About MEAJO | Editorial board | Search | Ahead of print | Current Issue | Archives | Instructions to authors | Online submission | Subscribe | Advertise | Contact | Login 
Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
Users Online: 537   Home Print this page Email this page Small font sizeDefault font sizeIncrease font size
ORIGINAL ARTICLE
Year : 2010  |  Volume : 17  |  Issue : 4  |  Page : 349-353

Reasons for not performing keratorefractive surgery in patients seeking refractive surgery in a hospital-based cohort in "Yemen"


1 Eye Department, Faculty of Medicine and Health Sciences, Sana'a University; Department of Cornea and Refractive Unit, Magrabi Eye Hospital, Sana'a, Republic of Yemen
2 Department of Cornea and Refractive Unit, Magrabi Eye Hospital, Sana'a, Republic of Yemen; Eye Department, Faculty of Medicine, Al-Azhar University, Egypt
3 Department of Cornea and Refractive Unit, Magrabi Eye Hospital, Sana'a, Republic of Yemen

Correspondence Address:
Mahfouth A Bamashmus
Eye Department, Faculty of Medicine and Health Sciences, Sana'a University, P. O. Box 19576, Sana'a, Yemen

Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-9233.71605

Rights and Permissions

Background: To determine and analyze the reasons why keratorefractive surgery, laser in situ keratomileusis (LASIK) and photorefractive keratectomy (PRK) were not performed in patients who presented for refractive surgery consultation. Materials and Methods: A retrospective observational study was performed between January 2006 and December 2007 in the Yemen Magrabi Hospital. The case records of 2,091 consecutive new patients who presented for refractive surgery were reviewed. Information from the pre-operative ophthalmic examination, such as refractive error, corneal topography and visual acuity, were analyzed. The reasons for not performing LASIK and PRK in the cases that were rejected were recorded and analyzed. Results: In this cohort, 1,660 (79.4%) patients were advised to have LASIK or PRK from the 2,091 patients examined. LASIK and PRK were not advised in 431 (21%) patients. The most common reasons for not performing the surgery were high myopia >-11.00 Diopters (19%), keratoconus (18%), suboptimal central corneal thickness (15%), cataract (12%) and keratoconus suspect (forme fruste keratoconus) (10%). Conclusion: Patients who requested keratorefractive surgery have a variety of problems and warrant comprehensive attention to selection criteria on the part of the surgeon. Corneal topographies and pachymetry of refractive surgery candidates need to be read cautiously. High-refractive error, keratoconus and insufficient corneal thickness were found to be the leading reasons for not performing keratorefractive surgery in this study.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed2689    
    Printed137    
    Emailed0    
    PDF Downloaded158    
    Comments [Add]    
    Cited by others 3    

Recommend this journal