Corneal Backscatter Analysis by In Vivo Confocal Microscopy: Fellow Eye Comparison of Small Incision Lenticule Extraction and Femtosecond Laser-Assisted LASIK

Purpose. To evaluate and compare corneal backscatter from anterior stroma between small incision lenticule extraction (SMILE) and femtosecond laser-assisted LASIK (femto-LASIK). Methods. A cohort of 60 eyes of 30 patients was randomized to receive SMILE in one eye and femto-LASIK in the fellow eye....

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Main Authors: Alper Agca, Engin Bilge Ozgurhan, Yusuf Yildirim, Kadir Ilker Cankaya, Nimet Burcu Guleryuz, Zeynep Alkin, Abdullah Ozkaya, Ahmet Demirok, Omer Faruk Yilmaz
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2014/265012
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author Alper Agca
Engin Bilge Ozgurhan
Yusuf Yildirim
Kadir Ilker Cankaya
Nimet Burcu Guleryuz
Zeynep Alkin
Abdullah Ozkaya
Ahmet Demirok
Omer Faruk Yilmaz
author_facet Alper Agca
Engin Bilge Ozgurhan
Yusuf Yildirim
Kadir Ilker Cankaya
Nimet Burcu Guleryuz
Zeynep Alkin
Abdullah Ozkaya
Ahmet Demirok
Omer Faruk Yilmaz
author_sort Alper Agca
collection DOAJ
description Purpose. To evaluate and compare corneal backscatter from anterior stroma between small incision lenticule extraction (SMILE) and femtosecond laser-assisted LASIK (femto-LASIK). Methods. A cohort of 60 eyes of 30 patients was randomized to receive SMILE in one eye and femto-LASIK in the fellow eye. In vivo confocal microscopy was performed at 1 week and 1, 3, and 6 months after surgery. The main outcome measurements were maximum backscattered intensity and the depth from which it was measured, the backscattered light intensity 30 μm below Bowman’s membrane at the flap interface and 150 μm below the superficial epithelium, and the number of refractive particles at the flap interface. Results. The mean backscattered light intensity (LI) at all measured depths and the maximum backscattered LI were higher in the SMILE group than the femto-LASIK group at all postoperative visits. LI differences at 1 week and 1- and 3-month visits were statistically significant (P<0,05). LI differences at 6 months were not statistically significant. There was no difference in the number of refractive particles at the flap interface between the groups at any visit. Conclusions. SMILE results in increased backscattered LI in the anterior stroma when compared with femto-LASIK were evaluated.
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spelling doaj-art-023c2fb0b4b34dadb8ffa6861599333e2025-02-03T05:54:13ZengWileyJournal of Ophthalmology2090-004X2090-00582014-01-01201410.1155/2014/265012265012Corneal Backscatter Analysis by In Vivo Confocal Microscopy: Fellow Eye Comparison of Small Incision Lenticule Extraction and Femtosecond Laser-Assisted LASIKAlper Agca0Engin Bilge Ozgurhan1Yusuf Yildirim2Kadir Ilker Cankaya3Nimet Burcu Guleryuz4Zeynep Alkin5Abdullah Ozkaya6Ahmet Demirok7Omer Faruk Yilmaz8Beyoglu Eye Research and Training Hospital, 34421 Istanbul, TurkeyBeyoglu Eye Research and Training Hospital, 34421 Istanbul, TurkeyBeyoglu Eye Research and Training Hospital, 34421 Istanbul, TurkeyBeyoglu Eye Research and Training Hospital, 34421 Istanbul, TurkeyBeyoglu Eye Research and Training Hospital, 34421 Istanbul, TurkeyBeyoglu Eye Research and Training Hospital, 34421 Istanbul, TurkeyBeyoglu Eye Research and Training Hospital, 34421 Istanbul, TurkeyDepartment of Ophthalmology, Istanbul Medeniyet University, 34730 Istanbul, TurkeyBeyoglu Eye Research and Training Hospital, 34421 Istanbul, TurkeyPurpose. To evaluate and compare corneal backscatter from anterior stroma between small incision lenticule extraction (SMILE) and femtosecond laser-assisted LASIK (femto-LASIK). Methods. A cohort of 60 eyes of 30 patients was randomized to receive SMILE in one eye and femto-LASIK in the fellow eye. In vivo confocal microscopy was performed at 1 week and 1, 3, and 6 months after surgery. The main outcome measurements were maximum backscattered intensity and the depth from which it was measured, the backscattered light intensity 30 μm below Bowman’s membrane at the flap interface and 150 μm below the superficial epithelium, and the number of refractive particles at the flap interface. Results. The mean backscattered light intensity (LI) at all measured depths and the maximum backscattered LI were higher in the SMILE group than the femto-LASIK group at all postoperative visits. LI differences at 1 week and 1- and 3-month visits were statistically significant (P<0,05). LI differences at 6 months were not statistically significant. There was no difference in the number of refractive particles at the flap interface between the groups at any visit. Conclusions. SMILE results in increased backscattered LI in the anterior stroma when compared with femto-LASIK were evaluated.http://dx.doi.org/10.1155/2014/265012
spellingShingle Alper Agca
Engin Bilge Ozgurhan
Yusuf Yildirim
Kadir Ilker Cankaya
Nimet Burcu Guleryuz
Zeynep Alkin
Abdullah Ozkaya
Ahmet Demirok
Omer Faruk Yilmaz
Corneal Backscatter Analysis by In Vivo Confocal Microscopy: Fellow Eye Comparison of Small Incision Lenticule Extraction and Femtosecond Laser-Assisted LASIK
Journal of Ophthalmology
title Corneal Backscatter Analysis by In Vivo Confocal Microscopy: Fellow Eye Comparison of Small Incision Lenticule Extraction and Femtosecond Laser-Assisted LASIK
title_full Corneal Backscatter Analysis by In Vivo Confocal Microscopy: Fellow Eye Comparison of Small Incision Lenticule Extraction and Femtosecond Laser-Assisted LASIK
title_fullStr Corneal Backscatter Analysis by In Vivo Confocal Microscopy: Fellow Eye Comparison of Small Incision Lenticule Extraction and Femtosecond Laser-Assisted LASIK
title_full_unstemmed Corneal Backscatter Analysis by In Vivo Confocal Microscopy: Fellow Eye Comparison of Small Incision Lenticule Extraction and Femtosecond Laser-Assisted LASIK
title_short Corneal Backscatter Analysis by In Vivo Confocal Microscopy: Fellow Eye Comparison of Small Incision Lenticule Extraction and Femtosecond Laser-Assisted LASIK
title_sort corneal backscatter analysis by in vivo confocal microscopy fellow eye comparison of small incision lenticule extraction and femtosecond laser assisted lasik
url http://dx.doi.org/10.1155/2014/265012
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