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KMID : 0360220200610080890
Journal of the Korean Ophthalmological Society
2020 Volume.61 No. 8 p.890 ~ p.896
Comparison of Perioperative Contrast Sensitivity between Laser in situ Keratomileusis and Small-incision Lenticule Extraction
Park Se-Young

Kwag Joo-Young
Hyun Joo
Pak Kyu-Hong
Pak Kyu-Hong
Chung Sung-Kun
Choi Jin-Seok
Abstract
Purpose: To compare contrast sensitivity before and after surgery in patients who underwent laser in situ keratomileusis (LASIK) and small-incision lenticule extraction (SMILE).

Methods: From February 2019 to April 2019, 20 patients who underwent LASIK, and 21 who underwent SMILE, were compared before, one day, one week, and one month after surgery.

Results: On postoperative day (POD) 1, contrast sensitivity was better in the LASIK group than in the SMILE group under all conditions for 1.6, 1, and 0.64 cycles per degree (cpd). One week after surgery, the contrast sensitivity of the LASIK group was better than that of the SMILE group under photopic conditions with glare for 1.6, 1, and 0.64 cpd, under photopic conditions without glare for 1 and 0.64 cpd, and under all scotopic conditions for 2.5, 1.6, and 0.64 cpd (p < 0.05). There was no significant difference between the two groups, except under the scotopic conditions without glare for 0.64 cpd at one month after surgery. In the LASIK group, the contrast sensitivity was best at one week after surgery. The SMILE group showed the poorest contrast sensitivity on POD 1, but this gradually improved.

Conclusions: The LASIK group had better contrast sensitivity on one day and one week after surgery than the SMILE group, but there was no significant difference at one month after surgery. In the LASIK group, the contrast sensitivity was best at one week after surgery. In the SMILE group, the contrast sensitivity was worst on POD 1.
KEYWORD
Contrast sensitivity, Laser in situ keratomileusis, Small-incision lenticule extraction
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