Femtosecond Laser Versus Microkeratome in Creating Corneal Flaps in LASIK

NCT ID: NCT03484468

Last Updated: 2018-03-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

50 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-04-30

Study Completion Date

2020-04-30

Brief Summary

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Since the cornea is the main responsible for the refraction of the eye, as its refractive power is greater than 70% of the total refraction of the eye, so modification of its refractive properties are used to change the optical system of the eye. Hence, laser-assisted in situ keratomileusis has become the most commonly procedure used to correct the refractive errors of the eye. The most important step in laser-assisted in situ keratomileusis is the creation of the corneal flap, which its thickness may judge the whole outcome of the surgery . So trying to minimize the variation in the thickness of the resultant flap in comparison to what planned flap thickness preoperatively become our target.

Detailed Description

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As laser-assisted in situ keratomileusis procedure started to use automated microkeratomes in creating corneal flaps since 1989, and science go on until United states Food and Drug Administration approved the IntraLase laser for flap creation in January 2000 femtosecond lasers work by emitting light pulses of short duration (10-15 s) at 1053 nm wavelength that cause photodisruption of the tissue with minimum collateral damage . This enables no blade incisions to be performed within the tissue at various patterns and depth with high precision.

Aim of the work To evaluate and compare the variation in corneal flap thickness created from use of a femtosecond laser and a MORIA microkeratome when making a 110-µm- and 90- µm thick corneal flap and to identify the potential factors that affect corneal flap thickness.

Conditions

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Femtosecond Laser in Comparison to Moria Microkeratome in Creating Corneal Flaps

Keywords

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lasik flap_thickness femtosecond laser moria microkeratome

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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femtosecond_laser

participants had there lasik corneal flap creation using femtosecond laser

anterior segment Ocular Coherence Tomography

Intervention Type DEVICE

anterior segment OCT (Ocular Coherence Tomography) a device shows imaging of anterior segment of the eye and able to show corneal layers and measures its thickness.

moria_microkeratome

participants had there lasik corneal flap creation using moria microkeratome

anterior segment Ocular Coherence Tomography

Intervention Type DEVICE

anterior segment OCT (Ocular Coherence Tomography) a device shows imaging of anterior segment of the eye and able to show corneal layers and measures its thickness.

Interventions

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anterior segment Ocular Coherence Tomography

anterior segment OCT (Ocular Coherence Tomography) a device shows imaging of anterior segment of the eye and able to show corneal layers and measures its thickness.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Age 18-40 year
* Preoperative spherical refraction of -2.00 to -10.00D.
* Refractive cylinder of less than -3.00D.
* A stable refractive state for 2 years.
* An intraocular pressure (IOP) of \<22 mm Hg.

Exclusion Criteria

* A history of any systemic autoimmune disease.
* A history of diabetes.
* Other ophthalmic disorders.
* A history of ocular trauma and surgical history.
Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Assiut University

OTHER

Sponsor Role lead

Responsible Party

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Gerges Fargalla

Medicin Baccalaureus et Baccalaureus Chirurgi

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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GERGES F. YOUNAN, M.B.B.CH.

Role: PRINCIPAL_INVESTIGATOR

Assiut University

Central Contacts

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SAMIR Y. SALIH, PHD

Role: CONTACT

Phone: +201003304320

Email: [email protected]

HANY O. EL-SEDAFE, PHD

Role: CONTACT

Phone: +201005263681

Email: [email protected]

References

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Zhang J, Zhang SS, Yu Q, Wu JX, Lian JC. Comparison of corneal flap thickness using a FS200 femtosecond laser and a moria SBK microkeratome. Int J Ophthalmol. 2014 Apr 18;7(2):273-7. doi: 10.3980/j.issn.2222-3959.2014.02.14. eCollection 2014.

Reference Type RESULT
PMID: 24790869 (View on PubMed)

F.A.Guarnieri(ed.), Introduction, Corneal Biomechanics and Refractive Surgery, © Springer Science+Business Media New York 2015 ; 1: 1

Reference Type RESULT

Solomon KD, Fernandez de Castro LE, Sandoval HP, Biber JM, Groat B, Neff KD, Ying MS, French JW, Donnenfeld ED, Lindstrom RL; Joint LASIK Study Task Force. LASIK world literature review: quality of life and patient satisfaction. Ophthalmology. 2009 Apr;116(4):691-701. doi: 10.1016/j.ophtha.2008.12.037.

Reference Type RESULT
PMID: 19344821 (View on PubMed)

Sugar A, Rapuano CJ, Culbertson WW, Huang D, Varley GA, Agapitos PJ, de Luise VP, Koch DD. Laser in situ keratomileusis for myopia and astigmatism: safety and efficacy: a report by the American Academy of Ophthalmology. Ophthalmology. 2002 Jan;109(1):175-87. doi: 10.1016/s0161-6420(01)00966-6.

Reference Type RESULT
PMID: 11772601 (View on PubMed)

Hsu SY, Chen HY, Chung CP. Analysis of actual corneal flap thickness and confounding factors between first and second operated eyes. Ophthalmic Surg Lasers Imaging. 2009 Sep-Oct;40(5):448-52. doi: 10.3928/15428877-20090901-02.

Reference Type RESULT
PMID: 19772267 (View on PubMed)

Ortiz D, Alio JL, Pinero D. Measurement of corneal curvature change after mechanical laser in situ keratomileusis flap creation and femtosecond laser flap creation. J Cataract Refract Surg. 2008 Feb;34(2):238-42. doi: 10.1016/j.jcrs.2007.09.023.

Reference Type RESULT
PMID: 18242446 (View on PubMed)

Reinstein DZ, Archer TJ, Gobbe M. The history of LASIK. J Refract Surg. 2012 Apr;28(4):291-8. doi: 10.3928/1081597X-20120229-01.

Reference Type RESULT
PMID: 22496438 (View on PubMed)

Soong HK, Malta JB. Femtosecond lasers in ophthalmology. Am J Ophthalmol. 2009 Feb;147(2):189-197.e2. doi: 10.1016/j.ajo.2008.08.026. Epub 2008 Oct 18.

Reference Type RESULT
PMID: 18930447 (View on PubMed)

Marino GK, Santhiago MR, Wilson SE. Femtosecond Lasers and Corneal Surgical Procedures. Asia Pac J Ophthalmol (Phila). 2017 Sep-Oct;6(5):456-464. doi: 10.22608/APO.2017163. Epub 2017 Jul 31.

Reference Type RESULT
PMID: 28780779 (View on PubMed)

Ratkay-Traub I, Ferincz IE, Juhasz T, Kurtz RM, Krueger RR. First clinical results with the femtosecond neodynium-glass laser in refractive surgery. J Refract Surg. 2003 Mar-Apr;19(2):94-103. doi: 10.3928/1081-597X-20030301-03.

Reference Type RESULT
PMID: 12701713 (View on PubMed)

Other Identifiers

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femtosecond_vs_microkeratome

Identifier Type: -

Identifier Source: org_study_id