Abstract
Abstract: :
Purpose: The purpose of this project was to examine the following characteristics associated with myopic +/- astigmatic LASIK performed by the Kresge Eye Institute residents and fellows: 1. patient demographics 2. uncorrected and best corrected visual acuity post LASIK and 3. incidence and type of associated complications. Methods: This was a restrospective chart review that was performed between 7/99 and 5/00. The gender, type of education, reason for desiring refractive surgery, preoperative visual acuity, postoperative visual acuity at least one month after surgery, incidence and type of complications were included. The treating MD was interviewed and asked about his/her experience in recruiting patients for the surgery. Results: 52 eyes of 27 patients underwent LASIK. 24/27 patients had at least an undergraduate degree, desired LASIk to be free of glasses, and liked the idea of a discounted rate. The average preoperative spherical equivalent was-4.00D (range was -1.00D to -9.125D). Preoperative visual acuity ranged from 20/60 to CF. Excluding monovision treatments, postoperative UCVA ranged from 20/20 to 20/40, 45/48 eyes had a uncorrected visual acuity of 20/30 or better, and all patients(excluding monovision) had BCVA of 20/20. 4/52 eyes had DLK, 6/52 eyes had microfolds, 2/52 eyes had epithelial defects, and 1/52 eye had a partial free flap. Of the seven eyes that had complications two eyes had final BCVA of 20/25 and the others had BCVA of 20/20. Conclusion: Patients having resident/fellow LASIK had excellent outcomes and a strong consideration should be made for including a refractive surgery experience for resident ophthalmologists.
Keywords: 548 refractive surgery: LASIK • 544 refractive surgery • 545 refractive surgery: complications