title: Using LaserSight Astrapro Planner 2.2 Z software in corneal topography-guided laser in situ keratomileusis for myopia with asymmetric corneal shape.
abstract: OBJECTIVE
  To determine the clinical outcomes of laser in situ keratomileusis (LASIK) treatments using LaserSight AstraPro Planner 2.2 Z software for myopia with asymmetric corneal shape.
  
  
  METHODS
  Four hundred and eighty-five eyes [243 patients; spherical equivalent (SE), -5.93±1.88 diopters (D)] were treated with asymmetric ablations using LaserSight SLX laser (version 5.3, 300Hz) were retrospectively analyzed and LaserSight AstraPro Planner 2.2 Z software. Preoperative and postoperative uncorrected visual acuities (UCVA), spherical equivalent (SE) refraction, pachymetry, and corneal asphericity (Q value) and decentration were evaluated.
  
  
  RESULTS
  At 12mo postoperatively, the decimal UCVA was 1.0 or better in 449 (92.6%) eyes. Two eyes (0.4%) lost 1 line of the decimal best spectacle-corrected visual acuity (BCVA), 316 (65.2%) did not change, 149 (30.7%) gained 1 line, and 18 (3.7%) gained 2 lines or more after surgery. Three hundred and thirty-two eyes (68.5%) were within 0.5 D in SE. The mean tissue saving ablation depth was 4.28±2.86 (0-16) µm (median, 4 µm). The mean attempted remaining central corneal thickness was 435.79±29.56 µm, the mean postoperative pachymetry was 444.94±28.93 µm. The mean preoperative Q value was -0.19±0.18, the postoperative was 0.30±0.48 (P=0.000). The mean postoperative decentration was 0.39±0.19 mm.
  
  
  CONCLUSIONS
  Topography-guided LASIK with AstraPro Planner 2.2 Z custom ablation planning software in an asymmetric ablation mode was an effective, safe, predictable, and stable refractive procedure for the myopia with asymmetric corneal topography.
authors: Department of Ophthalmology, Air Force General Hospital of PLA, Beijing 100142, China.
authors: Bing
authors: B
authors: Liu
authors: Department of Ophthalmology, Air Force General Hospital of PLA, Beijing 100142, China.
authors: Wei
authors: W
authors: Chen
authors: Department of Ophthalmology, Air Force General Hospital of PLA, Beijing 100142, China.
authors: De-Wang
authors: DW
authors: Shao
authors: Department of Ophthalmology, Air Force General Hospital of PLA, Beijing 100142, China.
authors: Hua
authors: H
authors: Wang
authors: Department of Ophthalmology, Air Force General Hospital of PLA, Beijing 100142, China.
authors: Hai-Xia
authors: HX
authors: Ru
authors: Department of Ophthalmology, Air Force General Hospital of PLA, Beijing 100142, China.
authors: Min
authors: M
authors: Zhang
authors: Department of Ophthalmology, Air Force General Hospital of PLA, Beijing 100142, China.
authors: Ying
authors: Y
authors: Wang
authors: Department of Ophthalmology, Air Force General Hospital of PLA, Beijing 100142, China.
authors: Chun-Yan
authors: CY
authors: Yang
keywords: asymmetric ablation; corneal topography; laser in situ keratomileusis; myopia