Topographic changes after hyperopic LASIK with the SCHWIND ESIRIS laser platform.
To analyze and compare refractive power changes with topographic changes after hyperopic LASIK using the ESIRIS laser platform.



Sixty-six consecutive eyes of 37 patients were evaluated retrospectively. Outcomes were evaluated at 3 months. In all cases, standard examinations including pre- and postoperative topographic and corneal wavefront analysis with a Keratron topographer were performed. Preoperative mean spherical equivalent was +/- 2.74 diopters (D) with a mean cylinder of 0.67 D. The ESIRIS excimer laser system was used to perform ablations. Topographic changes of Maloney index, simulated keratometry (sim-K), and K-reading at 5 and 7 mm were evaluated.



Ninety-two percent of eyes were within +/- 0.50 D manifest refraction at 3 months postoperatively. Changes in refraction, Maloney indices, and sim-K indices after surgery were strongly correlated with the intended correction. Induction of negative corneal spherical aberrations and increased prolate asphericity was correlated with the achieved defocus correction. No other Zernike mode was significantly correlated. Topographically, an overcorrection within the central 3 mm and a gradual peripheral undercorrection also was observed.



Analyzing the topographic maps, the corneal power change of the Maloney indices correlated with the intended correction. After hyperopic LASIK, an overcorrection was observed in the 3-mm central zone, and progressive undercorrections were observed in the 5- and 7-mm zones.
de Ortueta
Diego
D
Augenlaserzentrum Recklinghausen, Recklinghausen, Germany. diego.de.ortueta@augenzentrum.org
Arba-Mosquera
Samuel
S
Baatz
Holger
H
D000328:Adult; D000368:Aged; D003319:Corneal Stroma / Q000601:surgery*; D019781:Corneal Topography; D005260:Female; D006801:Humans; D006956:Hyperopia / Q000601:surgery*; D020731:Keratomileusis, Laser In Situ / Q000379:methods*; D054018:Lasers, Excimer / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D012029:Refraction, Ocular / Q000502:physiology; D012189:Retrospective Studies