KMID : 0360220170580080916
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Journal of the Korean Ophthalmological Society 2017 Volume.58 No. 8 p.916 ~ p.923
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Short-term Clinical Outcomes of Implantable Collamer Lens Implantation with Simultaneous Full Thickness Astigmatic Keratotomy
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Kim Bu-Ki
Mun Su-Joung Choi Hyun-Tae Chung Young-Taek
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Abstract
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Purpose: To evaluate the clinical outcomes of implantable collamer lens (ICL) implantation with simultaneous full thickness astigmatic keratotomy (FTAK) for the correction of moderate to high myopic astigmatism.
Methods: Thirty-two eyes of 16 patients who had an ICL implantation with simultaneous FTAK were studied. Follow-up visits were at 1 week, 1 month, and 3 months. The outcome measures included the uncorrected distance visual acuity (UDVA), refractive error, efficacy, safety, and predictability.
Results: After the surgery, astigmatism was reduced by 74.83 ¡¾ 13.8%. The proportion of eyes with a spherical equivalent of 0.5 D or less was 87.5%, and all eyes had a spherical equivalent of 1.0 D or less at 3 months after the surgery. The proportion of eyes with a UDVA of 20/25 or better was 100%, and 20/20 or better was 81.25%. Reoperation was needed in one case (3.1%) because of undercorrection of the astigmatism, and no complications were observed.
Conclusions: This study showed that ICL implantation with simultaneous FTAK is effective and safe for the correction of moderate to high myopic astigmatism.
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KEYWORD
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Astigmatic keratotomy, Astigmatism, High astigmatism, Implantable collamer lens, Toric Implantable collamer lens
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