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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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ORIGINAL ARTICLE
Year : 2015  |  Volume : 22  |  Issue : 1  |  Page : 108-114

Functional outcome and patient satisfaction after laser in situ keratomileusis for correction of myopia and myopic astigmatism


1 Department of Eye, Faculty of Medicine and Health Sciences, Sana'a University; Department of Cornea and Refractive Surgery, Cornea and Refractive Surgery Unit, Magrabi Eye Hospital, Sana'a, Republic of Yemen
2 Department of Cornea and Refractive Surgery, Cornea and Refractive Surgery Unit, Magrabi Eye Hospital, Sana'a, Republic of Yemen
3 Department of Optometry, Al Nilein University, Khartoum, Sudan

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

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-9233.148359

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Purpose: The purpose was to evaluate subjective quality of vision and patient satisfaction after laser in situ keratomileusis (LASIK) for myopia and myopic astigmatism. Patients and Methods: A self-administered patient questionnaire consisting 29 items was prospectively administered to LASIK patients at the Yemen Magrabi Hospital. Seven scales covering specific aspects of the quality of vision were formulated including; global satisfaction; quality of uncorrected and corrected vision; quality of night vision; glare; daytime driving and; night driving. Main outcome measures were responses to individual questions and scale scores and correlations with clinical parameters. The scoring scale ranged from 1 (dissatisfied) to 3 (very satisfied) and was stratified in the following manner: 1-1.65 = dissatisfied; 1.66-2.33 = satisfied and; 2.33-3 = very satisfied. Data at 6 months postoperatively are reported. Results: This study sample was comprised of 200 patients (122 females: 78 males) ranging in age from 18 to 46 years old. The preoperative myopic sphere was − 3.50 ± 1.70 D and myopic astigmatism was 0.90 ± 0.82 D. There were 96% of eyes within ± 1.00 D of the targeted correction. Postoperatively, the uncorrected visual acuity was 20/40 or better in 99% of eyes. The mean score for the overall satisfaction was 2.64 ± 0.8. A total of 98.5% of patients was satisfied or very satisfied with their surgery, 98.5% considered their main goal for surgery was achieved. Satisfaction with uncorrected vision was 2.5 ± 0.50. The main score for glare was 1.98 ± 0.7 at night. Night driving was rated more difficult preoperatively by 6.2%, whereas 79% had less difficulty driving at night. Conclusion: Patient satisfaction with uncorrected vision after LASIK for myopia and myopic astigmatism appears to be excellent and is related to the residual refractive error postoperatively.


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