![]() | Only 14 pages are availabe for public view |
Abstract This essay discussed several options with the patient and differentiated between those that would mainly be advantageous to addressing the refractive error (i.e., lower-order aberration) and those that would mainly address the halos and glare (i.e., higher-order aberrations). The surgical options included: (1) PRK, (2) topography-driven laser treatment, (3) Intacs ring segments (Addition Technology, Inc., Des Plaines, Illinois), Photorefractive keratectomy: PRK would effectively reduce the refractive error; however, it would also come with the risk of further corneal surgery, resulting in additional decrease of the optical zone. This would likely aggravate the patient’s night glare symptoms. Topography-driven treatment: Although the goal of this treatment is enlargement of the optical zone to decrease the halo and glare phenomena, it is currently unavailable in some countries. Intrastromal ring segments: INTACS also offers the option of providing a larger optical zone. The largest drawback is its refractive predictability, which is uncertain given the history of bilateral high myopic LASIK and enhancements. |