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SURGICAL RESULTS AT THE UW REFRACTIVE SURGERY CENTER SIX MONTHS FOLLOWING SURGERY: RESULTS, INCLUDING ENHANCEMENTS, PERFORMED IN THAT PERIOD

The University of Washington Refractive Surgery Center overall enhancement rate is 12%, but the rate varies with the level of initial correction (higher corrections have higher enhancement rates, and lower corrections have lower correction rates). We provide enhancement of patients without additional charge, if enhancement is safe and the patient is likely to benefit. We often perform an enhancement even if uncorrected visual acuity prior to enhancement is at the 20/25 level. Some centers will not enhance eyes that see 20/40 or better. 20/40, or even 20/25, may not be sufficient, depending on the patient's visual needs. We do not set an arbitrary level such as 20/40 to be eligible for enhancement. We treat each patient as an individual and offer enhancement based on what combination of distance and near uncorrected vision is best for their needs. Table 1 below includes patients who have had enhancement. In the event a patient did not return for 6-month followup, the 3-month data were included, so no patient reports were excluded.

 

LASIK and PRK
Representative 6 month results


Table 1 (Part One)

Clinical Outcomes
at 6 mos after
Surgery

20/20 or Better
Uncorrected
Vision

20/25 or Better
Uncorrected
Vision

20/40 or Better
Uncorrected
Vision

LASIK for Nearsightedness:

-0.75 to -1.99

81%

93%

99%

-2.00 to -3.99

77%

91%

99%

-4.0 to -5.99

74%

90%

99%

-6.0 to -7.99

66%

86%

98%

-8.0 to -9.99

62%

75%

95%

LASIK for Farsightedness:

+0.5 to +0.99

68%

90%

99%

+1.0 to +2.5

65%

77%

96%

+2.5 to +4.0

57%

70%

90%

PRK for Nearsightedness:

-0.75 to -1.99

81%

92%

99%

-2.0 to -3.99

74%

90%

98%


 
Even though LASIK and PRK are approved by the FDA up to 14 diopters of nearsightedness and 6 diopters of farsightedness, we no longer correct more than approximately 10 diopters of nearsightedness or 4 diopters of farsightedness because of poor predictability for higher corrections and increased risk of complications such as glare, halos, and decreased quality of vision after correction of high nearsightedness and farsightedness.



LASIK and PRK
Representative 6 month results

Table 1 (Part Two)


Clinical Outcomes
at 6 mos after
Surgery

+/-1 Diopter Final
Refractive
Error

Eyes Losing 2 or More
Lines of Best
Corrected Vision

LASIK for Nearsightedness:

-0.75 to -1.99

99%

0

-2.00 to -3.99

98%

0

-4.0 to -5.99

97%

0

-6.0 to -7.99

95%

1

-8.0 to -9.99

94%

1

LASIK for Farsightedness:

+0.5 to +0.99

99%

0

+1.0 to +2.5

97%

0

+2.5 to +4.0

95%

1

PRK for Nearsightedness:

-0.75 to -1.99

99%

0

-2.0 to -3.99

99%

0





Table 2

LASIK Flap Complications in Past Year
at the
UW Refractive Surgery Center


No.

Final Vision Outcome

Loss of Best
Corrected Vision

Free Flap

0

--

--

Short Flap

1

pending

No

Thin Flap

0

--

--

Central Cut

0

--

--

Infection

1

20/20

No



 

This page last updated 09/13/2006
© 1997-2004 University of Washington Department of Ophthalmology


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