Evidence map›Paper›PMID 40625637›Full record

ArticleClinical ophthalmology (Auckland, N.Z.)2025

Factors Affecting Ray Trace LASIK Data Acquisition in Clinical Practice: Options for Addressing Accommodation.

Akshaya L Thananjeyan, Chandra Bala

Abstract read
In one paragraph

Article in Clinical ophthalmology (Auckland, N.Z.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
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4 · The record

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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

2 authors.

Akshaya L ThananjeyanPersonalEyes, Sydney, NSW, Australia.
Chandra BalaPersonalEyes, Sydney, NSW, Australia.ORCID 0000-0001-5816-7899

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To assess factors affecting successful data acquisition for InnovEyes guided ray trace LASIK. Setting: Single-site ophthalmology practice. Design: Retrospective review. Methods: A total of 1283 eyes with myopia and myopic astigmatism were assessed over 18-months for ray trace-based LASIK planning. Preoperative measurements were acquired using the InnovEyes Sightmap (Wavelight Plus, Alcon). Scan time per eye, number of scans, pupil size, calculated refraction and manifest spherical equivalent (SEQ) refraction were assessed. In a subset of eyes with significant accommodation, aberrometry-based refraction was adjusted prior to treatment, or cycloplegic measurement was used for treatment planning. In these subsets, 3-month post-operative refractive outcomes were analysed. Results: Mean noncycloplegic scanning time (11.10±14.11 minutes/eye to 8.10±3.17 minutes/eye) and number of noncycloplegic scans per eye (6.28±2.97 scans to 5.23±2.12 scans) decreased over time. In nine eyes where the wavefront SEQ (4 mm) was less myopic (by 0.5D or more) than the manifest SEQ and no adjustment was made, all achieved uncorrected distance visual acuity (UDVA) of 20/20 or better. In 274 eyes (21.4%), wavefront SEQ (4mm) was more myopic (by > 0.5D) than manifest SEQ. Surgeon adjusted treatment in 95 eyes to within 0.5D of manifest SEQ resulted in 98% achieving UDVA of 20/20 or greater. In 23 eyes treated using cycloplegic wavefront data, 96% achieved UDVA of 20/20 or greater. Conclusion: Use of the InnovEyes Sightmap system for ray trace LASIK is feasible in a clinical environment but demonstrates an operator learning curve. Accommodation during wavefront measurement can occur; this can be managed through surgeon adjustment of treatment or the use of cycloplegic wavefront data.

Indexed as

accommodationhigher order aberrationlaser in situ keratomileusisray trace

Identifiers

PMID40625637
PMCPMC12232945

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