Patient-reported vision-related quality of life after bilateral wavefront-guided laser insitu keratomileusis. Journal of cataract and refractive surgery Chen, S. P., Manche, E. E. 2019

Abstract

PURPOSE: To evaluate functional vision and quality-of-life outcomes after bilateral wavefront-guided laser insitu keratomileusis (LASIK).SETTING: Byers Eye Institute, Stanford University School of Medicine, Palo Alto, California, USA.DESIGN: Prospective case series.METHODS: Visual acuity, refractive error, and aberrometric measurements were obtained preoperatively and 1, 6, and 12months after bilateral wavefront-guided LASIK. The Refractive Status and Vision Profile questionnaire scores were completed at each timepoint and compared with baseline scores.RESULTS: The study comprised 84 eyes of 42 patients (aged 24 to 47years). At 1year, 76 eyes (90.5%) had an uncorrected distance visual acuity of 20/20 or better and 88.1% of patients were satisfied with their vision without correction. Total refractive status and vision profile scores improved significantly from a mean of 30.9 points at baseline to 20.7 points 1year postoperatively (P<.001). The visual function, perceptions, and problems with corrective lenses subscales statistically significantly improved from preoperatively to postoperatively (all P<.001). In contrast, the driving (P=.286) and visual symptoms subscales (P=.199) did not show significant changes from baseline to 1year.CONCLUSION: Wavefront-guided LASIK not only afforded clinically measurable improvements in vision but also significant improvements in subjective functional vision and vision-related quality of life 1year after surgery.

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