Comparison on biomechanical stability between femtosecond laser assisted LASIK and LASEK with ocular response analyzer

• Main Authors: Yang Kang, Qi Hu, Xue Li, Qiong Wu, Fan Yang, Wen-Yan Zhou
• Format: Article
• Language: English
• Published: Press of International Journal of Ophthalmology (IJO PRESS) 2018-11-01
• Series: Guoji Yanke Zazhi
• Subjects: ocular response analyzer; biomechanical stability; femtosecond laser-assisted <i>in situ</i> keratomileusis; laser-assisted subepithelial keratomileusis
• Online Access: http://ies.ijo.cn/cn_publish/2018/11/201811043.pdf

AIM: To compare the difference of biomechanical stability after a femtosecond laser-assisted <i>in situ</i> keratomileusis(FS-LASIK)and laser-assisted subepithelial keratomileusis(LASEK)by ocular response analyzer(ORA). <p>METHODS: This prospective study was conducted at the First Affiliated Hospital of Harbin Medical University, and myopic patients with the equivalent sphere between -2.00 and -5.00 diopters from January 2016 and December 2017 were enrolled. All the subjects were divided into FS-LASIK and LASEK group respectively according to different surgical methods. There were 64 patients(100 eyes)participated in the FS-LASIK group while 53 patients(100 eyes)in the LASEK surgery group. Corneal hysteresis value(CH)and corneal resistance factor value(CRF)were measured pre-, 1mo and 3mo postoperation of all the subjects. And the variance analysis of two groups was repeated to compare the overall difference between the two modes of operation from pre-operation to post operation. <p>RESULTS: The CH and CRF value of the two groups were different before and after operation(<i>P</i><0.05). The comparison results of repeated measurements showed that the CH value and CRF value of the surgical methods were reduced in 1 and 3mo after operation, respectively, and there was significance(<i>P</i><0.05). The CH and CRF of FS-LASIK group was lower than LASEK group only in 1mo after the operation(<i>P</i><0.05). <p>CONCLUSION: Both surgeries could affect the biomechanical stability of cornea. From the point of view of biomechanical stability, LASEK operation is safer than FS-LASIK operation and reduces the possibility of postoperative refractive regression.