Research Article

Early Refractive and Clinical Outcomes of High-Myopic Photorefractive Keratectomy as an Alternative to LASIK Surgery in Eyes with High Preoperative Percentage of Tissue Altered

Table 4

Large published series of photorefractive keratectomy in high myopia.

SeriesNumber of eyesSurgery datesExcimer laser platformUCVA (%)Spherical equivalent errorCDVA line changeHazeMMC used
>20/20>20/40±0.50 D±1.00 DGain ≥1Loss ≥2

Our series1872013WaveLight EX50065.5%99.4%71.0%93.0%7.4%0.0%4.8%Yes
Alio et al. [12]2671992–5VISX 20/2010.0%63.0%40.0%58.0%52%11.6%8.6%No
Cennamo et al. [13]4521991–8Aesculap49.0%49.8%15.7%∼70%No
Steinert and Hersh [14]210<1998Summit Apex29–35%71–74%22–40%47–68%No

10-year follow-up. UCVA = uncorrected visual acuity; CDVA = corrected distance visual acuity; D = diopters; MMC = mitomycin-C. The WaveLight EX500 is manufactured by Alcon Laboratories, Inc., Fort Worth, TX, USA. The VISX 20/20 is manufactured by VISX, Inc., Santa Clara, CA, USA. The Aesculap is manufactured by Aesculap-Meditec, Jena, Germany. The Summit Apex is manufactured by Summit Technology, Inc., Waltham, MA, USA.