual Acuity
Fluorometholone
Ophthalmic Solutions

Figure

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  Figure 1. The effect of combined medical treatment with anti-glaucoma eyedrops and 0.1% fluorometholone on myopic regression patients after laser-assisted in-situ keratomileusis (LASIK) or laser-assisted sub-epithelial keratectomy (LASEK). Visual acuity im-provement (A) and spherical equivalent decrease (B) of 63 patients in responder group.

Reference

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