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Postoperative vision assessment after changing one of the steps of laser surgery degree correction

Influence of the change in the shape of the corneal epithelium removal in postoperative visual acuity in photorefractive keratectomy (PRK)

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
REBEC
Registry ID
RBR-2w7phk
Enrollment
Unknown
Registered
2016-05-23
Start date
2015-05-01
Completion date
Unknown
Last updated
2025-10-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Eye diseases, refractive errors, myopia, hyperopia, astigmatism

Interventions

Usually, the corneal deepithelization, which is one of the steps of refractive surgery called photorefractive keratectomy (PRK) is made circular in shape. In this study, with a randomized manner in ea
visual acuity of each eye measured with the Snellen decimal and biomicroscopy evaluation of the cornea, conducted by the medical examiner, on slit lamp, comparing subjectively epithelial stacking. In
Procedure/surgery

Sponsors

Faculdade de Medicina do ABC
Lead Sponsor
Faculdade de Medicina do ABC
Collaborator

Eligibility

Age
18 Years to 50 Years

Inclusion criteria

Inclusion criteria: Volunteers of both gender ; aged between 18 and 50 years; formal indication for bilateral PRK with preoperative visual acuity of 1.0 in both eyes and the difference between the spherical equivalent refractive error of the eye of each less than 1 diopter .

Exclusion criteria

Exclusion criteria: Patients with known or suspected keratoconus ; with cataracts ; people with corneal diseases ; ametropies greater than 8 negative diopters or greater than 4 positive diopters or greater than 4 cylindrical diopters ; people with amblyopia ; people with strabismus, prior eye surgery history.

Design outcomes

Primary

MeasureTime frame
Improvement of visual acuity in decimal with the Snellen chart in the sixth postoperative day , which ranged between 0.30 and 0.80 in patients undergoing circular scarification technique and from 0.30 to 1.00 in the subject oval technique.;In 43 patients , it was observed by the subjective analysis questioning each patient, 48.8 % of patients did not notice difference between the eyes and 51.2 % noticed a difference ( 41.9 % perceived better quality of vision in the eye of scarification oval and 9.3 % perceived better quality of vision in the eye of the circular scarification ) .;Regarding the subjective evaluation of biomicroscopy density of epithelial stacking, made ??by the examiner, in 64.3 % of patients had a smaller stack in the eyes submitted to the oval scarification , 31.0 % was not identified difference and in 4.7% of patients there was a higher stacking in the eyes with oval scarification.

Secondary

MeasureTime frame
Secondary outcomes are not expected

Countries

Brazil

Contacts

Public ContactVanessa Sugahara Harada

Faculdade de Medicina do ABC

vyumis@yahoo.com.br5511996822962

Outcome results

None listed

Source: REBEC (via WHO ICTRP)