Transcript Epi-Lasik with the Epi-Head of the XP Microkeratome

Epi-Lasik with the Epi-Head of
the XP Microkeratome
Pre Launch Evaluation
Bernard Mathys, MD
ASCRS Chicago, April 8 , 2008
NO FINANCIAL INTEREST
ASCRS
Chicago 2008
www.drmathys.be
Epi-Lasik
Why Epi-LSK ?
Technique
Material & Methods
ASCRS
Chicago 2008
www.drmathys.be
Epithelial Healing
Speed
EpiLasik versus PRK
100
90
80
70
60
=100%
>75%
>50%
PRK
50
40
30
20
10
0
Day 1
ASCRS
Chicago 2008
Day 3
Day 5
www.drmathys.be
Day 7
VA recovery
Speed
EpiLasik versus PRK
100
90
80
70
60
=20/20
>20/25
>20/40
PRK20/25
50
40
30
20
10
0
Day 1
ASCRS
Chicago 2008
Day 3
Day 7
www.drmathys.be
Month 1
Results
No changes at 3M &
6M
No haze
No regression
All eyes = 20/20
85%: 1 line more
27%: 2 lines more
No loss of BCVA
ASCRS
Chicago 2008
www.drmathys.be
3 M after Epi-Lasik
ASCRS
Chicago 2008
www.drmathys.be
Questionnaire
Confort / Disconfort ?
Pain ?
Visual recovery: slow ? fast ?
Fluctuations ?
Evaluation of the procedure: score ?
Do it again or recommend it ?
ASCRS
Chicago 2008
www.drmathys.be
Answers
Very confortable: 100%
Pain: 8%
Visual recovery: faster than expected:
88%
Fluctuations: 60% for the first week, then 0
Evaluation: 96% + 4% - (pain ?)
Do it again: 100% !
ASCRS
Chicago 2008
www.drmathys.be
Conclusion
Safe device
Excellent results
Excellent option when Lasik not possible
– Less induction of HOA than Lasik
– Lamellar flaps weaken the cornea, much
more than surface ablation
Less pain & Haze than PRK/Lasek
Same instrument as Lasik
ASCRS
Chicago 2008
www.drmathys.be
Thank You