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| Ace wrote: "Its known that laser surgury reduces contrast senenstivately. You can simulate this by being in a brightly lit room then quickly enter a dark room. You will be nearly blind till your eyes adjust to the dark. Before they adjust, you can only see the outlines of large objects. Give it a minute and you start seeing details in large objects and the outlines of smaller objects. Give it 5 minutes and you see large objects clearly and lots of details in everything and if your night vision is very good, you may see faint colors. Laser surgury robs you of this and gives you what is akin to never adjusting to the dark. Things are blurry, hazy and what should be shades of gray are almost entirely black." Aces latest post is just a summary of what crap comes out of the "flappie". His next original thought will be his first original thought. |
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#1
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| Its known that laser surgury reduces contrast senenstivately. You can simulate this by being in a brightly lit room then quickly enter a dark room. You will be nearly blind till your eyes adjust to the dark. Before they adjust, you can only see the outlines of large objects. Give it a minute and you start seeing details in large objects and the outlines of smaller objects. Give it 5 minutes and you see large objects clearly and lots of details in everything and if your night vision is very good, you may see faint colors. Laser surgury robs you of this and gives you what is akin to never adjusting to the dark. Things are blurry, hazy and what should be shades of gray are almost entirely black. |
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| Mark A. Bullimore MCOptom PhD, Michael D. Olson OD PhD and Robert K. Maloney (Oxon) MD, MA b Accepted 24 Feburary 1999. Abstract PURPOSE: To prospectively examine the effect of photorefractive keratectomy with a 6-mm ablation zone on best-spectacle-corrected visual performance. METHODS: A prospective study was conducted of 164 eyes of 164 patients with an average (±SD) of -4.02 ± 1.74 diopters (range, -0.63 to -8.38 diopters spherical equivalent). Best-spectacle-corrected high-contrast and low-contrast visual acuity (18% Weber contrast) was measured with both natural and dilated pupils. Patients were tested preoperatively and at 3, 6, and 12 months after photorefractive keratectomy. Photorefractive keratectomy was performed with an argon fluoride excimer laser. Fifty-five eyes of 55 patients also underwent astigmatic keratotomy. RESULTS: Twelve months after photorefractive keratectomy, best-spectacle-corrected high-contrast visual acuity with natural pupils showed no significant change from preoperative values; mean (±SD) change was 0.004 ± 0.10 logMAR (t = 0.45, P = .65). Best-spectacle-corrected low-contrast visual acuity with natural pupils was significantly reduced compared to baseline; mean (±SD) change was 0.04 ± 0.13 logMAR (t = 3.3, P = .001). The low-contrast loss was larger (1.5 lines) with dilated pupils; mean (±SD) change was 0.13 ± 0.15 logMAR (t = 9.31, P < .001). Greater losses in dilated low-contrast visual acuity were associated with concurrent astigmatic keratotomy (t = 2.28, P = .025) and corneal haze of grade 1 or greater (t = 2.71, P = .005). CONCLUSIONS: Reductions in visual performance occur after photorefractive keratectomy with a 6-mm zone. These changes are greatest for low-contrast visual acuity with dilated pupils. Corneal haze and concurrent astigmatic keratotomy are associated with greater losses in low-contrast visual acuity. Best-spectacle-corrected low-contrast visual acuity is a sensitive measure for evaluating visual performance after refractive surgery. |
| Tags |
| 6mm, ablation, keratectomy, performance, photorefractive, visual, zone |
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