title: Transepithelial photorefractive keratectomy mode using SCHWIND-ESIRIS excimer laser: initial clinical results.
abstract: OBJECTIVE
  To evaluate postoperative pain, uncorrected visual acuity (UCVA), and cornea haze value after transepithelial photorefractive keratectomy (T-PRK) performed with aspherical ablation profile using SCHWIND ESIRIS excimer laser.
  
  
  METHODS
  Retrospective case series. Fifty-nice eyes (32 patients) with myopia associated with or without astigmatism underwent phototherapeutic keratectomy (PTK) followed by photorefractive keratectomy (PRK) which performed by Optimized Refractive Keratecomy (ORK)-CAM software based on aspherical ablation profile using SCHWIND ESIRIS excimer laser. Postoperative pain scale was measured on a questionnaire through five levels. Haze was graded by five grades, and UCVA, manifest refraction spherical equivalent (MRSE) were analyzed.
  
  
  RESULTS
  Mean pain level was (1.37±0.613) (range: 1 to 3), the mean time picking out the soft contact lens was (6.22±1.73) days, at 3 months, UCVA was 1.0 for 40 eyes (67.8%), 0.5 for all eyes (100.0%). The UCVA was significantly less than the preoperative best spectacle corrected visual acuity (BSCVA) (t=-2.84, P=0.006), haze value was (0.27±0.25), no patients had a haze grade up to 2. Mean MRSE was (0.76±0.96) diopter(D) by 3 months.
  
  
  CONCLUSIONS
  The outcomes from this study show that using the SCHWIND ESIRIS aspherical ablation profile for transepithelial PRK has a good visual result. The primary advantage is related to a spherical ablation profile, automatically considers the ablation volume of the stroma and the accurate and smooth removal of the epithelium with PTK. Additional studies are needed to determine long-term outcomes.
authors: Eye Laser Department,Liuzhou Eye Hospital, Liuzhou Red Cross Association Hospital, Liuzhou 545001, Guangxi Zhuang Autonomous Region, China.
authors: Dong-Mei
authors: DM
authors: Wang
authors: Yi
authors: Y
authors: Du
authors: Guang-Sheng
authors: GS
authors: Chen
authors: Liu-Song
authors: LS
authors: Tang
authors: Jian-Feng
authors: JF
authors: He