{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T10:22:57Z","timestamp":1778926977910,"version":"3.51.4"},"reference-count":33,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,9,26]],"date-time":"2024-09-26T00:00:00Z","timestamp":1727308800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To identify factors predicting slow visual recovery following myopic microkeratome assisted in\u00a0situ keratomileusis (LASIK).<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Retrospective study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study included consecutive patients who underwent microkeratome\u2010assisted myopic LASIK between January 2005 and December 2019 at Care Vision Laser Center, Tel Aviv, Israel. Patients were divided into three groups according to whether they experienced normal recovery of visual acuity (1\u2009week visit), slow visual recovery (1\u2009month visit) or very slow recovery (&gt;1\u2009month). Normal visual recovery was defined as achieving an efficacy index of 0.9 or greater. Efficacy index was calculated as postoperative uncorrected visual acuity\/preoperative best corrected visual acuity. A comparison of baseline and intraoperative parameters was performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, 10\u2009439 eyes were included. Mean age was 30.8\u2009\u00b1\u20098.7\u2009years and 47.1% were females. The slower visual recovery groups (slow 11.4%, <jats:italic>n<\/jats:italic>\u2009=\u20091191; very slow 8.4%, <jats:italic>n<\/jats:italic>\u2009=\u2009875) were of older age (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), steeper preoperative steep keratometry (<jats:italic>p<\/jats:italic>\u2009=\u20090.002) and larger refractive astigmatism (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). In binary logistic regression older age (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), female gender (<jats:italic>p<\/jats:italic>\u2009=\u20090.001), larger astigmatism (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and high myopia (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) remained significant predictors of slow visual recovery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Slow visual recovery was observed in 19.8% of patients following myopic LASIK. Older age, female gender, larger astigmatism and high myopia were associated with slow visual recovery. Patients may be advised accordingly.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aos.16765","type":"journal-article","created":{"date-parts":[[2024,9,26]],"date-time":"2024-09-26T08:45:28Z","timestamp":1727340328000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Factors predicting slow visual recovery following microkeratome\u2010assisted myopic <scp>LASIK<\/scp>"],"prefix":"10.1111","volume":"103","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1814-8316","authenticated-orcid":false,"given":"Margarita","family":"Safir","sequence":"first","affiliation":[{"name":"Department of Ophthalmology Rabin Medical Center  Petah Tikva Israel"},{"name":"Faculty of Medicine Tel\u2010Aviv University  Tel\u2010Aviv 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