Patient going for PRK treatment for refractive error in Al-Jouf region, Saudi Arabia
DOI:
https://doi.org/10.53555/jaz.v44i5.3306Keywords:
Photorefractive keratectomy, Refractive error, Myopia, Dry eye, Visual ImpairmentAbstract
Introduction: Photorefractive keratectomy (PRK) has been widely used as an efficient, secure, and cost-effective method for treating patients with low to moderate myopia. This study was aimed to evaluate the prevalence of accepted and rejected reasons candidates going for PRK treatment for refractive error in Aljouf region, Saudi Arabia.
Material and Methods: This retrospective study was conducted among 255 candidates going for PRK treatment for refractive in the department of ophthalmology at tertiary care hospital in Aljouf region, Saudi Arabia from August 2023 to October 2023.The following measurements of eye were noted for the enrolled patients in the study: visual acuity (VA) sine correction (SC) Visual acuity cum correction (CC), refractive error (RE) Central corneal thickness (CCT), Pentacam Astigmatism, keratometry (K1 and K2), spherical, cylindrical, and axis power in diopters, cycloplegic refraction, and pupillary diameter in normal daytime illumination in a room.
Results: Total 255 patients were included in this study among them 119 (46.67%) male and 136 (53.33%) female with average age of 26 in both male and female. Total 160 were fit and 95 were not fit. Visual acuity cum correction (CC) ocular dexter (OD) and Visual acuity cum correction (CC) ocular sinister (OS) reported both statistically significant with p value <0.001. Both K Max OS and K Max OD are statistically significant. The dry eye was evaluated by using Schimer test with mean of 15.00 and 10.00 with p value <0.001 were found significant.
Conclusion: This study concluded that 62.74% were reported fit and 37.26% were not fit for PRK treatment for refractive error because of the dry eye, Keratoconus, rocotane, amblyopia, hyperopia, diabetics and pregnancy in Aljouf region, Saudi Arabia. The Pentacam Astigmatism and dry eye was found statistically significant in both fit and unfit group.
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References
Naderi M, Jadidi K, Mosavi SA, Daneshi SA. Transepithelial photorefractive keratectomy for low to moderate myopia in comparison with conventional photorefractive keratectomy. J Ophthalmic Vis Res 2016;11:358-62.
Trokel SL, Srinivasan R, Braren B. Excimer laser surgery of the cornea. Am J Ophthalmol 1983;96:710 715.
Seiler T, Holschbach A, Derse M, Jean B, Genth U. Complications of myopic photorefractive keratectomy with the excimer laser. Ophthalmology 1994;101:153 160.
Liu YL, Tseng CC, Lin CP. Visual performance after excimer laser photorefractive keratectomy for high myopia. Taiwan J Ophthalmol. 2017;7(2):82–8.
Lee JB, Choe CM, Seong GJ, Gong HY, Kim EK. Laser subepithelial Keratomileusis for low to moderate myopia: 6-month follow-up. Jpn J Ophthalmol. 2002;46(3):299–304.
Sher NA, Barak M, Daya S, DeMarchi J, Tucci A, Hardten DR, Frantz JM, Eiferman RA, Parker P, Telfair WB, et al. Excimer laser photorefractive keratectomy in high myopia. Arch Ophthalmol. 1992;110(7):935–43.
Liesegang TJ, Gregory LS, Cantor LB. Basic and Clinical Science Course- Am Acad Ophthalmol. San Francisco, ed, 2007
Al-Shaaln FF, Bakrman MA, Ibrahim AM, Aljoudi AS. Prevalence and causes of visual impairment among Saudi adults attending primary health care centers in northern Saudi Arabia. Ann Saudi Med. 2011;31(5):473-480. doi: 10.4103/0256-4947.84624.
Parrey MU, Alswelmi FK. Prevalence and causes of visual impairment among Saudi adults. Pak J Med Sci. 2017;33(1):167-171. doi: 10.12669/pjms.331.11871.
Tabbara KF, El-Sheikh HF, Shawaf SS. Pattern of childhood blindness at a referral center in Saudi Arabia. Ann Saudi Med. 2005;25(1):18-21.
Alrahili NHR, Jadidy ES, Alahmadi BSH, Abdula’al MF, Jadidy AS, Alhusaini A, et al. Prevalence of uncorrected refractive errors among children aged 3-10 years in western Saudi Arabia. Saudi Med J. 2017;38(8):804-810. doi: 10.15537/smj.2017.8.20412.
Al Wadaani FA, Amin TT, Ali A, Khan AR. Prevalence and pattern of refractive errors among primary school children in Al Hassa, Saudi Arabia. Glob J Health Sci. 2012;5(1):125-34. doi: 10.5539/gjhs. v5n1p125.
Al-Rowaily MA. Prevalence of refractive errors among pre-school children at King Abdulaziz Medical City, Riyadh, Saudi Arabia. Saudi J Ophthalmol. 2010;24(2):45-48. doi: 10.1016/j.sjopt.2010.01.001.
Al-Tamimi ER, Shakeel A, Yassin SA, Ali SI, Khan UA. A clinic-based study of refractive errors, strabismus, and amblyopia in pediatric age-group. J Family Community Med. 2015;22(3):158-162. doi: 10.4103/2230-8229.163031
Al-Rashidi SH, Albahouth AA, Althwini WA, Alsohibani AA, Alnughaymishi AA, Alsaeed AA, et al. Prevalence Refractive Errors among Medical Students of Qassim University, Saudi Arabia: Cross-Sectional Descriptive Study. Open Access Maced J Med Sci. 201819;6(5):940-943. doi: 10.3889/oamjms.2018.197.
Algorinees, R., Alqahtani, N., Aljarbou, A., AlShammari, R.S. and Alrashidi, A.G. Prevalence of myopia and its related risk factors among medical students in Saudi Arabia. Adv Ophthalmol Vis Syst. 2017; 6(1), p.00165.
Teh WL, Cetty L, Jeyagurunathan A, Devi F, Roystonn K, Tang C, Verma S, Subramaniam M. Comorbid physical illnesses in adult outpatients with psychotic disorders: risk factors, psychological functioning, and quality of life outcomes. Social psychiatry and psychiatric epidemiology. 2021 Sep;56(9):1633-43.
Pokroy R, Mimouni M, Sela T, Munzer G, Kaiserman I. Myopic laser in situ keratomileusis retreatment: incidence and associations. J Cataract Refract Surg. 2016;42(10):1408–14.
Chen YI, Chien KL, Wang IJ, Yen AM, Chen LS, Lin PJ, Chen TH. An interval censored model for predicting myopic regression after laser in situ keratomileusis. Invest Ophthalmol Vis Sci. 2007;48(8):3516–23.
Lian J, Zhang Q, Ye W, Zhou D, Wang K. An analysis of regression afterlaser in situ keratomileusis for treatment of myopia. Zhonghua Yan Ke Za Zhi. 2002;38(6):363–6.
Flanagan GW, Binder PS. Role of flap thickness in laser in situ keratomileusis enhancement for refractive undercorrection. J Cataract Refract Surg. 2006;32(7):1129–41.
Gazieva L, Beer MH, Nielsen K, Hjortdal J. A retrospective comparison of efficacy and safety of 680 consecutive LASIK treatments for high myopia performed with two generations of flying-spot excimer lasers. Acta ophtalmol. 2011;89(8):729–33.
Christiansen SM, Neuffer MC, Sikder S, Semnani RT, Moshirfar M. The effect of preoperative keratometry on visual outcomes after moderate myopic LASIK. Clin Ophthalmol. 2012;6:459–64.
Kruh JN, Garrett KA, Huntington B, Robinson S, Melki SA. Risk factors for retreatment following myopic LASIK with femtosecond laser and custom ablation for the treatment of myopia. Semin Ophthalmol. 2017;32(3):316–20.
Sy ME, Zhang L, Yeroushalmi A, Huang D, Hamilton DR. Effect of mitomycin-C on the variance in refractive outcomes after photorefractive keratectomy. J Cataract Refract Surg. 2014;40(12):1980–4.
Mohammadi SF, Nabovati P, Mirzajani A, Ashrafi E, Vakilian B. Risk factors of regression and under correction in photorefractive keratectomy. Int J Ophthamol. 2015;8(5):933–7.
Murray A, Jones L, Milne A, Fraser CM, Lourenco T, Burr J. A systematic review of the safety and efficacy of elective photorefractive surgery for the correction of refractive error. London, UK: National Institute for Health and Clinical Excellence; 2005. p. 149.
TorricelliAA, Bechara SJ,Wilson SE. Screening ofrefractive surgery candidates for LASIK and PRK. Cornea 2014;33:1051 5
Kezirian GM, Parkhurst GD, Brinton JP, Norden RA. Prevalence of laser vision correction in ophthalmologists who perform refractive surgery. J Cataract Refract Surg 2015;41(9):1826-32
Joshi R S, Madan A H, Surwade T, et al. (July 04, 2021) Causes for Rejection of Keratorefractive Surgery in a Central Indian Population. Cureus 13(7): e16179. DOI 10.7759/cureus.16179
Alsulami R, Alzahrani S, AlQahtani B, Khayyat H, Alghamdi S: Reasons for not performing surface ablation refractive surgery in Saudi population. Saudi J Ophthalmol. 2020, 34:35-9. 10.4103/1319-4534.301294
Xu K, McKee HD, Jhanji V: Changing perspective of reasons for not performing laser-assisted in situ keratomileusis among candidates in a university eye clinic. Clin Exp Optom. 2013, 96:20-4. 10.1111/j.1444- 0938.2012.00730.x
Hashmani S, Hashmani N, Kumar S, et al.: Reasons for Refusing Laser-Assisted in Situ Keratomileusis in a Pakistani Population. Cureus. 2017, 9:e1391. 10.7759/cureus.1391
Verdon W, Bullimore M, Maloney RK. Visual performance after photorefractive keratectomy. A prospective study. Arch Ophthalmol. 1996 Dec;114(12):1465-72. doi: 10.1001/archopht.1996.01100140663003.
Hori-Komai Y, Toda I, Asano-Kato N, Tsubota K. Reasons for not performing refractive surgery. J Cataract Refract Surg. 2002;28:795–7. [PubMed: 11978457]
Guirao A. Theoretical elastic response of the cornea to refractive surgery: risk factors for keratectasia. Journal of refractive surgery (Thorofare, NJ : 1995). 2005;21(2):176- 85. PMID: 15796224
Lackner B, Schmidinger G, Pieh S, Funovics MA, Skorpik C. Repeatability and reproducibility of central corneal thickness measurement with Pentacam, Orbscan, and ultrasound. Optom Vis Sci. 2005;82(10):892-9. PMID: 16276321
Twa MD, Nichols JJ, Joslin CE, Kollbaum PS, Edrington TB, Bullimore MA, et al. Characteristics of corneal ectasia after LASIK for myopia. Cornea. 2004;23(5):447-57. PMID: 15220728
Hashemi H, Miraftab M, Asgari S. Photorefractive keratectomy results in myopic patients with thin cornea eyes. Oman journal of ophthalmology. 2015;8(1):24-7. PMID: 25709270
Kymionis GD, Bouzoukis D, Diakonis V, Tsiklis N, Gkenos E, Pallikaris AI, et al. Long-term results of thin corneas after refractive laser surgery. American journal of ophthalmology. 2007;144(2):181-5. PMID: 17533106
Shehadeh-Mashor R, Mimouni M, Shapira Y, et al. Risk factors for dry eye after refractive surgery. Cornea. September 17, 2019.
Denoyer, A.; Landman, E.; Trinh, L.; Faure, J.F.; Auclin, F.; Baudouin, C. Dry eye disease after refractive surgery: Comparative outcomes of small incision lenticule extraction versus LASIK. Ophthalmology 2015, 122, 669–676.
Foulks, G. The Definition and Classification of Dry Eye Disease: Report of the Definition and Classification Subcommittee of the International Dry Eye WorkShop (2007). Ocul. Surf. 2007, 5, 75–92.
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Copyright (c) 2023 Lubna Abdulrazaq Zaal Alfaleh, Rayan Nasser Almutairi, Hamid Ali Aldogmani, Mohammed Ibrahem Almaleh, Mohsen Naif F Alenezi
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