The Role of the Mesopic Pupil on Patient-Reported Outcomes in Young Patients With Myopia 1 Month After Wavefront-Guided LASIK
The Role of the Mesopic Pupil on Patient-Reported Outcomes in Young Patients With Myopia 1 Month After Wavefront-Guided LASIK
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DOI：
10.3928/1081597x-20140217-02
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发表时间：
2014-03-01
影响因子：
2.4
通讯作者：
Hannan, Stephen
中科院分区：
文献类型：
--
作者：
Schallhorn, Steven;Brown, Mitch;Hannan, Stephen
目得：为了确定低光瞳孔大小和患者报告的结果之间的关系，1个月后波前引导LASIK年轻patients.METHODS：回顾性病例系列的10,944眼5,563年轻近视患者接受波前引导LASIK（6.0-mm光学区）。术前用红外线瞳孔计在弱光条件下测量瞳孔大小。术后1个月评价视力和屈光结果。一份调查问卷进行管理，以评估患者报告的结果，包括满意度的程序，夜间驾驶，眩光和光晕视觉symptoms.RESULTS：平均患者年龄为29.8岁（范围：18至40岁）。平均术前明显等效球镜为-3.49屈光度（D）（范围：-0.50至-11.75 D），1个月时降至-0.04 +/- 0.29 D，94%的患眼达到20/20或更好的裸眼远视力。平均低光瞳孔直径为6.6 mm（范围：4至9 mm），1，514例患者（27.2%）的直径为8 mm或更大。未发现瞳孔直径与患者报告的结局之间存在相关性（r范围：-0.02至0.07）。Logistic回归分析表明，术后裸眼远视力和术后显性屈光度是波前引导LASIK术后夜间光晕投诉的重要预测因素结论：在这项接受波前引导LASIK治疗的大型年轻近视患者系列中，弱光瞳孔直径并不能预测手术满意度、活动能力，或术后1个月出现视觉症状。
PURPOSE: To determine the relationship between low-light pupil size and patient-reported outcomes 1 month after wavefront-guided LASIK in young patients with myopia.METHODS: Retrospective case series of 10,944 eyes of 5,563 young patients with myopia who underwent wavefront-guided LASIK (6.0-mm optical zone). Preoperative pupil size was measured under low-light conditions with an infrared pupillometer. Visual and refractive outcomes were evaluated at 1 month postoperatively. A questionnaire was administered to assess patient-reported outcomes including satisfaction with the procedure, night driving, and glare and halo visual symptoms.RESULTS: The average patient age was 29.8 years (range: 18 to 40 years). The mean preoperative manifest spherical equivalent of -3.49 diopters (D) (range: -0.50 to -11.75 D) was reduced to -0.04 +/- 0.29 D at 1 month, with 94% of eyes achieving an uncorrected distance visual acuity of 20/20 or better. The mean low-light pupil diameter was 6.6 mm (range: 4 to 9 mm) and 1,514 patients (27.2%) had a diameter of 8 mm or larger. No correlation between pupil diameter and patient-reported outcomes was found (r range: -0.02 to 0.07). Logistic regression analysis identified postoperative uncorrected distance visual acuity and postoperative manifest refraction as significant predictors of night halo complaints after wavefront-guided LASIK (P < .01).CONCLUSIONS: In this large series of young patients with myopia treated with wavefront-guided LASIK, low-light pupil diameter was not predictive of surgery satisfaction, ability to perform activities, or visual symptoms at 1 month postoperatively.