Topography-guided ablation for treatment of patients with irregular astigmatism

Ikuko Toda, Takahiro Yamamoto, Mitsutoshi Ito, Yoshiko Hori-Komai, Kazuo Tsubota

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

PURPOSE: To evaluate the customized aspheric treatment zone (CATz) topography-guided ablation for the correction of irregular astigmatism induced by initial corneal refractive surgery or corneal injury. METHODS: CATz ablation was performed on 32 eyes of 28 patients. Each procedure was performed by photorefractive keratectomy (PRK) or LASIK using a NIDEK EC-5000 excimer laser, the eyes had decentered ablations, small optical zones, decreased best spectacle-corrected visual acuity (BSCVA), and asymmetrical astigmatism. Subjective symptoms, uneorrectied visual acuity (UCVA), BSCVA, refraction, corneal topography, and higher order aberrations were measured. Mean follow-up was 161.9±129.9 days (range: 90 to 492 days). RESULTS: Data obtained at final postoperative follow-up show that UCVA and BSCVA inereased by ≥2 lines after CATz ablation in 17 and 11 eyes and decreased in 4 and 2 eyes, respectively. Higher order aberrations were decreased in 16 eyes and increased in 1 eye. Topographical maps were improved with decreased surface regularity index (20 eyes) and surface asymmetry index (22 eyes). Seven eyes retired further enhancement for residual refractive errors, Thirteen patients (15 eyes) claimed they were satisfied with the outcome, 6 patients (7 eyes) stated that the outcome was lower than expected, and 4 patients (4 eyes) stated they were dissatisfied. CONCLUSIONS: CATz topographic ablation effectively improves the quality of vision and symptoms in the majority of patients with irregular corneal astigmatism from previous excimer laser refractive surgery. However, residual or induced refractive errors may need to be corrected with a second operation after CATz.

Original languageEnglish
Pages (from-to)118-125
Number of pages8
JournalJournal of Refractive Surgery
Volume23
Issue number2
Publication statusPublished - 2007 Feb

Fingerprint

Astigmatism
Visual Acuity
Therapeutics
Refractive Surgical Procedures
Excimer Lasers
Refractive Errors
Corneal Topography
Photorefractive Keratectomy
Laser In Situ Keratomileusis
Laser Therapy

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Topography-guided ablation for treatment of patients with irregular astigmatism. / Toda, Ikuko; Yamamoto, Takahiro; Ito, Mitsutoshi; Hori-Komai, Yoshiko; Tsubota, Kazuo.

In: Journal of Refractive Surgery, Vol. 23, No. 2, 02.2007, p. 118-125.

Research output: Contribution to journalArticle

Toda, I, Yamamoto, T, Ito, M, Hori-Komai, Y & Tsubota, K 2007, 'Topography-guided ablation for treatment of patients with irregular astigmatism', Journal of Refractive Surgery, vol. 23, no. 2, pp. 118-125.
Toda, Ikuko ; Yamamoto, Takahiro ; Ito, Mitsutoshi ; Hori-Komai, Yoshiko ; Tsubota, Kazuo. / Topography-guided ablation for treatment of patients with irregular astigmatism. In: Journal of Refractive Surgery. 2007 ; Vol. 23, No. 2. pp. 118-125.
@article{c075e774b9284887a8618deab06b75e0,
title = "Topography-guided ablation for treatment of patients with irregular astigmatism",
abstract = "PURPOSE: To evaluate the customized aspheric treatment zone (CATz) topography-guided ablation for the correction of irregular astigmatism induced by initial corneal refractive surgery or corneal injury. METHODS: CATz ablation was performed on 32 eyes of 28 patients. Each procedure was performed by photorefractive keratectomy (PRK) or LASIK using a NIDEK EC-5000 excimer laser, the eyes had decentered ablations, small optical zones, decreased best spectacle-corrected visual acuity (BSCVA), and asymmetrical astigmatism. Subjective symptoms, uneorrectied visual acuity (UCVA), BSCVA, refraction, corneal topography, and higher order aberrations were measured. Mean follow-up was 161.9±129.9 days (range: 90 to 492 days). RESULTS: Data obtained at final postoperative follow-up show that UCVA and BSCVA inereased by ≥2 lines after CATz ablation in 17 and 11 eyes and decreased in 4 and 2 eyes, respectively. Higher order aberrations were decreased in 16 eyes and increased in 1 eye. Topographical maps were improved with decreased surface regularity index (20 eyes) and surface asymmetry index (22 eyes). Seven eyes retired further enhancement for residual refractive errors, Thirteen patients (15 eyes) claimed they were satisfied with the outcome, 6 patients (7 eyes) stated that the outcome was lower than expected, and 4 patients (4 eyes) stated they were dissatisfied. CONCLUSIONS: CATz topographic ablation effectively improves the quality of vision and symptoms in the majority of patients with irregular corneal astigmatism from previous excimer laser refractive surgery. However, residual or induced refractive errors may need to be corrected with a second operation after CATz.",
author = "Ikuko Toda and Takahiro Yamamoto and Mitsutoshi Ito and Yoshiko Hori-Komai and Kazuo Tsubota",
year = "2007",
month = "2",
language = "English",
volume = "23",
pages = "118--125",
journal = "Journal of Refractive Surgery",
issn = "0883-0444",
publisher = "Slack Incorporated",
number = "2",

}

TY - JOUR

T1 - Topography-guided ablation for treatment of patients with irregular astigmatism

AU - Toda, Ikuko

AU - Yamamoto, Takahiro

AU - Ito, Mitsutoshi

AU - Hori-Komai, Yoshiko

AU - Tsubota, Kazuo

PY - 2007/2

Y1 - 2007/2

N2 - PURPOSE: To evaluate the customized aspheric treatment zone (CATz) topography-guided ablation for the correction of irregular astigmatism induced by initial corneal refractive surgery or corneal injury. METHODS: CATz ablation was performed on 32 eyes of 28 patients. Each procedure was performed by photorefractive keratectomy (PRK) or LASIK using a NIDEK EC-5000 excimer laser, the eyes had decentered ablations, small optical zones, decreased best spectacle-corrected visual acuity (BSCVA), and asymmetrical astigmatism. Subjective symptoms, uneorrectied visual acuity (UCVA), BSCVA, refraction, corneal topography, and higher order aberrations were measured. Mean follow-up was 161.9±129.9 days (range: 90 to 492 days). RESULTS: Data obtained at final postoperative follow-up show that UCVA and BSCVA inereased by ≥2 lines after CATz ablation in 17 and 11 eyes and decreased in 4 and 2 eyes, respectively. Higher order aberrations were decreased in 16 eyes and increased in 1 eye. Topographical maps were improved with decreased surface regularity index (20 eyes) and surface asymmetry index (22 eyes). Seven eyes retired further enhancement for residual refractive errors, Thirteen patients (15 eyes) claimed they were satisfied with the outcome, 6 patients (7 eyes) stated that the outcome was lower than expected, and 4 patients (4 eyes) stated they were dissatisfied. CONCLUSIONS: CATz topographic ablation effectively improves the quality of vision and symptoms in the majority of patients with irregular corneal astigmatism from previous excimer laser refractive surgery. However, residual or induced refractive errors may need to be corrected with a second operation after CATz.

AB - PURPOSE: To evaluate the customized aspheric treatment zone (CATz) topography-guided ablation for the correction of irregular astigmatism induced by initial corneal refractive surgery or corneal injury. METHODS: CATz ablation was performed on 32 eyes of 28 patients. Each procedure was performed by photorefractive keratectomy (PRK) or LASIK using a NIDEK EC-5000 excimer laser, the eyes had decentered ablations, small optical zones, decreased best spectacle-corrected visual acuity (BSCVA), and asymmetrical astigmatism. Subjective symptoms, uneorrectied visual acuity (UCVA), BSCVA, refraction, corneal topography, and higher order aberrations were measured. Mean follow-up was 161.9±129.9 days (range: 90 to 492 days). RESULTS: Data obtained at final postoperative follow-up show that UCVA and BSCVA inereased by ≥2 lines after CATz ablation in 17 and 11 eyes and decreased in 4 and 2 eyes, respectively. Higher order aberrations were decreased in 16 eyes and increased in 1 eye. Topographical maps were improved with decreased surface regularity index (20 eyes) and surface asymmetry index (22 eyes). Seven eyes retired further enhancement for residual refractive errors, Thirteen patients (15 eyes) claimed they were satisfied with the outcome, 6 patients (7 eyes) stated that the outcome was lower than expected, and 4 patients (4 eyes) stated they were dissatisfied. CONCLUSIONS: CATz topographic ablation effectively improves the quality of vision and symptoms in the majority of patients with irregular corneal astigmatism from previous excimer laser refractive surgery. However, residual or induced refractive errors may need to be corrected with a second operation after CATz.

UR - http://www.scopus.com/inward/record.url?scp=33847154034&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33847154034&partnerID=8YFLogxK

M3 - Article

VL - 23

SP - 118

EP - 125

JO - Journal of Refractive Surgery

JF - Journal of Refractive Surgery

SN - 0883-0444

IS - 2

ER -