Clinical Ophthalmology (Jun 2023)
Comparison of Corneal Power Difference Maps with Achieved Myopic Correction Using Scheimpflug Tomography After LASIK, PRK, and SMILE
Abstract
Majid Moshirfar,1– 3 Devon Hori Harvey,4 Qiancheng Wang,5 Carter J Payne,1,6 David G West,7 Phillip C Hoopes1 1Hoopes Vision Research Center, Hoopes Vision, Draper, UT, USA; 2John A. Moran Eye Center, University of Utah School of Medicine, Salt Lake City, UT, USA; 3Utah Lions Eye Bank, Murray, UT, USA; 4The Ohio State University College of Medicine, Columbus, OH, USA; 5Baylor College of Medicine, Houston, TX, USA; 6Department of Ophthalmology, George Washington University School of Medicine and Health Sciences, Washington, DC, USA; 7University of Utah School of Medicine, Salt Lake City, UT, USACorrespondence: Majid Moshirfar, Hoopes Vision Research Center, 11820 South State St Ste 200, Draper, UT, 84020, USA, Tel +1 801 568-0200, Fax +1 415-476-0336, Email [email protected]: To compare corneal power difference maps (∆maps) obtained from the Pentacam in patients with 1 year follow-up after LASIK, PRK, and SMILE with further stratification to low, moderate, and high myopia.Patients and methods: This retrospective study was comprised of patients who had preoperative and 1-year postoperative power maps that were obtained–front sagittal (SagF), refractive power (RP), true net power (TNP), and total corneal refractive power (TCRP)–for evaluation. Measurements were recorded and compared at the 4mm, 5mm and 6mm pupil and apex zones. Comparisons were made between each specific power ∆map and the surgically induced refractive change (SIRC). Further analysis of the ∆maps was performed based on degree of myopia (high, moderate, and low). Correlation and agreement were also assessed with regression and limits of agreement (LoA).Results: There were 172 eyes in the LASIK group, 187 eyes in the PRK group, and 46 eyes in the SMILE group. In the LASIK group, TNP ∆map at 5mm pupil zone had the least absolute mean difference with SIRC (0.007 ± 0.42D). In the PRK group, TNP ∆map at 5mm apex zone was most accurate compared to SIRC (0.066 ± 0.45D). In the SMILE group, TCRP ∆map at 4mm apex zone had the closest absolute value when compared to SIRC (0.011 ± 0.50D). There was good correlation and agreement for all three surgery groups, LASIK: r = 0.975, LoA − 0.83D to +0.83D, PRK: r = 0.96, LoA − 0.83D and +0.95D, and SMILE: r = 0.922, LoA − 0.97 D to +0.99D.Conclusion: TNP ∆maps most accurately measured corneal power in the LASIK and PRK groups while TCRP ∆maps were most accurate in the SMILE group. The degree of myopia may change which ∆map is most accurate.Keywords: corneal topography, refractive surgery, total corneal refractive power, TCRP, true net power, TNP, sagittal, SagF
