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Subject Area

Ophthalmology

Article Type

Original Study

Abstract

Objectives To compare visual outcomes between femtosecond Lasik and implantable collamer lens (ICL) in patients with high myopia. Background Even though the parameters for optical quality as well as intraocular scattering are valuable for the subsequent satisfaction and postoperative visual performance in myopia, the comparison between patients with Femtolasik (FS-Lasik) and ICL implantation of these parameters is still unclear. Materials and methods This study involved 50 high myopic eyes ≥−6.0 D recruited for FS-Lasik (group 1) and another 50 high myopic eyes recruited for ICL (group 2). Both age and sex were matched in the two groups. Results Visual acuities (VA) showed significant improvement in FS-Lasik group than ICL group 1 day postoperatively, whereas after 1 week, they had no difference (P > 0.05), but in the third and sixth months postoperatively, there was a statistically significant increase in VA in ICL group than FS-Lasik group. It was observed that there is a stability of VA after FS-Lasik and ICL groups, which indicated that eyes with FS-Lasik group tend to regress by time, whereas in ICL group, the line tends to be more stable. However, both groups showed highly significant improvement in VA (P < 0.001). Conclusion ICL implantation is a better first choice especially in young adults who had high myopia and need the near vision. ICL seems to be better than FS-Lasik in the long-lasting correction of vision, and also, it has a better durability.

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