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Regression

After Lasik, All-Laser Lasik, PRK, LASEK, Epi-Lasik, and CK.


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Regression may cause a loss of some of the effects of refractive surgery.

 

Moderate regression may occur after excimer laser assisted conventional or custom wavefront Lasik, All-Laser Lasik, PRK, LASEK, and Epi-Lasik. This occurs mostly in myopic patients who have more than 6.0 diopters of refractive error and virtually all hyperopic patients.

After excimer laser assisted refractive surgery the cornea tends to regress back toward the original refractive error. The epithelium and the deeper stroma can reshape and reform at different rates and can cause regression.

Most Lasik and All-Laser Lasik patients experience regression within the first few weeks after surgery, while the surface ablation techniques of PRK, LASEK, and Epi-Lasik may require additional time until regression has settled down. For myopic patients, regression usually occurs within the first one to three months after surgery. Hyperopic patients may experience regression for a longer period of time. In all cases, it is reasonable to expect regression stop within the normal six month healing period.

Regression that is severe or continues to progress may be a sign of ectasia.

NearVision CK is considered a temporary procedure because the effects regress at a rate of about 0.33 diopter per year until all effects have dissipated.

Regression is a natural component of the healing process and is considered in the planned correction. A patient may be deliberately overcorrect to accommodate expected levels of regression. See Lasik Overcorrection Information

Regression occurs more commonly with smaller ablation diameters and with abrupt transition zones at the edge of the treatment areas. Steroid medications can be used to regulate and control regression. Although regression seems to be more prevalent the higher the refractive error, regression can occur in anyone.

If you are ready to choose a doctor to be evaluated for conventional or custom wavefrontt Lasik, All-Laser Lasik, PRK, LASEK, Epi-Lasik, NearVision CK, RLE, or any refractive surgery procedure, we highly recommend you consider a doctor who has been evaluated and certified by the USAEyes nonprofit organization. Locate a USAEyes Evaluated & Certified Lasik Laser Eye Surgery Doctor.

If this article did not fully answer your questions, use our free Ask Lasik Expert patient forum.


Current Regression Medical Journal News...

Comparative evaluation of refractive surgery candidates with Placido topography, Orbscan II, Pentacam, and wavefront analysis.

Related Articles

Comparative evaluation of refractive surgery candidates with Placido topography, Orbscan II, Pentacam, and wavefront analysis.

J Cataract Refract Surg. 2008 Apr;34(4):623-31

Authors: Nilforoushan MR, Speaker M, Marmor M, Abramson J, Tullo W, Morschauser D, Latkany R

PURPOSE: To study the role of the Pentacam (Oculus), Orbscan II (Bausch & Lomb), and WaveScan (Visx) in evaluating topographic features identified as risk factors for ectasia after laser in situ keratomileusis to identify parameters that may be important in interpreting elevation topography and wavefront data when screening refractive surgery candidates. SETTING: Private practice, New York, New York, USA. METHODS: One hundred forty-five eyes of 75 consecutive patients were evaluated for refractive surgery by ultrasound pachymetry (Humphrey Atlas), videokeratography, WaveScan, Orbscan II, and Pentacam. Eyes were classified as normal or suspect based on the Rabinowitz criteria for keratoconus suspect on Placido disk-based videokeratography. Forty-six parameters were evaluated in a comparison of topographically normal eyes and eyes that met the criteria for keratoconus suspect. RESULTS: The suspect group had thinner pachymetry, multiple distinguishing characteristics on the anterior and posterior corneal surfaces by elevation topography, and larger amounts of coma by wavefront analysis. Multivariable regression analysis identified the following as the strongest predictors of a suspect Placido topography: Pentacam, thinner pachymetry and larger differences between the highest and lowest points on the posterior elevation; Orbscan II, higher anterior maximum elevation, horizontal location of the thinnest point on the pachymetry map, and larger differences between the highest and lowest points on the posterior elevation. CONCLUSION: Several parameters provided by the Pentacam, Orbscan II, WaveScan, and pachymetry were statistically correlated with keratoconus suspect, defined by higher asymmetry and steeper curvature on Placido topography.

PMID: 18361985 [PubMed - indexed for MEDLINE]

 

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Last updated Tuesday, May 06, 2008

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