Decentration of photorefractive keratectomy ablation zones after excimer laser surgery for myopia.
OBJECTIVE
To devise a method for measuring excimer laser photorefractive keratectomy (PRK) ablation zone decentration.


METHODS
Excimer Laser Clinic, Sunderland Eye Infirmary, Sunderland Tyne and Wear, England.


METHODS
Fifty-three eyes of 53 consecutive patients having PRK for a spherical myopic refractive error were studied. Preoperative and postoperative corneal topographic maps and differential subtraction maps were produced for each cornea. Using these maps, the distance between ablation zone centers and pupil centers was measured. All measurements were repeated by a second observer.


RESULTS
Mean ablation zone decentration was 0.46 mm from the pupil center; 69% of cases decentered 0.50 mm or less. The difference between the two independent measurements was 0.05 +/- 0.06 mm (mean +/- SD). A trend toward superonasal displacement was noted.


CONCLUSIONS
This simple method of measuring zone decentration can be used to compare the refractive results of PRK with those of other procedures.
Webber
S K
SK
Corneal Diseases and Excimer Laser Unit, Sunderland Eye Infirmary, England.
McGhee
C N
CN
Bryce
I G
IG
D003315:Cornea / Q000033:anatomy & histology* / Q000601:surgery; D006801:Humans; D007091:Image Processing, Computer-Assisted; D054018:Lasers, Excimer; D009216:Myopia / Q000601:surgery*; D018903:Photorefractive Keratectomy / Q000379:methods*; D011680:Pupil; D015203:Reproducibility of Results; D014785:Vision, Ocular; D014792:Visual Acuity