{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T13:40:59Z","timestamp":1793022059320,"version":"4.5.0"},"reference-count":21,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare the visual and refractive outcomes of breastfeeding versus non-breastfeeding women who underwent photorefractive keratectomy (PRK) surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this retrospective study, medical files of women who underwent PRK surgery between January 2013 and December 2023 were reviewed. The patients were divided into two groups: women who reported breastfeeding during their screening examination and women who did not. Pre-, intra-, and post-operative parameters were compared between the groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The study included 12,843 eyes from 6,567 women, with 550 eyes from breastfeeding women. Time from screening to surgery was similar between groups (159.5\u2009\u00b1\u2009412.5 vs. 142.8\u2009\u00b1\u2009390.6 days, P\u2009=\u20090.331). Breastfeeding women were older (28.7\u2009\u00b1\u20094.8 vs. 25.6\u2009\u00b1\u20096.7 years, P\u2009&lt;\u20090.001), had shorter follow-up (61.0\u2009\u00b1\u200972.9 vs. 70.6\u2009\u00b1\u200984.0 days, P\u2009=\u20090.008), higher keratometry (44.78\u2009\u00b1\u20091.49 vs. 44.55\u2009\u00b1\u20091.54 D, P\u2009&lt;\u20090.001), worse myopia (SEQ \u22125.31\u2009\u00b1\u20092.54 vs. \u22124.65\u2009\u00b1\u20092.45 D, P\u2009&lt;\u20090.001), and worse uncorrected visual acuity (UCVA: 1.3\u2009\u00b1\u20091.1 vs. 1.22\u2009\u00b1\u20091.05, P\u2009=\u20090.006) and best corrected visual acuity (BCVA: 0.04\u2009\u00b1\u20091.0 vs. 0.03\u2009\u00b1\u20091.0, P\u2009=\u20090.02). Postoperative UCVA (0.03\u2009\u00b1\u20090.85 vs. 0.04\u2009\u00b1\u20090.8) and BCVA (0.03\u2009\u00b1\u20090.89 vs. 0.03\u2009\u00b1\u20090.85) were similar. Breastfeeding was not linked to higher retreatment rates (P\u2009=\u20090.79). Multivariate analysis found no significant differences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Women who reported breastfeeding on average 5 months prior to surgery achieved visual and refractive outcomes comparable to non-breastfeeding women. PRK appears to deliver satisfactory results within the early postoperative period assessed in this study. Nevertheless, these exploratory findings do not establish long-term refractive stability and should not be interpreted as supporting a change in standard clinical counseling during lactation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11206721261461924","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T13:02:47Z","timestamp":1781874167000},"page":"1598-1606","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Influence of Breastfeeding on PRK Outcomes: A Comparison of Visual and Refractive Results"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3568-2489","authenticated-orcid":false,"given":"Adir","family":"Sommer","sequence":"first","affiliation":[{"name":"Rambam Health Care Campus"},{"name":"Ruth and Bruce Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1814-8316","authenticated-orcid":false,"given":"Margarita","family":"Safir","sequence":"additional","affiliation":[{"name":"Tel Aviv University"},{"name":"Department of Ophthalmology, Rabin Medical Center, Petah Tikva, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcony R.","family":"Santhiago","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University of S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7382-1198","authenticated-orcid":false,"given":"Waseem","family":"Nasser","sequence":"additional","affiliation":[{"name":"Rambam Health Care Campus"},{"name":"Ruth and Bruce Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3213-3524","authenticated-orcid":false,"given":"Dror","family":"Ben Ephraim Noyman","sequence":"additional","affiliation":[{"name":"Rambam Health Care Campus"},{"name":"Ruth and Bruce Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tzahi","family":"Sela","sequence":"additional","affiliation":[{"name":"Care-Vision Laser Centers, Tel-Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gur","family":"Munzer","sequence":"additional","affiliation":[{"name":"Care-Vision Laser Centers, Tel-Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Igor","family":"Kaiserman","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Barzilai Medical Center, Ashkelon, Israel"},{"name":"Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheba, Israel"},{"name":"Care-Vision Laser Centers, Tel-Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-7486-1257","authenticated-orcid":false,"given":"Tom","family":"Liba","sequence":"additional","affiliation":[{"name":"Bar-Ilan University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9877-8467","authenticated-orcid":false,"given":"Eyal","family":"Cohen","sequence":"additional","affiliation":[{"name":"Tel Aviv Sourasky Medical Center"},{"name":"Tel Aviv University"},{"name":"Care-Vision Laser Centers, Tel-Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4661-0993","authenticated-orcid":false,"given":"Michael","family":"Mimouni","sequence":"additional","affiliation":[{"name":"Rambam Health Care Campus"},{"name":"Ruth and Bruce Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel"},{"name":"Care-Vision Laser Centers, Tel-Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,19]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40123-019-0195-5"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/ICL.0000000000000376"},{"key":"e_1_3_2_4_2","first-page":"256","article-title":"The effect of pregnancy on corneal curvature","volume":"18","author":"Park SB","year":"1992","unstructured":"Park SB, Lindahl KJ, Temnycky GO, et al. 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