Evidence map›Paper›PMID 34370173›Full record

Observational studyInternational ophthalmology2022

Femtosecond LASIK for the correction of low and high myopic astigmatism.

Rafael Cañones-Zafra, Andreas Katsanos, Montserrat Garcia-Gonzalez, Juan Gros-Otero, Miguel A Teus

Registry-linked trialAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in International ophthalmology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05829980 (Contoura Topography-guided Ablation Versus Wavefront-optimized Ablation for Correction of Astigmatism), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05829980 unknown statusnot on this mapstarted 2023, after this paper: background citation

Contoura Topography-guided Ablation Versus Wavefront-optimized Ablation for Correction of Astigmatism

TypeobservationalSponsorHebatallah MT AbdelmoniemRan2023 to 2025Enrolled128ConditionsAstigmatismArmsLaser assisted in-situ keratomileusis, Photorefractive keratectomy
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Rafael Cañones-ZafraDepartment of Ophthalmology, Príncipe de Asturias University Hospital, University of Alcalá, Av. Víctimas del Terrorismo N5, Pl 8, 1ºA, 28805, Alcalá de Henares, Madrid, Spain. rafael.canones@gmail.com.ORCID http://orcid.org/0000-0002-5353-0297
Andreas KatsanosOphthalmology Department, University of Ioannina, Ioannina, Greece.
Montserrat Garcia-GonzalezDepartment of Ophthalmology, Príncipe de Asturias University Hospital, University of Alcalá, Av. Víctimas del Terrorismo N5, Pl 8, 1ºA, 28805, Alcalá de Henares, Madrid, Spain.
Juan Gros-OteroClínica Rementería, Madrid, Spain.
Miguel A TeusDepartment of Ophthalmology, Príncipe de Asturias University Hospital, University of Alcalá, Av. Víctimas del Terrorismo N5, Pl 8, 1ºA, 28805, Alcalá de Henares, Madrid, Spain.
Universidad de Alcalá · ESUniversidad San Pablo CEU · ESUniversity of Ioannina · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHigher preoperative myopic astigmatism is associated with a higher probability of retreatment due to patient dissatisfaction as a result of residual cylindrical error. Nonetheless, retreatment is safe and the final clinical results are comparable to those of patients with lower preoperative astigmatism who were satisfied with the primary treatment. Our purpose is to compare the efficacy and safety of femtosecond LASIK (FS-LASIK) for the refractive correction of patients with low (< 1.5 Diopters (D) versus high (≥ 1.5 D) myopic astigmatism.

methodsRetrospective observational study of 841 eyes of 825 eligible patients treated with FSLASIK for the correction of simple or compound myopic astigmatism. Outcome measures included residual error, best corrected and uncorrected distance visual acuity (BCVA and UCVA), efficacy and safety 3 months after the primary procedure or the retreatment.

resultsOf 841 eyes in total, 432 (51.37%) had < 1.5 D (Group 1) and 409 (48.63%) had ≥ 1.5 D (Group 2) preoperative myopic astigmatism. The efficacy index of primary treatment was 0.94 ± 0.18 in Group 1 and 0.89 ± 0.22 in Group 2 (P = 0.001). Of 138 eyes (16.41%) that were retreated due to dis-satisfaction related to residual refractive error, 28 belonged to Group 1 (6.5%) and 110 (26.9%) to Group 2 (P < 0.001). Following retreatment, small but statistically significant differences in the residual mean postoperative cylinder (-0.08 ± 0.24 vs -0.27 ± 0.46 D, P = 0.001) and UCVA (1.11 vs 0.96, P = 0.0001) were detected for Groups 1 and 2, respectively. However, there were no statistically significant differences in the safety and efficacy indices.

conclusionFollowing FS-LASIK, eyes with myopic astigmatism ≥ 1.5 D have approximately four times more chances of undergoing retreatment due to dis-satisfaction caused by residual refractive error compared to eyes with myopic astigmatism < 1.5 D. However, the clinical results after retreatment are highly satisfactory and comparable in both groups.

Indexed as

AstigmatismKeratomileusis, Laser In SituMyopiaCorneal StromaHumansLasers, ExcimerRefraction, OcularTreatment OutcomeVisual AcuityFemtosecond LASIKLaser retreatmentMyopic astigmatism

Identifiers

PMID34370173
OpenAlexW3188207405

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.