Analysis of the visual and refractive outcome following laser in situ keratomileusis (LASIK) retreatment over a four-year follow-up period.
OBJECTIVE
To evaluate the safety and refractive stability following LASIK retreatment over a four-year follow-up period.


METHODS
In this retrospective study, 60 eyes of 52 patients underwent LASIK retreatment for residual refractive errors after LASIK. Retreatment was performed by lifting the original flap followed by laser ablation of the stromal bed. The main outcome measures at the latest follow-up visit were efficacy, predictability, safety and stability. The mean follow-up time after retreatment was 22.3 +/- 10.5 (range 12-48 months).


RESULTS
The baseline mean spherical equivalent (SE) was -4.85 +/- 2.57 dioptres (D) (range +2.25 to -11.75 D). At the latest follow-up visit, the uncorrected visual acuity (UCVA) was 6/9 or better in 88% of the eyes, the mean SE was -0.33 +/- 0.8 D (-2.50 to +2.25 D), and 77% of the eyes were within +/-0.50 D of target refraction. None of the patients lost lines of best corrected visual acuity (BCVA) and 25 eyes (41%) gained one or more lines. Three eyes (5%) developed peripheral epithelial in-growth and none of the patients had corneal ectasias or retinal complications.


CONCLUSIONS
LASIK retreatment is a safe and effective procedure for correcting residual refractive errors after LASIK. After retreatment, the visual and refractive outcome remained stable during the four-year follow-up period of the study.
Saeed
Ayman
A
Mater Private Hospital, Eccles Street, Dublin 7, Ireland.
O'Doherty
Maeve
M
O'Doherty
John
J
O'Keefe
Michael
M
D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006956:Hyperopia / Q000503:physiopathology / Q000601:surgery; D020731:Keratomileusis, Laser In Situ; D008297:Male; D009216:Myopia / Q000503:physiopathology / Q000601:surgery; D012029:Refraction, Ocular; D012030:Refractive Errors / Q000503:physiopathology*; D054140:Refractive Surgical Procedures; D012086:Reoperation; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D014792:Visual Acuity