{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T07:30:12Z","timestamp":1791271812583,"version":"4.1.0"},"reference-count":43,"publisher":"SLACK, Inc.","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Refract Surg"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:sec>\n            <jats:title>PURPOSE:<\/jats:title>\n            <jats:p>To evaluate outcomes of high hyperopic LASIK using the MEL 80 excimer laser (Carl Zeiss Meditec, Jena, Germany).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>METHODS:<\/jats:title>\n            <jats:p>Retrospective analysis of 830 consecutive high hyperopic LASIK procedures using the MEL 80 excimer laser and either the VisuMax femtosecond laser (Carl Zeiss Meditec) or zero compression Hansatome microkeratome (Bausch &amp; Lomb, Rochester, NY). Inclusion criteria were attempted hyperopic correction of +4.00 diopters [D] or higher in one axis and corrected distance visual acuity (CDVA) of 20\/20 or better. Patients were observed for a minimum of 1 year. Epithelial thickness monitoring by Artemis very high-frequency (VHF) digital ultrasound (ArcScan Inc., Morrison, CO) was used to evaluate potential for further steepening as a re-treatment.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>RESULTS:<\/jats:title>\n            <jats:p>\n              One-year data were available for 785 eyes. Mean attempted spherical equivalent refraction (SEQ) was +4.52 \u00b1 0.84 D (range: +2.00 to +6.96 D) for the primary treatment and mean cylinder was 1.05 \u00b1 0.86 D (range: 0.00 to 5.25 D). Mean age was 50 \u00b1 12 years (range: 18 to 70 years) and 61% were women. Postoperative SEQ was \u00b10.50 D in 50% and \u00b11.00 D in 77% of eyes after primary treatment. After re-treatment, 67% of eyes were within \u00b10.50 D and 89% were within \u00b11.00 D. Uncorrected distance visual acuity was 20\/20 or better in 76% of eyes after final treatment. One line of CDVA was lost in 25% of eyes and two lines were lost in 0.4%. There was a clinically insignificant but statistically significant decrease (\n              <jats:italic>P<\/jats:italic>\n              &lt; .05) in contrast sensitivity (CSV-1000) by less than 1 log unit at 3 and 6 cycles per degree (cpd) and by 1 log unit at 12 and 18 cpd. Diurnal fluctuation in refraction was identified in 2 eyes, proven by VHF digital ultrasound to be due to diurnal epithelial remodeling overnight and unrelated to maximum postoperative keratometry induced.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CONCLUSIONS:<\/jats:title>\n            <jats:p>LASIK for hyperopia by cumulative treatment of up to +8.33 D with the MEL 80 excimer laser was found to satisfy accepted criteria for safety, efficacy, and stability when applying specialized protocols, including epithelial monitoring.<\/jats:p>\n            <jats:p>\n              <jats:bold>\n                [\n                <jats:italic>J Refract Surg.<\/jats:italic>\n                2017;33(5):314\u2013321.]\n              <\/jats:bold>\n            <\/jats:p>\n          <\/jats:sec>","DOI":"10.3928\/1081597x-20170111-04","type":"journal-article","created":{"date-parts":[[2017,5,10]],"date-time":"2017-05-10T14:41:16Z","timestamp":1494427276000},"page":"314-321","source":"Crossref","is-referenced-by-count":39,"title":["LASIK for the Correction of High Hyperopic Astigmatism With Epithelial Thickness Monitoring"],"prefix":"10.3928","volume":"33","author":[{"given":"Dan Z.","family":"Reinstein","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Glenn I.","family":"Carp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy J.","family":"Archer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Buick","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marine","family":"Gobbe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth L.","family":"Rowe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario","family":"Jukic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Brandon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johnny","family":"Moore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tara","family":"Moore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2308","reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081-597X-19930101-07"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081-597X-19990701-04"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081-597X-19991101-08"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(99)00356-9"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(02)01367-6"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(02)02039-4"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ICL.0000104599.32450.A1"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(97)80338-0"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081-597X-20050101-11"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081-597X-20020701-02"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20090101-07"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20080201-02"},{"issue":"1","key":"e_1_3_2_14_2","first-page":"S98","article-title":"Outcomes of hyperopic LASIK with the NIDEK NAVEX platform centered on the visual axis or line of sight","volume":"25","author":"Kermani O","year":"2009","unstructured":"Kermani O, Oberheide U, Schmiedt K, Gerten G, Bains HS. Outcomes of hyperopic LASIK with the NIDEK NAVEX platform centered on the visual axis or line of sight. J Refract Surg. 2009;25(suppl 1):S98\u2013S103.","journal-title":"J Refract Surg"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081-597X-20061001-07"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20080201-03"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20151119-04"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081-597X-20060101-10"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.2147\/OPTH.S23573"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081-597X-20070201-13"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20130719-08"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2003.10.031"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2004.05.016"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20091105-02"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2013.08.053"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2014.08.039"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20160428-05"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1590\/S0004-27492012000300009"},{"key":"e_1_3_2_29_2","first-page":"650","article-title":"Long-term results of clear lens extraction combined with piggyback intraocular lens implantation to correct high hyperopia","volume":"6","author":"Hua X","year":"2013","unstructured":"Hua X, Yuan XY, Song H, Tang X. Long-term results of clear lens extraction combined with piggyback intraocular lens implantation to correct high hyperopia. Int J Ophthalmol. 2013;6:650\u2013655.","journal-title":"Int J Ophthalmol"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1080\/09286580490515116"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.1097\/ICU.0b013e32834cd5f8"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(03)00057-9"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2003.026138"},{"key":"e_1_3_2_34_2","doi-asserted-by":"publisher","DOI":"10.1038\/eye.2015.3"},{"key":"e_1_3_2_35_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081-597X-20040701-03"},{"key":"e_1_3_2_36_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081-597X-20070201-07"},{"key":"e_1_3_2_37_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9394(00)00606-1"},{"key":"e_1_3_2_38_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(02)01210-5"},{"key":"e_1_3_2_39_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081-597X-20030901-08"},{"key":"e_1_3_2_40_2","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/805706"},{"key":"e_1_3_2_41_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2015.06.036"},{"key":"e_1_3_2_42_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(03)00465-2"},{"key":"e_1_3_2_43_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2009.05.059"},{"key":"e_1_3_2_44_2","doi-asserted-by":"publisher","DOI":"10.5402\/2012\/310474"}],"container-title":["Journal of Refractive Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.healio.com\/doiresolver?doi=10.3928\/1081597X-20170111-04","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,3]],"date-time":"2023-05-03T07:21:45Z","timestamp":1683098505000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.healio.com\/doi\/10.3928\/1081597X-20170111-04"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,5]]},"references-count":43,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2017,5]]}},"alternative-id":["10.3928\/1081597X-20170111-04"],"URL":"https:\/\/doi.org\/10.3928\/1081597x-20170111-04","relation":{},"ISSN":["1081-597X"],"issn-type":[{"value":"1081-597X","type":"print"}],"subject":[],"published":{"date-parts":[[2017,5]]}}}