Date post: | 23-Dec-2015 |
Category: |
Documents |
Upload: | crystal-lynch |
View: | 215 times |
Download: | 1 times |
Experience with Patient Experience with Patient Satisfaction with Monovision Satisfaction with Monovision Targeted in PRK and LASIKTargeted in PRK and LASIK
C R Shah MDM K Purba ODA Dardzhikova MDJ A van Westenbrugge MDH V Gimbel MD MPH Gimbel Eye Centre Calgary AB
ASCRS San Francisco 2009Authors have no financial interest
PurposeTo describe the incidence of monovision choice among PRK and LASIK patients in three surgeon populations (HVG, JAV, JK) at the Gimbel Eye Centre
Monovision in PRK and LASIKMonovision in PRK and LASIK
MethodsE-medical records, retrospective
Captured data included eye dominance and targeted SE in either PRK or LASIK surgery
Monovision candidates underwent monovision trial
Routine pre-op and post-op visual and refractive data recorded
The incidence of retreatment to reverse monovision was analyzed
Monovision in PRK and LASIKMonovision in PRK and LASIK
1.90%
1.32%
1.69%
0
0.5
1
1.5
2 HVG
JAV
JK
Overall Incidence of Monovision in PRK Eyes 2002-2008 n=153 (1.53%)
%
n=21/1103 n=68/5141 n=64/3787
Monovision in PRK and LASIKMonovision in PRK and LASIK
Age and Targeted SE in Monovision PRK Eyes 2002-2008 n=153
years SE
Monovision in PRK and LASIKMonovision in PRK and LASIK
4.76%
2.94%3.12%
0
1
2
3
4
5 HVG
JAV JK
Incidence of Monovision Reversal in PRK Eyes 2002-2008 n=5 out of 153 Patients who underwent
Monovision (3.27%)
n=1/21 n=2/68 n=2/64
%
Monovision in PRK and LASIKMonovision in PRK and LASIK
2.16%
1.50% 1.41%
0
0.5
1
1.5
2 HVG
JAV JK
Overall Incidence of Monovision in LASIK/IntraLASIK Eyes 2002-2008
n=227 (1.58%)
%
n=51/2359 n=101/6743 n=75/5330
Monovision in PRK and LASIKMonovision in PRK and LASIK
Age and Targeted SE in Monovision LASIK/IntraLASIK Eyes 2002-2008 n=227
yearsSE
Monovision in PRK and LASIKMonovision in PRK and LASIK
7.84%
3.96%4.00%
0
1
2
3
4
5 HVG
JAV JK
Incidence of Monovision Reversal in LASIK /IntraLASIK Eyes 2002-2008 n=11 out of 227 Patients who underwent Monovision (4.85%)
n=4/51 n=4/101 n=3/75
%
Monovision in PRK and LASIKMonovision in PRK and LASIK
Overall Incidence of Monovision in PRK and LASIK 2002-2008
n=380 (1.55%)
n=380/24463
Incidence of Monovision Reversal in PRK and LASIK Patients who Underwent Monovision 2002-2008
n=16 (4.21%)
n=16/380
Monovision in PRK and LASIKMonovision in PRK and LASIK
Monovision in PRK and LASIKMonovision in PRK and LASIK
DiscussionMedian age (49 years) for monovision patients was similar among the 3 surgeons, as was targeted SE (-1.50D)
No inclusion criteria was used except for the patient’s strong motivation for monovision including monovision pre-op trial: this self-selected patient population showed over a 95% success rate for achievable and acceptable monovision in refractive surgery
The importance of preoperative education and monovision trial, including patient motivation and self-selection cannot be overemphasized
ConclusionGiven patient age and visual needs, monovision is a highly successful surgical option among refractive patients, especially after a thorough educational and informed consent process and preoperative monovision trial.
Monovision in PRK and LASIKMonovision in PRK and LASIK