Filtenborg Lindegaard (angermask99)
A 25-year-old woman was seen at our clinic with contact lens (CL) intolerance and a request for spectacle independence. Her medical history included asthma and allergic rhinitis. Because of the allergies, the patient used to extensively rub her eyes. Her hobby is boxing.The corrected distance visual acuity at presentation was 20/20 with -4.75 -2.50 × 52 and 20/20 with -5.75 -2.00 × 121 in the right and left eyes, respectively. The subjective refraction 6 months later was -5.00 -1.50 × 60 and -4.75 -1.50 × 121 in the right and left eyes, respectively. Her tear breakup time was 3 and 5 seconds and the Schirmer tear test values were 11.0 and 12.0 mm in the right and left eyes, respectively.The anterior chamber depth (ACD) (measured from the endothelium) was 2.87 mm and 2.89 mm in the right and left eyes, respectively. The corneal thickness was 566 μm and 551 μm of the right and left eyes, respectively. Corneal endothelial cell density was on average 2100 cells/mm for both eyes. Slitlamp biomicroscopy showed some slight punctate keratopathy inferiorly of both corneas. to show the corneal topography and Belin-Ambrósio maps at presentation and 6 months later of the right and left eyes, respectively.(Figure is included in full-text article.)(Figure is included in full-text article.)(Figure is included in full-text article.)(Figure is included in full-text article.). To assess the relevance of the homogeneity of femtosecond laser flap thickness regarding induction of higher-order aberrations (HOAs). Clínica Rementería & Clínica Novovisión, Madrid, Spain. Prospective observational study. Two hundred thirty-one patients underwent in situ keratomileusis using 5 different femtosecond lasers. The flap thicknesses were measured using anterior segment optical coherence tomography 3 months postoperatively. The same masked observer measured 6 symmetrical points nasally and temporally 1.0 mm, 2.0 mm, and 3.0 mm from the center of the flap in each case. HOAs induced in the cornea were measured using tomography. Positive and significant correlations were found between HOA induction and the flap thickness heterogeneity 3.0 mm from the center of the flap. Pearson correlation coefficients for the induction of HOAs were third-order 0.17112 (P = .0224), fourth-order 0.22474 (P = .0026), fifth-order 0.16449 (P = .0282), coma-like 0.17370 (P = .0204), and total HOAs 0.18182 (P = .0151). The amount of flap-thickness heterogeneity at 3.0 mm from the center of the flap created using femtosecond lasers was correlated with the magnitude of the HOAs induced. The amount of flap-thickness heterogeneity at 3.0 mm from the center of the flap created using femtosecond lasers was correlated with the magnitude of the HOAs induced. To compare the clinical outcomes obtained after implantation of 1 of 3 models of diffractive trifocal IOLs. Hospital da Luz, Lisbon, Portugal. Prospective randomized comparative study. Patients undergoing cataract surgery with bilateral implantation of 1 of 3 models of diffractive trifocal IOLs were enrolled. The IOL models implanted were the FineVision POD F, RayOne Trifocal, or the AcrySof IQ PanOptix IOL (30 eyes of 15 patients in each group). Visual acuity (VA), refraction, defocus curve, and contrast sensitivity outcomes were evaluated during a 3-month follow-up. Furthermore, the Quality of Vision questionnaire (QoV) was used to evaluate the frequency, severity, and discomfort of different visual symptoms. A total of 90 eyes of 45 patients were included. No statistically significant differences were found between groups in distance, intermediate, and near VA (P ≥ .112) and postoperative refraction (P ≥ .059). Postoperative binocular uncorrected intermediate VA of 0.10 logarithm of the minimum angle of resolution (logMAR) or better was found in 14 (93.33%) patients in the 3 groups. Postoperative binocular u