Patients prefer custom over conventional LASIK ablation

Milan, Italy-A comparison of custom and conventional LASIK ablations showed that both procedures provided very good results in terms of the uncorrected and best-corrected visual acuities (UCVA, BCVA) and refractive outcomes. Patients expressed greater quality of vision, however, with the results of the custom treatment, likely because of the better higher-order aberration values in that group, reported Luca Vigo, MD.

"The choice between custom or conventional ablation is still controversial. Some surgeons claim that custom ablation is superior to conventional ablation, and other surgeons claim that there is no need to perform a custom ablation except in particular cases that need iris registration or that are highly aberrated," said Dr. Vigo, associate ophthalmologist, Carones Ophthalmology Center, Milan, Italy.

The mean BCVA was 1.35 ± 0.20 in the custom group and 1.38 + 0.20 in the conventional group. Most of the patients gained lines postoperatively; one patient in the custom group lost a line of BCVA 3 months postoperatively.

Spherical aberrations