Middle East African Journal of Ophthalmology

ORIGINAL ARTICLE
Year
: 2007  |  Volume : 14  |  Issue : 2  |  Page : 58--62

Outcome of laser in situ keratomileusis (LASIK) of initial cases performed by supervised anterior segment fellows


Faisal M Al-Tobaigy, KKESH Excimer Laser Study Group 
 Anterior Segment Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia

Correspondence Address:
Faisal M Al-Tobaigy
KKESH Excimer Laser Study Group, King Khaled Eye Specialist Hospital, PO Box 7191, Riyadh 11462
Saudi Arabia

Purpose. To determine the outcome of initial laser in situ keratomileusis (LASIK) procedures performed by anterior segment fellows in a supervised training program. Patients and Methods. A retrospective chart review of the first 20 LASIK procedures performed by supervised anterior segment fellows at King Khaled Eye Specialist Hospital in Riyadh, Saudi Arabia, between March 1 and December 31, 2003, was conducted. Results. During the study period, 10 anterior segment fellows each performed LASIK on 20 eyes of 10 patients. The mean spherical refractive error was -4.82 diopters (D) (range,-1.5 to -11.00 D). The mean patient age was 28.0 years (range, 18-50 years), and the follow-up period was 123.8 days (range, 14-389 days). After primary LASIK and 8 enhancement procedures (4.0%), 163 eyes (81.5%) had postoperative uncorrected visual acuity (UCVA) that was within 1 line of preoperative best spectacle corrected visual acuity (BSCVA); 194 eyes (97.0%) had postoperative UCVA that was within 2 lines of preoperative BSCVA. The difference between the mean preoperative BSCVA (20/22.25) and the postoperative UCVA (20/26.06) was -0.381 lines of Snellen acuity. Of 200 eyes, 6 eyes (3.0%) lost 2 or more lines of BSCVA. Prior to enhancement, 180 eyes (90.0%) were within 1 D of intended correction, including 14 eyes (7.0%) with undercorrection and 6 eyes (3.0%) with overcorrection. After 8 enhancements (all for undercorrection), 188 eyes (94.0%) were within 1 D of emmetropia. The incidence of intraoperative complications was 2.5%, all of which were incomplete flaps. There were no complete or buttonhole flaps. Postoperative complications occurred in 2.5% of eyes, the most serious being bilateral ectasia, which occurred in 1 patient with no preoperative evidence of keratoconus. Conclusion. LASIK should be taught in a well-structured, supervised setting to minimize the adverse impact of complications that may occur during the early learning curve of this procedure.


How to cite this article:
Al-Tobaigy FM, KKESH Excimer Laser Study Group. Outcome of laser in situ keratomileusis (LASIK) of initial cases performed by supervised anterior segment fellows.Middle East Afr J Ophthalmol 2007;14:58-62


How to cite this URL:
Al-Tobaigy FM, KKESH Excimer Laser Study Group. Outcome of laser in situ keratomileusis (LASIK) of initial cases performed by supervised anterior segment fellows. Middle East Afr J Ophthalmol [serial online] 2007 [cited 2020 Oct 29 ];14:58-62
Available from: http://www.meajo.org/article.asp?issn=0974-9233;year=2007;volume=14;issue=2;spage=58;epage=62;aulast=Al-Tobaigy;type=0