Impact of removing soft contact lenses 1day versus 1month before surgery on the outcomes of microkeratome laser in situ keratomileusis.

Abstract

To compare the outcomes, safety, efficacy, and predictability of microkeratome laser in situ keratomileusis (LASIK) 24h and one month or more after removing soft contact lenses. ULTRALASIK Eye Center, Dubai, United Arab Emirates. The patients were divided based on the time of discontinuation of the soft contact lenses before LASIK (Group 1 at 24h and Group 2 at one month or longer), and the two groups were well matched. Schirmer's testing, tear break-up time, corrected distance visual acuity, uncorrected distance visual acuity, manifest refraction spherical equivalent, and infection rate were evaluated preoperatively and at one week, one month, and six months after treatment. Group 1 (G1) comprised 1025 eyes, and group 2 (G2) had 1052 eyes. The groups were comparable preoperatively. The overall-mentioned outcomes were comparable between groups with uncorrected distance visual acuity of - 0.084 ± 0.12 logMAR in G1 and - 0.078 ± 0.17 logMAR in the G2 at 6months (P = 0.322). Tear break-up time as well as Schirmer's testing results was also comparable with no evidence of increased risk of dry eyes or non-inflammatory complications in any of the groups on follow-up visits at 1week (P = 0.421), 1month (P = 0.101), and 6months (P = 0.399) postoperatively. Finally, no infectious complications were recorded in either of the groups. With the absence of corneal warpage, no statistical or clinical difference in microkeratome LASIK outcomes and safety was spotted between the groups despite the difference in SCL discontinuation time before the procedure.