Abstract
Purpose. A statement of the fact of the presence of abnormally high visual acuity after the first stage of Trans-PRK and a proposal to use this information when planning laser correction of high and ultra-high myopia. Material and methods. Eyes were selected after the first stage of Trans-PRK (581 eyes), in which the postoperative myopic sphere equivalent was at least 2 diopters. Visual acuity was compared with non-operated eyes with a similar myopic sphere equivalent. Results. The revealed effect is that patients with high residual myopic refraction after the first stage of Trans-PRK have significantly higher visual acuity than non-operated people with similar refraction. Postoperative keratotopograms do not give grounds for understanding this effect. Conclusion. The explanation can be the forced work of the visual analyzer of the brain. With this in mind, it is possible to achieve and widely use a compromise between the desired and possible result in the practice of laser correction of myopia. Key words: myopia correction, first-stage, Trans-PRK, residual myopia, sphere equivalent, sight acuity, keratotopogram, visual analyzer of the brain, Ambliocor.
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