ArticleClinical ophthalmology (Auckland, N.Z.)2025
Patient Reported Visual Outcomes, Dry Eye Symptoms, and Satisfaction Following Topography-Guided LASIK.
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. Not yet cited in PubMed.
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Abstract
Purpose: To assess the subjective satisfaction, visual disturbances, and dry eye symptoms following Phorcides planned Contoura topography-guided LASIK. Methods: This was a single site, single arm, prospective study of patient reported outcomes after bilateral Phorcides planned Contoura topography-guided LASIK. Preoperative and postoperative data were collected for responses on the Patient-Reported Outcomes with LASIK Symptoms and Satisfaction (PROWL-SS) questionnaire (a lower score represented a worse outcome), Ocular Surface Disease Index (OSDI) questionnaire (a higher score represented a worse outcome), refraction, and visual acuity. Linear mixed effect models were used to compare preoperative and postoperative scores on the PROWL-SS for satisfaction, and the frequency, bothersomeness, and visual impact of glare, halo, starbursts, and double images. Results: A total of 50 subjects completed the study. Mean age was 29.3 ± 5.0 years (range 20 to 39 years). The mean 3-month postoperative satisfaction score was 53.2 higher than the mean preoperative score (p <0.0001). Mean 3-month postoperative scores were 7.4, 13.7, 18.0, and 29.2 higher postoperatively compared to preoperatively for double image, glare, halo, and starburst, respectively. All differences were significant (p <0.0001) with the exception of double image. Mean score on the OSDI questionnaire was 27.0 ± 22.4 preoperatively, compared to 7.5 ± 6.7 at 3 months postoperatively (p <0.0001). Postoperatively, 97% of eyes (90/100) had MRSE within ± 0.5 D and postoperative residual astigmatism was ≤ 0.5 D in 96% of eyes (96/100). Postoperative UDVA was 20/20 or better in 98% (98/100) of eyes, 20/16 or better in 81% (81/100) of eyes, and 20/12.5 or better in 31% (31/100) of eyes. Conclusion: The results of this study suggest improved patient reported satisfaction, reduced dry eye symptoms, and overall decrease in visual disturbances at 3 months following Phorcides planned Contoura LASIK.
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