The Martines enhancement technique for correcting residual myopia following laser assisted in situ keratomileusis. 1996

E Martines, and M E John
Instituto de Oftalmologia, Sao Paulo, Brazil.

OBJECTIVE Laser assisted in situ keratomileusis (LASIK) is highly effective for correcting moderate to severe levels of myopia with rapid visual recovery, minimal pain and easier post-operative management compared with Photorefractive keratectomy. Nevertheless, undercorrection may occur. The purpose of this paper is to evaluate 14 undercorrected LASIK cases in which the cap was dissected and the stromal bed re-ablated using a method developed by one of the authors (EM). METHODS Among a series of 297 LASIK procedures, visual and refractive results of 14 cases undergoing enhancement were evaluated. All cases were targeted for plano refraction. RESULTS All 14 cases were followed at least 6 months and 7 (50%) have been followed two years. Mean pre-LASIK myopia of -14.60 +/- 4.90 D had been reduced to a mean of -4.50 +/- 2.60 D prior to enhancement. Following enhancement mean spherical equivalent was -0.22 D at 6 months. Results were stable at two years. All cases were within 1.25 D of target and 11 of 14 were within one diopter. Uncorrected vision was improved in all cases. Best corrected vision was maintained or improved in all but one case. This case had a decentered ablation. CONCLUSIONS Laser enhancement of undercorrected LASIK cases using the Martines Technique was predictable and efficacious.

UI MeSH Term Description Entries
D008297 Male Males
D008866 Microsurgery The performance of surgical procedures with the aid of a microscope.
D009216 Myopia A refractive error in which rays of light entering the EYE parallel to the optic axis are brought to a focus in front of the RETINA when accommodation (ACCOMMODATION, OCULAR) is relaxed. This results from an overly curved CORNEA or from the eyeball being too long from front to back. It is also called nearsightedness. Nearsightedness,Myopias,Nearsightednesses
D012029 Refraction, Ocular Refraction of LIGHT effected by the media of the EYE. Ocular Refraction,Ocular Refractions,Refractions, Ocular
D012086 Reoperation A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery. Revision, Joint,Revision, Surgical,Surgery, Repeat,Surgical Revision,Repeat Surgery,Revision Surgery,Joint Revision,Revision Surgeries,Surgery, Revision
D003315 Cornea The transparent anterior portion of the fibrous coat of the eye consisting of five layers: stratified squamous CORNEAL EPITHELIUM; BOWMAN MEMBRANE; CORNEAL STROMA; DESCEMET MEMBRANE; and mesenchymal CORNEAL ENDOTHELIUM. It serves as the first refracting medium of the eye. It is structurally continuous with the SCLERA, avascular, receiving its nourishment by permeation through spaces between the lamellae, and is innervated by the ophthalmic division of the TRIGEMINAL NERVE via the ciliary nerves and those of the surrounding conjunctiva which together form plexuses. (Cline et al., Dictionary of Visual Science, 4th ed) Corneas
D003319 Corneal Stroma The lamellated connective tissue constituting the thickest layer of the cornea between the Bowman and Descemet membranes. Corneal Stromas,Stroma, Corneal,Stromas, Corneal
D005139 Eyeglasses A pair of ophthalmic lenses in a frame or mounting which is supported by the nose and ears. The purpose is to aid or improve vision. It does not include goggles or nonprescription sun glasses for which EYE PROTECTIVE DEVICES is available. Glasses,Spectacles,Sun Glasses, Prescription,Glasses, Prescription Sun,Prescription Sun Glasses
D005260 Female Females
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup

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