J Korean Ophthalmol Soc.  1996 Mar;37(3):511-516.

Clinical Results of Keratomileusis-in-situ for High Myopia

• Lee CY
• Kim EK
• Kim HB

Abstract

In order to investigate the clinical results of keratomileusis-in-situ for high myopia, the effects of the procedure on 54 patients(61 eyes) who were followed up at least for 3 months were analyzed retrospectively. Mean preoperative spherical equivalent(S,E) was -20.32 diopter(D) , while mean postoperative S.E was -3.70 D at 3 months, -4.81 D at 6 months, -5.82 D at 9 months and -6.13 D at 12 months. Postoperative myopic regression was more severe in male than in female patient group(P<0.01). Postoperative cylindrical change was not significant but uncorrected visual acuity was markedly improved. The complications of keratomileusis-in-situ were loss of corneal cap(3 eyes), foreign body in stromal interface(1 eyes), epithelial in growth(6 eyes), increased intraocular pressure (5 eyes), and keratitis(2 eyes). Keratomileusis-in-situ, when performed for severe high myopia with Ruiz nomogram, resulted in undercorrection. And progressive myopic regression was observed until 9 months after surgery especially for young male patients.

Keyword

Kerotomileusis-in-situ; High myopia

MeSH Terms

Female
Foreign Bodies
Humans
Intraocular Pressure
Male
Myopia*
Nomograms
Retrospective Studies
Visual Acuity