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The effect of preoperative keratometry on visual outcomes after moderate myopic LASIK

Authors Christiansen SM, Neuffer M, Sikder S, Semnani RT, Moshirfar M

Received 4 December 2011

Accepted for publication 28 December 2011

Published 21 March 2012 Volume 2012:6 Pages 459—464


Review by Single anonymous peer review

Peer reviewer comments 2

Video abstract presented by Steven M Christiansen

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Steven M Christiansen1, Marcus C Neuffer1, Shameema Sikder2, Rodmehr T Semnani1, Majid Moshirfar1
1John A Moran Eye Center, University of Utah, Salt Lake City, UT, 2Wilmer Eye Institute, Johns Hopkins University, Baltimore, MA, USA

Purpose: To evaluate visual outcomes in moderately myopic eyes with flat and steep corneas (preoperatively) that have been treated with laser-assisted in situ keratomileusis (LASIK).
Patients and methods: Records of ninety-six eyes with average preoperative keratometry (K) values between 39.9 and 42.0 diopters (D) (flat) were matched with 103 eyes with preoperative K values between 46.0 and 47.2 D (steep) that underwent LASIK between March 2007 and March 2010 for moderate myopia, and were retrospectively reviewed. The primary outcome measures used to determine the effect of preoperative keratometry on visual prognosis were refraction, visual acuity, change in keratometry (ΔK), and change in spherical equivalent (ΔSE), measured at 1, 3, 6, and 12 months postoperatively.
Results: Significant differences were found at 6 months postoperatively between the flat group and steep group in SE (P = 0.029), sphere (P = 0.018), ΔK (P = 0.002), percentage of eyes achieving SE of −0.25 to + 0.25 D (P = 0.0125), −0.26 to −0.50 D (P = 0.003), −0.51 to −1.00 D (P = 0.044), and the percentage of eyes achieving uncorrected distance visual acuity of 20/15 or better (P = 0.0006).
Conclusion: Moderately myopic eyes with flatter corneas preoperatively have better visual prognosis following LASIK compared with moderately myopic eyes with steeper corneas.

Keywords: keratometry, cornea, LASIK, refractive surgery

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