{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T16:27:19Z","timestamp":1783441639296,"version":"3.54.6"},"reference-count":19,"publisher":"Czech Society of Ophthalmology of the CzMA","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["CSO"],"published-print":{"date-parts":[[2019,3,10]]},"abstract":"<jats:p>Aim: We analysed one-year refractive results and the incidence of complications in patients with correction of low-to-high myopia or myopic astigmatism by femtosecond laser in situ keratomileusis (FS-LASIK) using femtosecond laser LenSx\u00ae (Alcon, Fort Worth, Texas, USA) a excimer laser Excimer Amaris 500 (Schwind eye-tech-solutions GmbH and Co KG, Kleinostheim, Germany).\n\nMethods: To the retrospective study were included 171 eyes of 87 patients (38 men, 49 women) who underwent correction of myopia and myopic astigmatism by FS-LASIK in the outpatient Department of Ophthalmology, University Hospital in Hradec Kr\u00e1lov\u00e9 between 2013-2017. We assessed uncorrected visual acuity (UCVA) and best corrected visual acuity (BCVA), subjective refraction, central corneal thickness (CCT) in the thinnest point, patient\u2019s satisfaction and the incidence of complications in the one-year follow-up period.\n\nResults: At the time of laser procedure the mean patient\u2018s age was 29,26 \u00b1 6,47 years (range 18 to 46 years). In 21 eyes was corrected myopia (range -6,5 to -2,5 D sph) and in 150 eyes myopic astigmatism (range -8,75 to -0,25 D sph and -3,0 to -0,25 D cyl). The mean preoperative UCVA 0,06 \u00b1 0,08 (range 0,02 to 0,8) got better to 1,12 \u00b1 0,17 (range 0,8 to 1,5) at the end of follow-up period. There wasn\u2019t statistically significant change in BCVA between preoperative and postoperative values. Preoperative mean value of subjective refraction was -4,14 \u00b1 1,43 D sph (range -8,5 to -1 D sph) and -0,57 \u00b1 0,58 D cyl (range -3 to 0 D cyl) and after 12 months -0,02 \u00b1 0,16 D sph (range -0,1 to 0,75 D sph) and -0,01 \u00b1 0,1 D cyl (range -0,5 to 0,5 D cyl). The initial mean CCT was 554,76 \u00b1 30,07 \u03bcm (range 485 to 660 \u03bcm), after 6 months 494,06 \u00b1 34,99 \u03bcm (range 421 to 594 \u03bcm) and after 12 months 492,92 \u00b1 34,55 \u03bcm (range 411 to 592 \u03bcm). We observed peroperative complications in 3 eyes. The suction loss of femtosecond laser occurred during flap creation due to sudden eye movement. Postoperatively in one case we enrolled flap pucker first postoperative day. In other case flap dislocation occurred after abdonimal surgery under general anesthesia which was performed 3 months after refractive procedure and we had to indicate flap reposition. The mean grade of patient\u2019s satisfaction was at the end of follow-up period 1,04. The most often complaints were the sensation of dry eye (10 patients) and blurry vision during computer working, inadequate lighting and fatique (6 pacients).\n\nConclusions: According to our experience correction of low-to-high myopia or myopic astigmatism by using FS-LASIK is an effective, relatively safe and predictable method. The basic assumption of good postoperative results and patient\u2019s satisfaction is thorough and comprehensive preoperative examination with respect to indication criteria.<\/jats:p>","DOI":"10.31348\/2019\/2\/2","type":"journal-article","created":{"date-parts":[[2020,9,9]],"date-time":"2020-09-09T13:11:30Z","timestamp":1599657090000},"page":"65-71","source":"Crossref","is-referenced-by-count":7,"title":["Correction of Myopia and Myopic Astigmatism by Femtosecond Laser in Situ Keratomileusis"],"prefix":"10.31348","volume":"75","author":[{"given":"Tereza","family":"\u0158eh\u00e1kov\u00e1","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, University Hospital Hradec Kr\u00e1lov\u00e9"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V\u011bra","family":"Velik\u00e1","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University Hospital Hradec Kr\u00e1lov\u00e9"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Na\u010fa","family":"Jir\u00e1skov\u00e1","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University Hospital Hradec Kr\u00e1lov\u00e9"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"16213","published-online":{"date-parts":[[2019,7,2]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Al Arfaj, K., Hantera, M.M.: Comparison of LASEK, mechanical microkeratome LASIK and Femtosecond LASIK in low and moderate myopia. Saudi J of Ophthalmol., 28 (3); 2014: 214-219.","DOI":"10.1016\/j.sjopt.2013.10.002"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Arbelaez, M.C., Mosquera, S.A.: The SWIND AMARIS Total-Tech Laser as An All-Rounder in Refractive Surgery. Modele East Afr J Ophthalmol. 16 (1); 2009: 46-53.","DOI":"10.4103\/0974-9233.48868"},{"key":"ref2","unstructured":"Cosar, C.B., Gonen, T., Moray, M. et al.: Comparision of visual acuity, refractive results and complications of femtosecond laser with mechanical microkeratome in LASIK. Inj J Ophthalmol. 6c(3); 2013: 350-355."},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Espandar, L., Meyer, J.: Intraoperative and Postoperative Complications of Laser in situ Keratomileusis Flap Creation Using IntraLase Femtosecond Laser and Mechanical Microkeratomes. Middle East Afr J Ophathalmol. 17 (1); 2010: 56-59.","DOI":"10.18103\/mra.v2i3.353"},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"Foster, P.J., Jiang, Y.: Epidemiology of myopia. Eye. 28 (2); 2014: 202-8.","DOI":"10.1038\/eye.2013.280"},{"key":"ref5","doi-asserted-by":"crossref","unstructured":"Hashemi, H., Fotouhi, A., Yekta, A. et al.: Global and regional estimates of prevalence of refractive errors: Systematic review and meta-analysis. J Curr Ophathalmol. 30 (1); 2018: 3-22.","DOI":"10.1016\/j.joco.2017.08.009"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Hashmani, S., Hashmani, N., Rajani, H. et al.: Comparision of visual acuity, refractive outcomes, and satisfactory between LASIK performed with a\u00a0microkeratome and femto laser. Clin Ophthalmol. 11; 2017: 1009-1014.","DOI":"10.2147\/opth.s137451"},{"key":"ref7","unstructured":"Heissigerov\u00e1, J. et al.: Oftalmologie. Praha, Maxdorf, 2018, 61-67s."},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Kanellopoulos A.J., Asimellis, G.: Long-term bladeless LASIK outcomes with the FS200 Femtosecond and EX500 Excimer Laser workstation: the Refractive Suite. Clin Ophthalmol, 7; 2013: 261-269.","DOI":"10.2147\/opth.s40454"},{"key":"ref9","unstructured":"Kuchynka, P. et al.: O\u010dn\u00ed l\u00e9ka\u0159stv\u00ed. Praha, Grada Publishing, 2016, 222-234s."},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"Niparugs, M., Tananuvat, N., Chaidaroon, W. et al.: Outcomes of LASIK for Myopia and Myopic Astigmatism Correction with the FS200 Femtosecond Laser and EX500 Excimer Laser Platform. Open Ophthalmol J, 12; 2018: 63-71.","DOI":"10.2174\/1874364101812010063"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"Pajic, B., Vastardis, I., Eggspuehler, B. et al.: Femtosecond laser versus mechanical microkeratome-assisted flap creation for LASIK: a\u00a0prospective, randomized, paired-eye study. Clin Ophthalmol, 8; 2014: 1883-1889.","DOI":"10.2147\/opth.s68124"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"Piao, J., Li, Y.J., Whang, W.J. et al.: Comparative evaluation of visual outcomes and corneal asphericity after laser-assisted in situ keratomileusis with the six-dimension Amaris excimer laser system. PloS One. 12 (2); 2017: e0171851.","DOI":"10.1371\/journal.pone.0171851"},{"key":"ref13","doi-asserted-by":"publisher","unstructured":"Pietila, J., Huhtala, A., Makinen, P. et al.: Flap characteristics, predictability, and safety of the Ziemer FEMTO LDV femtosecond laser with the disposable suction ring for LASIK. Eye (Lond). 28 (1); 2014: 66-71.","DOI":"10.1038\/eye.2013.244"},{"key":"ref14","doi-asserted-by":"publisher","unstructured":"Pietila, J., Huhtala, A., Makinen, P. et al.: Laser-assisted in situ keratomileusis flap creation with the three-dimensional, transportable Ziemer FEMTO LDV model Z6 I\u00a0femtosecond laser. Acta Ophthalmol. 92 (7); 2014: 650-655.","DOI":"10.1111\/aos.12333"},{"key":"ref15","doi-asserted-by":"publisher","unstructured":"Pokroy, R., Mimouni, M., Sela, T.: Myopic laser in situ keratomileusis retreatment: Incidence and associations. J Cataract Refract Surg. 42 (10); 2016: 1408-1414.","DOI":"10.1016\/j.jcrs.2016.07.032"},{"key":"ref16","doi-asserted-by":"crossref","unstructured":"Rozskowska, A.M., Mosquera, S.A.: Use of the Femtosecond Lasers in Ophthalmology. The European Physical Journal Conferences 167 [Internet], Dostupn\u00e9 z\u00a0https:\/\/doi.org\/10.1051\/epjconf\/201816705004.","DOI":"10.1051\/epjconf\/201816705004"},{"key":"ref17","doi-asserted-by":"publisher","unstructured":"Tabacaru, B., Stanca, H.T.: One year refractive outcomes of Femtosecond LASIK in mild, moderate and high myopia. Rom J Ophthalmol, 61 (1); 2017: 23-31.","DOI":"10.22336\/rjo.2017.5"},{"key":"ref18","doi-asserted-by":"crossref","unstructured":"Williams, K.M., Verhoeven, V.J., Cumberland, P. et al.: Prevalence of refractive error in Europe: the European Eye Epidemiology Consortium. Eur J Epidemiol. 30 (4); 2015: 305-15.","DOI":"10.1007\/s10654-015-0010-0"}],"container-title":["Czech and Slovak Ophthalmology"],"original-title":[],"language":"en","deposited":{"date-parts":[[2020,9,9]],"date-time":"2020-09-09T13:11:42Z","timestamp":1599657102000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.cs-ophthalmology.cz\/en\/journal\/articles\/112"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3,10]]},"references-count":19,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019,2,15]]}},"URL":"https:\/\/doi.org\/10.31348\/2019\/2\/2","relation":{},"ISSN":["1805-4447","1211-9059"],"issn-type":[{"value":"1805-4447","type":"electronic"},{"value":"1211-9059","type":"print"}],"subject":[],"published":{"date-parts":[[2019,3,10]]}}}