Astigmatism, Myopia
Conditions
Keywords
Myopia, refractive surgery, all femtosecond laser, ReLEx flex, ReLEx smile
Brief summary
The purpose of this study is to compare visual acuity, safety, predictability, corneal biomechanics, dry eyes, and nerve-morphology after all femtosecond laser refractive lenticule extraction. Approximately 30 to 40 patients with moderate to high myopia will randomly (after ocular dominance) receive ReLEx flex in one eye, and ReLEx smile in the other.
Interventions
Refractive lenticule extraction (ReLEx) with the Carl Zeiss Meditech VisuMax laser
Sponsors
Study design
Eligibility
Inclusion criteria
* 25 to 45 years, * moderate to high myopia with astigmatism =\< 2 D, * otherwise eye healthy, * CDVA of 0.8 or better (Snellen).
Exclusion criteria
* systemic or ocular disease or previous eye surgery, * thin cornea, * a difference of more than 2 D myopia in the eyes of each subject.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual acuity | up to 6 months | Using ETDRS charts, both uncorrected and corrected distance visual acuity, along with visual acuity using the FrACT contrast chart |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| refractive predictability | Pre-surgery, 1 week, 1 month, 3 months, 6 months | Optometrists measure refraction at follow-up-examinations, and the refraction 6 monhts after surgery will be compared to the target refraction to calculate refractive predictability |
Other
| Measure | Time frame | Description |
|---|---|---|
| Corneal biomechanics, corneal nerve changes and dry eye symptoms | pre-surgery and 6 months after | Corneal hysteresis and corneal resistence factor using the Ocular response analyser, nerve changes using the Cochet-Bonnet Aesthesiometer and confokal mikroscopy, and dry eyes symptoms using Schirmers test, Tear BUT, and Oculus keratograph, along with anterior segment OCT to measure tear meniscus hight. |
Countries
Denmark