Revista Cubana de Oftalmología (Jun 2009)
Resultados refractivos en pacientes operados por LASIK versus LASEK con mitomicina C Refractive results in patients operated by LASIK versus LASEK with Mitomycin C
Abstract
OBJETIVO: Evaluar comparativamente los resultados refractivos obtenidos en ojos operados con el uso de la keratomileusis in situ asistida con láser (LASIK) contra la keratomileusis subepitelial asistida con láser combinándosele a esta última el uso de la mitomicina C (LASEK+MC). MÉTODOS: Se realizó un estudio prospectivo, experimental, comparativo en un total de 210 ojos de pacientes que acudieron a consulta para ser operados por algún defecto refractivo. Un total de 104 ojos fueron intervenidos por LASIK y 106 por LASEK+MC. Para comparar los resultados del estudio se realizaron varios exámenes antes y después de operados los pacientes. RESULTADOS: Los defectos refractivos fueron superiores con significación estadística (pOBJECTIVE: Evaluating comparatively the refractive results obtained in eyes operated by keratomileusis in situ assisted with laser (LASIK) versus keratomileusis subepithelial assisted with laser plus Mitomycin C (LASEK + MC). METHODS: A prospective, experimental and comparative study was performed in 210 eyes of patients who went to see the specialist to be operated from some refractive defect. A total of 104 eyes were operated by LASIK and 106 by LASEK + MC. In order to compare the results of study, several tests were made before and after surgery. RESULTS: The refractive defects were greater with statistical significance (p< 0,05, for Student's t) for the eyes operated by LASEK + MC. The visual result of the LASEK with MC surgery was better than that of LASIK. Haze was a problem resolved for the LASEK when included Mitomycin C in patients with high myopia, in addition to improvement of quality of life of the patients. CONCLUSIONS: The corneal surgery with laser through the LASEK technique plus use of Mitomycin C demonstrated being as reliable as that with LASIK for ametropy correction, since it provides additional advantages that increases the quality of life of patient, with less postoperative risks.
