Effect of Femtosecond Laser in Situ Keratomileusis on the Choriocapillaris Perfusion and Choroidal Thickness in Myopic Patients

PURPOSE: To investigate changes in choriocapillaris vascular density (CCD) and choroidal thickness (CT) after femtosecond laser in situ keratomileusis (FS-LASIK) in myopic patients.

METHODS: Prospective and observational self-control study. We enrolled 41 myopic patients (41 right eyes), without other ophthalmic or systemic diseases who were eligible and about to FS-LASIK surgery. The CCD was measured in the central 1-mm-diameter circle region of the macular fovea (CCD1) and the 1- to 3-mm ring-like region of the fovea (CCD1-3). The CT was measured at the fovea and at distances of 0.5 and 2.5 mm for the following: nasal, temporal, superior, and inferior to the fovea. Both were measured by optical coherence tomography angiography (OCTA) preoperatively as the baseline and at 1 day, 1 week, 1 month, and 3 months postoperatively.

RESULTS: CCD1 and CCD1-3 were significantly lower postoperatively compared with baseline. When the trough was reached, CCD1 declined by 1.51%, and CCD1-3 declined by 1.00% at 1 day postoperatively. However, then they increased with time. CCD1 recovered to baseline at 1 month postoperatively, while CCD1-3 was still lower at the end of follow-up. In addition, the CT was significantly thicker postoperatively and recovered to the baseline at 3 months postoperatively. There was no obvious correlation between CCD, CT, and other parameters.

CONCLUSIONS: The CCD decreased while the CT increased following FS-LASIK in myopic patients. However, these changes may be a temporary stress response rather than real irreversible injury to the choroid.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:46

Enthalten in:

Current eye research - 46(2021), 6 vom: 14. Juni, Seite 878-884

Sprache:

Englisch

Beteiligte Personen:

Xu, Zhiqiang [VerfasserIn]
Gui, Sifeng [VerfasserIn]
Huang, Jianle [VerfasserIn]
Li, Yuan [VerfasserIn]
Lu, Fan [VerfasserIn]
Hu, Liang [VerfasserIn]

Links:

Volltext

Themen:

Choriocapillaris perfusion
Choroidal thickness
FS-LASIK
Journal Article
Myopic
Research Support, Non-U.S. Gov't
Vascular density

Anmerkungen:

Date Completed 31.12.2021

Date Revised 31.12.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/02713683.2020.1833350

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM316240397