Using InterWave aberrometry to measure and improve the quality of vision in LASIK surgery.
OBJECTIVE
To compare visual outcomes in eyes undergoing aberrometry-guided (InterWave) LASIK with those in eyes undergoing standard LASIK treatment based upon refractive measures.


METHODS
Single-center, comparative, interventional, consecutive case series.


METHODS
Four hundred two consecutive eyes undergoing LASIK were analyzed retrospectively. One group, 106 eyes undergoing primary LASIK and 224 eyes undergoing LASIK enhancement, was treated with standard LASIK treatment using a 5.5-mm optical zone, 1.5-mm transition zone laser with the settings determined by manifest refraction. The second group, 44 untreated (primary) eyes and 28 previously treated (enhancement) eyes, received a multipass, multistage treatment in which the laser settings for each stage were determined by aberrometry measurements. Eyes with desired monovision (undercorrected) outcome and preoperative hyperopia were excluded from the study.


METHODS
An aberrometry-guided laser treatment (InterWave LASIK) was compared with the standard LASIK treatment based upon the manifest refraction.


METHODS
Uncorrected visual acuity (VA), manifest refraction, best spectacle-corrected VA (BSCVA), severity of halos, and root mean square (RMS) retinal blur area measured at 3 months postoperatively.


RESULTS
Three months postoperatively there was no difference in uncorrected VA, BSCVA, refraction, or RMS retinal blur areas for pupil sizes of 3.5 mm between eyes treated by InterWave and those treated by standard LASIK. However, InterWave LASIK reduced the retinal blur area by 48% (P<0.0103) and 58% (P<0.0004) in primary cases and 43% (P<0.0430) and 74% (P<0.0271) in enhancement cases, respectively, for pupil sizes of 4.5 and 6.5 mm relative to standard LASIK treatments. Patients undergoing InterWave-guided treatment reported less severity of halo (0.37 vs. 0.98 [P<0.016] for primary cases and 0.35 vs. 0.73 [P<0.04] for enhancement cases).


CONCLUSIONS
InterWave LASIK achieved acuity and refractive results equivalent to those of standard LASIK treatment based upon refraction, but resulted in superior quality mesopic vision.
Thompson
Keith P
KP
Emory Vision, Atlanta, Georgia, USA.
Staver
P Randall
PR
Garcia
Jose R
JR
Burns
Stephen A
SA
Webb
Robert H
RH
Stulting
R Doyle
RD
D000328:Adult; D000368:Aged; D003315:Cornea / Q000503:physiopathology* / Q000601:surgery; D003941:Diagnostic Techniques, Ophthalmological; D006801:Humans; D020731:Keratomileusis, Laser In Situ; D008875:Middle Aged; D019984:Quality Indicators, Health Care; D012029:Refraction, Ocular / Q000502:physiology; D012030:Refractive Errors / Q000503:physiopathology*; D054140:Refractive Surgical Procedures; D012189:Retrospective Studies; D014785:Vision, Ocular / Q000502:physiology*; D014792:Visual Acuity / Q000502:physiology