Refractive surgery for myopia: review of options and the decision-making process

Authors

  • Cristina Bostan, MD, MSc, FRCSC, DABO
  • Julia Talajic, MD, MPH, FRCSC
  • Johanna Choremis, MD, FRCSC

DOI:

https://doi.org/10.58931/cect.2022.1317

Abstract

Many options now exist for patients seeking surgical correction of myopia. The challenge lies in selecting the right procedure for the right patient. This article provides an overview of current refractive surgery options and discusses the clinical and imaging considerations in decision-making.

Author Biographies

Cristina Bostan, MD, MSc, FRCSC, DABO

Dr. Cristina Bostan is a Cornea, External Disease and Refractive Surgery fellow at the Cleveland Clinic’s Cole Eye Institute. She completed a combined MD-MSc degree and Ophthalmology residency training on the Clinician-Investigator track at the Université de Montréal, and is currently working towards a master’s degree in Translational Research from the University of Toronto. Dr. Bostan’s research work focuses on accelerating the translation of emerging corneal and ocular surface therapies to clinical practice.

Julia Talajic, MD, MPH, FRCSC

Dr. Julia Talajic is a Cornea and Refractive Surgery specialist at the Centre Universitaire d’Ophtalmologie (CUO) at the Maisonneuve-Rosemont Hospital and an Assistant Professor of Ophthalmology at the Université de Montréal. After finishing Ophthalmology residency at Université de Montréal, she went on to do a fellowship at the Devers Eye Institute in Portland. She also holds a master’s degree in Public Health from Johns Hopkins University.

Johanna Choremis, MD, FRCSC

Dr. Johanna Choremis is a Cornea and Refractive Surgery specialist at the Centre Universitaire d’Ophtalmologie (CUO) at the Maisonneuve-Rosemont Hospital and an Assistant Professor of Ophthalmology at the Université de Montréal and McGill University. She completed her Ophthalmology residency at McGill University and her fellowship training at Tufts University in Boston.

References

Hersh PS, Steinert RF, Brint SF. Photorefractive keratectomy versus laser in situ keratomileusis: comparison of optical side effects. Summit PRK-LASIK Study Group. Ophthalmology. 2000;107(5):925-33. DOI: https://doi.org/10.1016/S0161-6420(00)00059-2

​Tole DM, McCarty DJ, Couper T, Taylor HR. Comparison of laser in situ keratomileusis and photorefractive keratectomy for the correction of myopia of -6.00 diopters or less. Melbourne Excimer Laser Group. J Refract Surg. 2001;17(1):46-54. DOI: https://doi.org/10.3928/1081-597X-20010101-06

​Van Gelder RN, Steger-May K, Yang SH, Rattanatam T, Pepose JS. Comparison of photorefractive keratectomy, astigmatic PRK, laser in situ keratomileusis, and astigmatic LASIK in the treatment of myopia. J Cataract Refract Surg. 2002;28(3):462-76. DOI: https://doi.org/10.1016/S0886-3350(01)01177-4

​Schallhorn SC, Farjo AA, Huang D, Boxer Wachler BS, Trattler WB, Tanzer DJ, et al. Wavefront-guided LASIK for the correction of primary myopia and astigmatism a report by the American Academy of Ophthalmology. Ophthalmology. 2008;115(7):1249-61. DOI: https://doi.org/10.1016/j.ophtha.2008.04.010

​Stonecipher KG, Kezirian GM. Wavefront-optimized versus wavefront-guided LASIK for myopic astigmatism with the ALLEGRETTO WAVE: three-month results of a prospective FDA trial. J Refract Surg. 2008;24(4):S424-30. DOI: https://doi.org/10.3928/1081597X-20080401-20

​Stulting RD, Fant BS, Bond W, Chotiner B, Durrie D, Gordon M, et al. Results of topography-guided laser in situ keratomileusis custom ablation treatment with a refractive excimer laser. J Cataract Refract Surg. 2016;42(1):11-8. DOI: https://doi.org/10.1016/j.jcrs.2015.08.016

​Vestergaard A, Ivarsen AR, Asp S, Hjortdal J. Small-incision lenticule extraction for moderate to high myopia: Predictability, safety, and patient satisfaction. J Cataract Refract Surg. 2012;38(11):2003-10. DOI: https://doi.org/10.1016/j.jcrs.2012.07.021

Lin F, Xu Y, Yang Y. Comparison of the visual results after SMILE and femtosecond laser-assisted LASIK for myopia. J Refract Surg. 2014;30(4):248-54. DOI: https://doi.org/10.3928/1081597X-20140320-03

​Sekundo W, Kunert KS, Blum M. Small incision corneal refractive surgery using the small incision lenticule extraction (SMILE) procedure for the correction of myopia and myopic astigmatism: results of a 6 month prospective study. Br J Ophthalmol. 2011;95(3):335-9. DOI: https://doi.org/10.1136/bjo.2009.174284

​Ang M, Farook M, Htoon HM, Mehta JS. Randomized Clinical Trial Comparing Femtosecond LASIK and Small-Incision Lenticule Extraction. Ophthalmology. 2020;127(6):724-30. DOI: https://doi.org/10.1016/j.ophtha.2019.09.006

​Reinstein DZ, Archer TJ, Randleman JB. Mathematical model to compare the relative tensile strength of the cornea after PRK, LASIK, and small incision lenticule extraction. J Refract Surg. 2013;29(7):454-60. DOI: https://doi.org/10.3928/1081597X-20130617-03

​Li M, Niu L, Qin B, Zhou Z, Ni K, Le Q, et al. Confocal comparison of corneal reinnervation after small incision lenticule extraction (SMILE) and femtosecond laser in situ keratomileusis (FS-LASIK). PLoS One. 2013;8(12):e81435. DOI: https://doi.org/10.1371/journal.pone.0081435

​Ma KK, Manche EE. Corneal Sensitivity and Patient-Reported Dry Eye Symptoms in a Prospective Randomized Contralateral-Eye Trial Comparing LASIK and SMILE. Am J Ophthalmol. 2022. DOI: https://doi.org/10.1016/j.ajo.2022.05.010

​Brar S, Roopashree CR, Ganesh S. Incidence of Ectasia After SMILE From a High-Volume Refractive Surgery Center in India. J Refract Surg. 2021;37(12):800-8. DOI: https://doi.org/10.3928/1081597X-20210812-03

​Randleman JB. Ectasia After SMILE, Revisited. J Refract Surg. 2021;37(12):798-9. DOI: https://doi.org/10.3928/1081597X-20211025-01

​Khalifa MA, Ghoneim A, Shafik Shaheen M, Aly MG, Piñero DP. Comparative Analysis of the Clinical Outcomes of SMILE and Wavefront-Guided LASIK in Low and Moderate Myopia. J Refract Surg. 2017;33(5):298-304. DOI: https://doi.org/10.3928/1081597X-20170222-01

​Kanellopoulos AJ. Topography-Guided LASIK versus Small Incision Lenticule Extraction: Long-term Refractive and Quality of Vision Outcomes. Ophthalmology. 2018;125(10):1658-9. DOI: https://doi.org/10.1016/j.ophtha.2018.04.006

​Chiang B, Valerio GS, Manche EE. Prospective, Randomized Contralateral Eye Comparison of Wavefront-Guided Laser In Situ Keratomileusis and Small Incision Lenticule Extraction Refractive Surgeries. Am J Ophthalmol. 2022;237:211-20. DOI: https://doi.org/10.1016/j.ajo.2021.11.013

Siedlecki J, Luft N, Priglinger SG, Dirisamer M. Enhancement Options After Myopic Small-Incision Lenticule Extraction (SMILE): A Review. Asia Pac J Ophthalmol (Phila). 2019;8(5):406-11. DOI: https://doi.org/10.1097/APO.0000000000000259

​Barraquer JI. Modification of refraction by means of intracorneal inclusions. Int Ophthalmol Clin. 1966;6(1):53-78. DOI: https://doi.org/10.1097/00004397-196606010-00004

​Fleming JF, Wan WL, Schanzlin DJ. The theory of corneal curvature change with the Intrastromal Corneal Ring. CLAO J. 1989;15(2):146-50.

Addition Technology, Inc. Professional Use Information Manual for Correction of Myopia with Intacs(R) Corneal Implants: Physician Booklet. 2005.

​Huang D, Schallhorn SC, Sugar A, Farjo AA, Majmudar PA, Trattler WB, et al. Phakic intraocular lens implantation for the correction of myopia: a report by the American Academy of Ophthalmology. Ophthalmology. 2009;116(11):2244-58. DOI: https://doi.org/10.1016/j.ophtha.2009.08.018

Srinivasan B, Leung HY, Cao H, Liu S, Chen L, Fan AH. Modern Phacoemulsification and Intraocular Lens Implantation (Refractive Lens Exchange) Is Safe and Effective in Treating High Myopia. Asia Pac J Ophthalmol (Phila). 2016;5(6):438-44. DOI: https://doi.org/10.1097/APO.0000000000000241

​Alió JL, Grzybowski A, Romaniuk D. Refractive lens exchange in modern practice: when and when not to do it? Eye Vis (Lond). 2014;1:10. DOI: https://doi.org/10.1186/s40662-014-0010-2

​Salz J, Trattler WB. Patient Evaluation and Selection in Refractive Surgery. In: Mannis MJ, Holland EJ, editors. Cornea. 2. 5th ed. Canada: Elsevier; 2021:1666-73.

​Sorkin N, Perez Velasquez MA, Rootman DS. Excimer Laser Surface Treatment: Photorefractive Keratectomy. In: Mannis MJ, Holland EJ, editors. Cornea. 2. 5th ed. Canada: Elsevier; 2021:1682-94.

Shah R. History and Results; Indications and Contraindications of SMILE Compared With LASIK. Asia Pac J Ophthalmol (Phila). 2019;8(5):371-6. DOI: https://doi.org/10.1097/01.APO.0000580132.98159.fa

Brar S, Gautam M, Sute SS, Ganesh S. Refractive surgery with simultaneous collagen cross-linking for borderline corneas – A review of different techniques, their protocols and clinical outcomes. Indian J Ophthalmol. 2020;68(12):2744-56. DOI: https://doi.org/10.4103/ijo.IJO_1709_20

​Lim EWL, Lim L. Review of Laser Vision Correction (LASIK, PRK and SMILE) with Simultaneous Accelerated Corneal Crosslinking – Long-term Results. Curr Eye Res. 2019;44(11):1171-80. DOI: https://doi.org/10.1080/02713683.2019.1656749

Piñero DP. Misdiagnosing Keratoconus. Expert Review of Ophthalmology. 2016;11(1):29-39. DOI: https://doi.org/10.1586/17469899.2016.1136215

Hwang ES, Schallhorn JM, Randleman JB. Utility of regional epithelial thickness measurements in corneal evaluations. Surv Ophthalmol. 2020;65(2):187-204. DOI: https://doi.org/10.1016/j.survophthal.2019.09.003

Zhu AY, Jun AS, Soiberman US. Combined Protocols for Corneal Collagen Cross-Linking with Photorefractive Surgery for Refractive Management of Keratoconus: Update on Techniques and Review of Literature. Ophthalmol Ther. 2019;8(Suppl 1):15-31. DOI: https://doi.org/10.1007/s40123-019-00210-3

Kymionis GD, Grentzelos MA, Kounis GA, Diakonis VF, Limnopoulou AN, Panagopoulou SI. Combined transepithelial phototherapeutic keratectomy and corneal collagen cross-linking for progressive keratoconus. Ophthalmology. 2012;119(9):1777-84. DOI: https://doi.org/10.1016/j.ophtha.2012.03.038

​Kapasi M, Dhaliwal A, Mintsioulis G, Jackson WB, Baig K. Long-Term Results of Phototherapeutic Keratectomy Versus Mechanical Epithelial Removal Followed by Corneal Collagen Cross-Linking for Keratoconus. Cornea. 2016;35(2):157-61. DOI: https://doi.org/10.1097/ICO.0000000000000679

Stein R. Topography-Guided Photorefractive Keratectomy. In: Mannis MJ, Holland EJ, editors. Cornea. 5th ed. Canada: Elsevier; 2021:1757-64.

Iqbal M, Elmassry A, Tawfik A, Elgharieb M, Nagy K, Soliman A, et al. Standard cross-linking versus photorefractive keratectomy combined with accelerated cross-linking for keratoconus management: a comparative study. Acta Ophthalmol. 2019;97(4):e623-e31. DOI: https://doi.org/10.1111/aos.13986

Singal N, Ong Tone S, Stein R, Bujak MC, Chan CC, Chew HF, et al. Comparison of accelerated CXL alone, accelerated CXL-ICRS, and accelerated CXL-TG-PRK in progressive keratoconus and other corneal ectasias. J Cataract Refract Surg. 2020;46(2):276-86. DOI: https://doi.org/10.1097/j.jcrs.0000000000000049

Adib-Moghaddam S, Soleyman-Jahi S, Salmanian B, Omidvari AH, Adili-Aghdam F, Noorizadeh F, et al. Single-step transepithelial photorefractive keratectomy in myopia and astigmatism: 18-month follow-up. J Cataract Refract Surg. 2016;42(11):1570-8. DOI: https://doi.org/10.1016/j.jcrs.2016.08.029

Luger MH, Ewering T, Arba-Mosquera S. Myopia correction with transepithelial photorefractive keratectomy versus femtosecond-assisted laser in situ keratomileusis: One-year case-matched analysis. J Cataract Refract Surg. 2016;42(11):1579-87. DOI: https://doi.org/10.1016/j.jcrs.2016.08.025

Rapuano CJ, Sugar A, Koch DD, Agapitos PJ, Culbertson WW, de Luise VP, et al. Intrastromal corneal ring segments for low myopia: a report by the American Academy of Ophthalmology. Ophthalmology. 2001;108(10):1922-8. DOI: https://doi.org/10.1016/S0161-6420(01)00804-1

Stulting RD, John ME, Maloney RK, Assil KK, Arrowsmith PN, Thompson VM. Three-year results of Artisan/Verisyse phakic intraocular lens implantation. Results of the United States Food And Drug Administration clinical trial. Ophthalmology. 2008;115(3):464-72.e1. DOI: https://doi.org/10.1016/j.ophtha.2007.08.039

Sanders DR, Doney K, Poco M. United States Food and Drug Administration clinical trial of the Implantable Collamer Lens (ICL) for moderate to high myopia: three-year follow-up. Ophthalmology. 2004;111(9):1683-92. DOI: https://doi.org/10.1016/j.ophtha.2004.03.026

Published

2022-12-01

How to Cite

1.
Bostan C, Talajic J, Choremis J. Refractive surgery for myopia: review of options and the decision-making process. Can Eye Care Today [Internet]. 2022 Dec. 1 [cited 2024 May 17];1(3):14–21. Available from: https://canadianeyecaretoday.com/article/view/1-3-2

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Articles