September 14, 2006
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PRK, LASIK stable at 10 years in large series

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LONDON — PRK and LASIK outcomes were predictable, safe and stable in a large series of patients with 10 years' follow-up, according to a surgeon speaking here.

At the European Society of Cataract and Refractive Surgeons meeting, Jorge Alió, MD, presented the 10-year results of PRK and LASIK in 800 eyes treated for myopia or myopic astigmatism. All procedures were performed with the Visx Twenty/Twenty excimer laser.

In 500 eyes, PRK was used to treat a mean spherical equivalent of –6.5 D, and in 300 eyes LASIK was used to treat a mean spherical equivalent of –11.8 D. For the data analysis, the investigators divided the eyes according to severity of myopia. The low myopia group included 228 eyes treated with PRK and 21 eyes treated with LASIK, the intermediate myopia group included 195 PRK- and 80 LASIK-treated eyes, and the high myopia group included 71 PRK- and 196 LASIK-treated eyes.

Both procedures demonstrated high predictability in low myopia, Dr. Alió said, although PRK showed a trend toward better predictability than LASIK. LASIK showed better predictability and safety in intermediate and high myopia, he said.

The Twenty/Twenty laser was manufactured by Visx prior to that company's acquisition by Advanced Medical Optics.