Autores: Mauro Nishi, Carlos Heler Ribeiro Diniz, Marco Antônio Rey de Faria, Renato Ambrósio, Keila Monteiro de Carvalho, Mílton Ruiz Alves
Fonte: e-Oftalmo CBO Revista Digital de Oftalmologia
Ano: 2015
DOI: 10.17545/e-oftalmo.cbo/2015.3
Resumo
Purpose. Assess whether performing LASIK and PRK surgeries simultaneously is as safe as sequentially doing in different days. Methods. Systematic review of the literature through Medline, Embase, Lilacs/SciELO, Cochrane Library until August 2014. Results. Four studies were selected, which three were randomized controlled trials, totaling 3120 eyes. There was no significant difference in the rates of intraoperative complications, or postoperative evaluation regarding decentered ablation, uncorrected visual acuity, loss of two or more lines of best corrected visual acuity, percentage of cases with residual refractive error below ± 0.5 D, diffuse lamellar keratitis. A clinical trial could detect greater epithelial ingrowth in the group that underwent surgery simultaneously (2.9% vs. 0.9%, respectively, odds ratio: 1.02, 95% CI, 1.01 to 1.08), and another pointed greatest pain postoperatively in sequential group (p = 0.037). Conclusion. Performing LASIK and PRK simultaneously is as safe as its sequential realization.
