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Sabau, A; Daas, L; Behkit, A; Wagenpfeil, S; Langenbucher, A; Ardjomand, N; Flockerzi, E; Seitz, B.
Efficacy, safety, and predictability of transepithelial photorefractive keratectomy: meta-analysis.
J Cataract Refract Surg. 2021; 47(5):634-640 Doi: 10.1097/j.jcrs.0000000000000487
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Co-Autor*innen der Med Uni Graz
Ardjomand Navid
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Abstract:
PURPOSE: To evaluate the efficacy, safety, and predictability of transepithelial photorefractive keratectomy (TransPRK) for correcting myopia, astigmatism, and hyperopia. SETTING: Department of Ophthalmology, Saarland University Medical Center, Homburg/Saar, Germany. DESIGN: Meta-analysis of retrospective or prospective studies. METHODS: Relevant studies were collected from Medline and included when meeting the following predefined criteria: randomized controlled trials, at least 1 of the main outcome measures as efficacy, safety, or predictability, and 1 common TransPRK laser (Schwind Amaris). The parameters estimates and 95% CI were derived from random-effects meta-analysis to account for possible heterogeneity. RESULTS: Because hyperopia studies did not meet the inclusion criteria, the results are centered on myopia and astigmatism. Sixteen studies with a total of 1924 treated eyes were included in the meta-analysis. The mean efficacy, safety, and predictability had a probability of 94% (CI, 0.86-0.97), 0% (CI, 0.00-0.03), and 89% (CI, 0.82-0.93), respectively. The mean correction index, difference vector, and index of success had a value of 1.01 (CI, 1.01-1.02), 0.20 (CI, 0.06-0.34), and 0.12 (CI, 0.07-0.18), respectively. CONCLUSIONS: This summary estimate showed that TransPRK was highly effective, safe, and predictable in correcting myopia and/or astigmatism.
Find related publications in this database (using NLM MeSH Indexing)
Astigmatism - surgery
Germany - administration & dosage
Humans - administration & dosage
Lasers, Excimer - therapeutic use
Photorefractive Keratectomy - administration & dosage
Prospective Studies - administration & dosage
Refraction, Ocular - administration & dosage
Retrospective Studies - administration & dosage
Treatment Outcome - administration & dosage
Visual Acuity - administration & dosage

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