Visual Quality of Q-value-guided LASIK in the Treatment of High Myopia

Purpose:To compare visual performance and patient satisfaction following Q-value-guided customized laser-assisted in situ keratomileusis (LASIK) and standard LASIK in the treatment of high myopia.Methods:A total of 116 patients with high myopia (-6.00 to-9.50D;astigmatism from-0.00 to-2.00D) were treated using Z-217 excimer laser.(Bausch & Lomb)..Sixty-six patients (132 eyes) receiving Q-value-guided customized LASIK were assigned into the experimental group,.and 50 cases (100 eyes) receiving standard LASIK were used as normal controls.All subjects were followed up for > 6 months to monitor for night vision problems measure postoperative quality of life.Results:.In the experimental group,.night vision acuity decreased in 3 cases (4.5%),and glare was reported in 13 patients (19%) during the 6-month follow up period.In the control group,.night vision problems were noted in 9 cases (18%),.and glare occurred in 21 patients (42%).These differences between the two groups were statistically significant (P<0.05).According to the postoperative questionnaire,satisfaction with visual performance and quality of life was reported in 73% of the experimental group,and 52% of the control group(P<0.05).Conclusion:.Patients with high myopia surgically treated by Q-value-guided LASIK had better night-time visual performance and a higher degree of satisfaction compared with subjects receiving standard LASIK.