Quality of life after refractive surgery: ReLEx SMILE vs Femto-LASIK
Received 15 April 2018
Accepted for publication 18 September 2018
Published 26 March 2019 Volume 2019:13 Pages 561—570
Checked for plagiarism Yes
Review by Single-blind
Peer reviewer comments 4
Editor who approved publication: Dr Scott Fraser
Olga Aleksandrovna Klokova, Sergey Nikolaevich Sakhnov, Maria Sergeevna Geydenrikh, Roman Olegovich Damashauskas
Krasnodar Branch of Fyodorov Eye Microsurgery, Federal State Institution, Krasnodar, Russia
Purpose: The safety and effectiveness of complex myopic astigmatism correction using ReLEx SMILE or Femto-LASIK techniques have been well established. The purpose of the current study is to compare quality of life (QoL) outcomes following ReLEx SMILE or Femto-LASIK procedures in parallel with functional vision and anatomic outcomes of treated eyes.
Patients and methods: This prospective, consecutive series included 118 patients, 18–43 years of age, out of which 56 underwent ReLEx SMILE and 62 underwent Femto-LASIK surgery for correction of myopic astigmatism. All patients underwent standard comprehensive ophthalmic examinations, and additionally, completed The Quality of Life Impact of Refractive Correction Questionnaire to determine the impact the vision-correction treatment had on their QoL.
Results: In both treatment groups, the postoperative refractive outcomes were comparable, with visual acuity improvements for both groups noted the day following surgery. After laser correction of complex myopic astigmatism using Femto-LASIK and ReLEx SMILE methods, the overall QoL indicators are statistically significant (P<0.01) exceeding preoperative values 1 month after the operation and reaching the maximum values by the end of the observation period (P<0.0001).
Conclusion: The results of the study suggest that patients require some time to adapt to their new visual function and its impact on their daily living, delaying detectable improvements in QoL. Moreover, these results may suggest a higher satisfaction trend and long-term QoL in patients undergoing ReLEx SMILE in comparison to Femto-LASIK. Long-term results from the study demonstrated high patient satisfaction with both methods.
Keywords: ReLEx SMILE, Femto-LASIK, quality of life, QoL questionnaire, refractive surgery
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