Author(s):
1. Maja Bohač, Barbados

Abstract:
PURPOSE: Retrospective assessment of more than 20000 patients who underwent variety of refractive procedures in Eye Clinic “Svjetlost” in Zagreb in the past 13 years. MATHERIALS AND METHODS: Review of patients data who underwent various refractive procedures since January 1998. Patients were divided into two main groups: first group underwent corneal refractive procedures (LASIK, PRK, Intracor) and second group underwent lens based procedures (Refractive lens exchange, Phakic IOL implantation). Diopter and age distribution, refractive outcome and patients satisfaction were observed. RESULTS: Preoperative refraction distribution of our patients was: myopia 22%, myopic astigmatism 53%, hyperopia 8%, hyperopic astigmatism 14%, mixed astigmatism 3%. Age distribution of our patients in corneal refractive procedures was: 18-25 years 23%, 26-35 years 36%, 36-45 years 25%, 46-55 years 12%, more than 56 years 4%. Age distribution in phakic intraocular lenses was: 26-35 years 44%, 36-45 years 27%, 46-55 years 10% and 1% of patients was older than 56 years. In multifocal refractive lens exchange age distribution was: 26-35 years 0,5%, 36-45 years 6%, 46-55 years 44%, and 56 years and older 49,5%. In both groups 95% of patients achieved 20/25 vision or better, with mean SE in the first group +0,25±1,0D, SE for refractive lens exchange was +0,25±0,50D, and for phakic lenses +0,50±1,25D. Patients satisfaction was obtained by questionnaire and ranged from 97% in the first group to 99% in the second group (95% in refractive lens exchange, and 99% for phakic IOL ). CONCLUSION: Refractive surgery is the quickest growing and evolving part of ophthalmology. With the introduction of new technologies we are able to meet expectations of more than 90% of patients. Technological improvements decreased complication rate to less than 1% and improved refractive outcomes bringing us 98% of satisfied patients especially those with high ametropia.

Key words:
refractive surgery, LASIK, PRK, Intracor, Refractive lens exchange, phakic IOL

Thematic field:
retraktivna hirurgija

Opening paper:
Yes

Date of abstract submission:
29.03.2012.

Number of visits:
684

Conference:
II Kongres oftalmologa BiH

Applied paper from author