NAJČEŠĆE KONTRAINDIKACIJE ZA IZVOĐENJE REFRAKTIVNE HIRURGIJE
Sažetak
Preoperativni pregled za refraktivnu hirurgiju izuzetno je važan za osiguranje optimalnog ishoda i sprečavanje komplikacija.
Cilj rada jeste da navede najčešće kontraindikacije za refraktivnu hirurgiju, laser-in-situ keratomileuzis (LASIK) i fotorefraktivnu keratektomiju (PRK).
U studiji su obuhvaćeni bolesnici u procesu preoperativnog pregleda za refraktivnu hirurgiju. Svi bolesnici prošli su kompletan oftalmološki pregled, kao i topografiju rožnjače i biometriju oka. Dodatni pregledi izvedeni su u slučajevima sumnje na specifičnu očnu ili sistemsku bolest.
Od 1238 bolesnika (646 muškaraca i 592 žene, srednja starost 32 godine ± 10,4 godine), operacija refraktivne hirurgije obavljena je kod 743 bolesnika (60%), LASIK kod 367 (30%) i PRK kod 376 bolesnika (30%). Refraktivna hirurgija bila je kontraindikovana kod 327 bolesnika (26%), dok su 102 bolesnika otkazala operaciju. Najčešće kontraindikcije za operaciju bile su: nepravilna rožnjača kod 106 bolesnika (32%), previše strma ili suviše ravna zakrivljenost rožnjače kod 71 bolesnika (22%), nedovoljna debljina rožnjače kod 62 bolesnika (19%), visoka miopija kod 28 bolesnika (9%), visoka hipermetropija kod 19 bolesnika (6%), suvo oko kod 13 bolesnika (4%), početna katarakta kod 10 bolesnika (3%) i manje česte očne i sistemske bolesti kod 18 bolesnika (6%).
Na osnovu dobijenih rezultata može se zaključiti da su neregularna topografija rožnjače, zakrivljenost rožnjače i nedovoljna debljina rožnjače najčešće kontraindikacije za refraktivnu hirurgiju.
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1. Bamashmus M, Hubaish K, Alawad M, Alakhlee H. Functional Outcome and Patient Satisfaction after Laser In Situ Keratomileusis for Correction of Myopia and Myopic Astigmatism. Middle East Afr J Ophthalmol 2015; 22: 108–14. [CrossRef] [PubMed]
2. Solomon KD, Fernández de Castro LE, Sandoval HP, Biber JM, Groat B, Neff KD, et al. LASIK world literature review: Quality of life and patient satisfaction. Ophthalmology 2009; 116: 691–7 01. [CrossRef] [PubMed]
3. Tahzib NG, Bootsma SJ, Eggink FA, Nabar VA, Nuijts RM. Functional outcomes and patient satisfaction after laser in situ keratomileusis for correction of myopia. J Cataract Refract Surg 2005; 31: 1943–51. [CrossRef] [PubMed]
4. Lazon de la Jara P, Erickson D, Erickson P, Stapleton F. Visual and nonvisual factors associated with patient satisfaction and quality of life in LASIK. Eye. 2011; 25: 1194–01. [CrossRef] [PubMed]
5. Bailey MD, Mitchell GL, Dhaliwal DK, Wachler BS, Olson MD, Shovlin JP, et al. Reasons patients recommend laser in situ keratomileusis. J Cataract Refract Surg 2004; 30: 1861–66. [CrossRef] [PubMed]
6. Sutton G, Lawless M, Hodge C. Laser in situ keratomileusis in 2012: a review. Clin Exp Optom 2014; 97: 18–29. [CrossRef] [PubMed]
7. Price MO, Price DA, Bucci FA Jr, Durrie DS, Bond WI, Price FW Jr. Three-Year Longitudinal Survey Comparing Visual Satisfaction with LASIK and Contact Lenses. Ophthalmology 2016; 123: 1659–66. [CrossRef] [PubMed]
8. Santhiago MR, Smadja D, Wilson SE, Krueger RR, Monteiro ML, Randleman JB. Role of percent tissue altered on ectasia after LASIK in eyes with suspicious topography. J Refract Surg 2015; 31: 258–65. [CrossRef] [PubMed]
9. Randleman JB, Shah RD. LASIK interface complications: etiology, management, and outcomes. J Refract Surg 2012; 28: 575–86. [CrossRef] [PubMed]
10. Henry CR, Canto AP, Galor A, Vaddavalli PK, Culbertson WW, Yoo SH. Epithelial ingrowth after LASIK: clinical characteristics, risk factors, and visual outcomes in patients requiring flap lift. J Refract Surg 2012; 28: 488–92. [CrossRef] [PubMed]
11. De Paula FH, Khairallah CG, Niziol LM, Musch DC, Shtein RM. Diffuse lamellar keratitis after laser in situ keratomileusis with femtosecond laser flap creation. J Cataract Refract Surg 2012; 38: 1014–9. [CrossRef] [PubMed]
12. Gritz DC. LASIK interface keratitis: epidemiology, diagnosis and care. Curr Opin Ophthalmol 2011; 22: 251–255. [CrossRef] [PubMed]
13. Al-Farhan HM, Al-Otaibi WM. Comparison of central corneal thickness measurements using ultrasound pachymetry, ultrasound biomicroscopy, and the Artemis-2 VHF scanner in normal eyes. Clin Ophthalmol 2012; 6: 1037–43. [CrossRef] [PubMed]
14. Guilbert E, Saad A, Grise-Dulac A, Gatinel D. Corneal thickness, curvature, and elevation readings in normal corneas: combined Placido-Scheimpflug system versus combined Placido-scanning-slit system. J Cataract Refract Surg 2012; 38: 1198–06. [CrossRef] [PubMed]
15. Seiler T, Koufala K, Richter G. Iatrogenic keratectasia after laser in situ keratomileusis. J Refract Surg 1998; 14: 312–17. [CrossRef] [PubMed]
16. Randleman JB, Woodward M, Lynn MJ, Stulting RD. Risk assessment for ectasia after corneal refractive surgery. Ophthalmology 2008; 115:37–50. [CrossRef] [PubMed]
17. Moshirfar M, Smedley JG, Muthappan V, Jarsted A, Ostler EM. Rate of ectasia and incidence of irregular topography in patients with unidentified preoperative risk factors undergoing femtosecond laser-assisted LASIK. Clin Ophthalmol 2014; 8: 35–42. [CrossRef] [PubMed]
18. Probst LE. LASIK: Advances, Controversies and Customs. Thorofare, New Jersey: Slack Incorporated, 2003.
19. Alió JL, Piñero PD, Alesón A, Teus MA, Barraquer RI, Murta J, Maldonado MJ, et al. Keratoconus-integrated characterization considering anterior corneal aberrations, internal astigmatism, and corneal biomechanics. J Cataract Refract Surg 2011; 37: 552–68. [CrossRef] [PubMed]
20. Kozobolis V, Sideroudi H, Giarmoukakis A, Gkika M, Labiris G. Corneal biomechanical properties and anterior segment parameters in formefruste keratoconus. Eur J Ophthalmol 2012; 22: 920–30. [CrossRef] [PubMed]
21. Nettune GR, Pflugfelder SC. Post-LASIK tear dysfunction and dysesthesia. Ocul Surf 2010; 8: 135–145. [CrossRef] [PubMed]
22. Shtein, RM. Post-LASIK dry eye. Expert Rev Ophthalmol 2011; 6: 575–82. [CrossRef] [PubMed]
23. Feng YF, Yu JG, Wang DD, Li JH, Huang JH, Shi JL, Ye T, et al. The effect of hinge location on corneal sensation and dry eye after LASIK: a systematic review and meta-analysis. Graefes Arch Clin Exp Ophthalmol 2013; 251: 357–66. [CrossRef] [PubMed]
24. Murakami Y. Manche EE. Prospective, randomized comparison of self-reported postoperative dry eye and visual fluctuation in LASIK and photorefractive keratectomy. Ophthalmology 2012; 119: 2220–24. [CrossRef] [PubMed]
25. Dooley I, D'Arcy F, O'Keefe M. Comparison of dry-eye disease severity after laser in situ keratomileusis and laser-assisted subepithelial keratectomy. J Cataract Refract Surg 2012; 38: 1058–64. [CrossRef] [PubMed]
26. Cobo-Soriano, R, Beltran J, Baviera J. LASIK outcomes in patients with underlying systemic contraindications: a preliminary study. Ophthalmology 2006; 113:1118 e1–8. [CrossRef] [PubMed]
27. Mohammadpour M. Excimer laser refractive surgery in patients with underlying autoimmune diseases. J Cataract Refract Surg 2007; 33: 175–6. [CrossRef] [PubMed]
28. Liang L, Zhang M, Zou W, Liu Z. Aggravated dry eye after laser in situ keratomileusis in patients with Sjögren syndrome. Cornea 2008; 27:120–3. [CrossRef] [PubMed]
29. Xu K, McKee HD, Jhanji V. Changing perspective of reasons for not performing laser-assisted in situ keratomileusis among candidates in a university eye clinic. Clin Exp Optom 2013; 96: 20–4. [CrossRef] [PubMed]
30. Torricelli AA, Bechara SJ, Wilson SE. Screening of refractive surgery candidates for LASIK and PRK. Cornea 2014; 33: 1051–5. [CrossRef] [PubMed]
31. Sharma N, Singhvi A, Sinha R, Vajpayee RB. Reasons for not performing LASIK in refractive surgery candidates. J Refract Surg 2005; 21: 496–8. [CrossRef] [PubMed]
32. Bamashmus M, Saleh MF, Abdulrahman M, Al-Kershy N. Reasons for not performing LASIK in refractive surgery candidates in Yemen. Eur J Ophthalmol 2010; 20: 858–64. [CrossRef] [PubMed]