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Impact of removing soft contact lenses 1 day versus 1 month before surgery on the outcomes of microkeratome laser in situ keratomileusis

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Abstract

Purpose

To compare the outcomes, safety, efficacy, and predictability of microkeratome laser in situ keratomileusis (LASIK) 24 h and one month or more after removing soft contact lenses.

Setting

ULTRALASIK Eye Center, Dubai, United Arab Emirates.

Methods

The patients were divided based on the time of discontinuation of the soft contact lenses before LASIK (Group 1 at 24 h and Group 2 at one month or longer), and the two groups were well matched. Schirmer's testing, tear break-up time, corrected distance visual acuity, uncorrected distance visual acuity, manifest refraction spherical equivalent, and infection rate were evaluated preoperatively and at one week, one month, and six months after treatment.

Results

Group 1 (G1) comprised 1025 eyes, and group 2 (G2) had 1052 eyes. The groups were comparable preoperatively. The overall-mentioned outcomes were comparable between groups with uncorrected distance visual acuity of − 0.084 ± 0.12 logMAR in G1 and − 0.078 ± 0.17 logMAR in the G2 at 6 months (P = 0.322). Tear break-up time as well as Schirmer’s testing results was also comparable with no evidence of increased risk of dry eyes or non-inflammatory complications in any of the groups on follow-up visits at 1 week (P = 0.421), 1 month (P = 0.101), and 6 months (P = 0.399) postoperatively. Finally, no infectious complications were recorded in either of the groups.

Conclusion

With the absence of corneal warpage, no statistical or clinical difference in microkeratome LASIK outcomes and safety was spotted between the groups despite the difference in SCL discontinuation time before the procedure.

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Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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Author notes

  1. Ali Fadlallah and Georges Khattar have contributed equally.

Authors and Affiliations

  1. UltraLasik Eye Center, Dubai Health Care City, Building 27, Block A, Floor 6, Dubai, UAE

    Ali Fadlallah & Dana Khanafer

  2. Eye and Ear Hospital International, Naqqache, Lebanon

    Ali Fadlallah & Charbel Habre

  3. Holy Spirit University of Kaslik, Jounieh, Lebanon

    Ali Fadlallah, Georges Khattar & Charbel Habre

  4. Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon

    Georges Khattar

Authors
  1. Ali Fadlallah
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  2. Georges Khattar
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  3. Charbel Habre
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  4. Dana Khanafer
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Corresponding author

Correspondence to Ali Fadlallah.

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The authors declare that there is no conflict of interest.

Ethics approval

The study took place at Ultralasik Eye Center, Dubai, after the Ethics Committee approval at UltraLasik Eye Center. It was conducted in accordance with the ethical principles of the 1964 Declaration of Helsinki.

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Written informed consent was obtained from all individual participants included in the study.

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Fadlallah, A., Khattar, G., Habre, C. et al. Impact of removing soft contact lenses 1 day versus 1 month before surgery on the outcomes of microkeratome laser in situ keratomileusis. Int Ophthalmol 44, 79 (2024). https://doi.org/10.1007/s10792-024-03012-0

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  • DOI: https://doi.org/10.1007/s10792-024-03012-0

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