title: Visual outcomes in adult amblyopic eyes with moderate myopia after corneal laser surgery versus copolymer phakic intraocular lens implant.
abstract: OBJECTIVE
  To assess visual acuity and refractive correction in moderately myopic adult eyes with suboptimal preoperative corrected distance visual acuity (CDVA) after laser in situ keratomileusis (LASIK) or insertion of a posterior chamber Implantable Collamer Lens phakic intraocular lens (pIOL).
  
  
  METHODS
  Clínica Baviera, Instituto Oftalmológico Europeo, Torrevieja Hospital, Madrid, Spain.
  
  
  METHODS
  Retrospective study.
  
  
  METHODS
  The study sample included 1310 eyes that had LASIK and 94 that had insertion of a pIOL from July 2002 to September 2013. Suboptimal preoperative CDVA was defined as equal to logMAR 0.15 or below and moderate myopia as a spherical equivalent of -5.0 to -10.0 diopters (D).
  
  
  RESULTS
  The preoperative mean CDVA was 0.22 logMAR ± 0.09 (SD) in the LASIK group and 0.23 ± 0.09 logMAR in the pIOL group. Postoperative uncorrected distance visual acuity (UDVA) was 0.13 ± 0.12 logMAR in the laser group and 0.12 ± 0.09 logMAR in the pIOL group, with a postoperative CDVA of 0.11 ± 0.10 logMAR and 0.08 ± 0.07 logMAR, respectively.
  
  
  CONCLUSIONS
  Compared with preoperative values, amblyopic eyes with moderate myopia having LASIK or implantation of a pIOL demonstrated a statistically significant improvement in UDVA and CDVA (P < .001). The pIOL group performed significantly better than the LASIK group in terms of safety and efficiency.
  
  
  BACKGROUND
  No author has a financial or proprietary interest in any material or method mentioned.
authors.affiliation: From the Clínica Baviera (Gonzalez-Lopez, Alonso-Santander, Mompean, Bilbao-Calabuig, Calvache, Beltran), Instituto Oftalmológico Europeo and the Department of Ophthalmology (Mompean), Torrevieja Hospital, Alicante, Spain. Electronic address: fgonzalez@clinicabaviera.com.
authors.forename: Felix
authors.initials: F
authors.lastname: Gonzalez-Lopez
authors.affiliation: From the Clínica Baviera (Gonzalez-Lopez, Alonso-Santander, Mompean, Bilbao-Calabuig, Calvache, Beltran), Instituto Oftalmológico Europeo and the Department of Ophthalmology (Mompean), Torrevieja Hospital, Alicante, Spain.
authors.forename: Nuria
authors.initials: N
authors.lastname: Alonso-Santander
authors.affiliation: From the Clínica Baviera (Gonzalez-Lopez, Alonso-Santander, Mompean, Bilbao-Calabuig, Calvache, Beltran), Instituto Oftalmológico Europeo and the Department of Ophthalmology (Mompean), Torrevieja Hospital, Alicante, Spain.
authors.forename: Blas
authors.initials: B
authors.lastname: Mompean
authors.affiliation: From the Clínica Baviera (Gonzalez-Lopez, Alonso-Santander, Mompean, Bilbao-Calabuig, Calvache, Beltran), Instituto Oftalmológico Europeo and the Department of Ophthalmology (Mompean), Torrevieja Hospital, Alicante, Spain.
authors.forename: Rafael
authors.initials: R
authors.lastname: Bilbao-Calabuig
authors.affiliation: From the Clínica Baviera (Gonzalez-Lopez, Alonso-Santander, Mompean, Bilbao-Calabuig, Calvache, Beltran), Instituto Oftalmológico Europeo and the Department of Ophthalmology (Mompean), Torrevieja Hospital, Alicante, Spain.
authors.forename: Jose A
authors.initials: JA
authors.lastname: Calvache
authors.affiliation: From the Clínica Baviera (Gonzalez-Lopez, Alonso-Santander, Mompean, Bilbao-Calabuig, Calvache, Beltran), Instituto Oftalmológico Europeo and the Department of Ophthalmology (Mompean), Torrevieja Hospital, Alicante, Spain.
authors.forename: Jaime
authors.initials: J
authors.lastname: Beltran
mesh_terms: D000293:Adolescent; D000328:Adult; D000550:Amblyopia / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D020731:Keratomileusis, Laser In Situ; D054018:Lasers, Excimer / Q000627:therapeutic use*; D019654:Lens Implantation, Intraocular; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000145:classification / Q000503:physiopathology / Q000601:surgery*; D054120:Phakic Intraocular Lenses; D012029:Refraction, Ocular / Q000502:physiology; D012189:Retrospective Studies; D014792:Visual Acuity / Q000502:physiology*; D055815:Young Adult