Evaluation of excimer laser for photorefractive keratectomy

Fleurette F, Durieux P,
Record ID 31995000090
Authors' objectives:

To assess the value of laser ablation to reduce refractive errors, as an alternative to the use of glasses or contact lenses in myopic subjects. ANDEM was asked by French National Health Insurance to assess the safety and efficacy of this new technique.

Authors' results and conclusions: The best results of photorefractive keratectomy are obtained in patients with mild to moderate myopia (-6 diopters): the patient's vision is restored to emmetropia in 50 to 85% of cases. However, few data are available at the present time and further studies are required. In patients with myopia exceeding -6 diopters, the results appear to be poor, although not well documented. The technique is also associated with certain risks.
Authors' recommendations: It was concluded that this technique is one of the most promising refractive surgery techniques, but still needs further outcome studies. The exact incidence of corneal opacity, the main complication of this technique, must be determined. ANDEM recommended a five-year follow-up of all treated patients Other output or dissemination activity: Not covered by health insurers.
Authors' methods: Review
Project Status: Completed
URL for project: http://www.has-sante.fr/
Year Published: 1992
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: France
Organisation Name: L'Agence Nationale d'Accreditation d'Evaluation en Santé
Contact Address: 2 avenue du Stade de France, 93218 Saint-Denis La Plaine Cedex, France. Tel: +33 01 55 93 71 88; Fax: +33 01 55 93 74 35;
Contact Name: sh.leerobin@has-sante.fr
Contact Email: sh.leerobin@has-sante.fr
Copyright: Agence Nationale pour le Developpement de l'Evaluation Medicale
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