Comparison of LASIK with the OPDCAT or OATz algorithm using the NIDEK EC-5000CXII excimer laser.
OBJECTIVE
To compare refractive outcomes, higher order aberrations, visual quality, and patient satisfaction between aspheric and whole-eye wavefront aspheric LASIK algorithms.


METHODS
Two hundred seventy-four eyes of 152 patients undergoing LASIK for myopia and myopic astigmatism were divided into two groups: eyes that underwent treatment using either the OPD-guided customized aspheric treatment (OPDCAT) or optimized aspheric treatment zone (OATz). Both groups were subdivided into two groups based on preoperative manifest refraction spherical equivalent (MRSE) <or= 6.00 diopters (D) and eyes with MRSE >or = - 6.00 D. Both groups were additionally subdivided into eyes with preoperative ocular higher order aberrations <0.40 microm and eyes with higher order aberrations >or = 0.40 microm. A P value <.05 was considered statistically significant.


RESULTS
At 3 months postoperatively, 88.3% (242/274) of eyes were available for follow-up. Postoperatively, 91.4% of eyes in the OPDCAT group and 90.6% of eyes in the OATz group were within 0.50 D. No difference in refractive outcomes and patient satisfaction among groups or subgroups was noted (P>.05). A significantly less change in asphericity (less oblate) was noted for the OPDCAT group (0.31 +/- 0.30) compared with the OATz group (0.51 +/- 0.35) (P<.05). A lower induction of aberrations in the OPDCAT group compared with the OATz group was noted ( P<.05). Mesopic contrast sensitivity was significantly higher for the OPDCAT groups and subgroups (P<.05).


CONCLUSIONS
Refractive outcomes between groups or subgroups were equivalent. A significantly lower induction of higher order aberrations and less change in asphericity in the OPDCAT group was noted. The OPDCAT algorithm was more likely to maintain mesopic contrast sensitivity.
Hori-Komai
Yoshiko
Y
Minamiaoyama Eye Clinic, 3-3-11 Kitaaoyama, Minato-ku, Tokyo 107-0061, Japan. hori@minamiaoyama.or.jp
Toda
Ikuko
I
Yamamoto
Takahiro  to
T
Tsubota
Kazuo
K
D000465:Algorithms; D001251:Astigmatism / Q000601:surgery*; D003319:Corneal Stroma / Q000473:pathology / Q000601:surgery; D006801:Humans; D020731:Keratomileusis, Laser In Situ / Q000379:methods*; D054018:Lasers, Excimer / Q000627:therapeutic use*; D009216:Myopia / Q000601:surgery*; D017060:Patient Satisfaction; D012029:Refraction, Ocular / Q000502:physiology; D012189:Retrospective Studies; D013524:Surgical Flaps / Q000473:pathology; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology; D055815:Young Adult