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Stereopsis after corneal refractive surgeries: a systematic review and meta-analysis

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Abstract

Purpose

To systematically review the published manuscripts on stereopsis after corneal refractive surgery.

Methods

The Web of Science, PubMed, Scopus, ProQuest, Clinical Key, Embase, and Cochrane Library were searched for relevant articles published until August 2020. The fixed- or random-effects models were used to estimate the Weighted mean difference (WMD) or Relative risk (RR) and 95% Confidence interval (CI) for postoperative stereopsis changes and incidence when applicable. Meta-regression was conducted for adjusting the effects of potential confounders.

Results

Seven studies (1266 eyes) in adults and ten studies in pediatrics (259 eyes) were included. In adults, stereopsis improved significantly compared to the preoperative state (WMD = − 27.4, 95% CI = − 40.0, − 14.7; I2 = 97.8%; P < 0.001). In pediatrics, proportion of patients with stereoacuity postoperatively was 2.18 times compared to preoperative evaluation. (RR = 2.18, 95% CI = 1.2, 3.9; I2 = 68.6%, P < 0.001).

Conclusions

Stereopsis improves after corneal refractive surgery in adults and pediatrics.

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References:

  1. Hashmani N, Sharif Hashmani PR, Rajani H, Ahmed J, Kumar J, Kumar A, Jamali M (2017) A comparison of visual outcomes and patient satisfaction between photorefractive keratectomy and femtosecond laser-assisted in situ keratomileusis. Cureus. https://doi.org/10.7759/cureus.1641

    Article  PubMed  PubMed Central  Google Scholar 

  2. Matsuguma S, Negishi K, Kawashima M, Toda I, Ayaki M, Tsubota K (2018) Patients’ satisfaction and subjective happiness after refractive surgery for myopia. Patient Prefer Adherence 12:1901

    Article  PubMed  PubMed Central  Google Scholar 

  3. Tran K and Ryce A 2018 Laser Refractive Surgery for Vision Correction: A Review of Clinical Effectiveness and Cost-effectiveness.

  4. Kezirian GM, Parkhurst GD, Brinton JP, Norden RA (2015) Prevalence of laser vision correction in ophthalmologists who perform refractive surgery. J Cataract Refract Surg 41(9):1826–1832

    Article  PubMed  Google Scholar 

  5. McAlinden C (2012) Corneal refractive surgery: past to present. Clin Exp Optom 95(4):386–398

    Article  PubMed  Google Scholar 

  6. Murueta-Goyena A, Canadas P (2018) Visual outcomes and management after corneal refractive surgery: A review. Journal of optometry 11(2):121–129

    Article  PubMed  Google Scholar 

  7. Gjerdrum B, Gundersen KG, Lundmark PO, Potvin R, Aakre BM (2020) Prevalence of signs and symptoms of dry eye disease 5 to 15 after refractive surgery. Clin Ophthalmol (Auckland, NZ) 14:269

    Article  Google Scholar 

  8. Melki SA, Azar DT (2001) LASIK complications: etiology, management, and prevention. Surv Ophthalmol 46(2):95–116

    Article  CAS  PubMed  Google Scholar 

  9. García-Montero M, Albarrán Diego C, Garzón-Jiménez N, Pérez-Cambrodí RJ, López-Artero E, Ondategui-Parra JC (2019) Binocular vision alterations after refractive and cataract surgery: a review. Acta Ophthalmol 97(2):e145–e155

    Article  PubMed  Google Scholar 

  10. Cui, D., Chen, J., Meyer, E. and Yang, G., 2019. Anatomy visualizations using stereopsis: current methodologies in developing stereoscopic virtual models in anatomical education. In Biomedical visualisation ( 49–65). Springer, Cham.

  11. Dutton J, Watkins A, Henderson J, Burgess FR, Tint NL, Dhillon B, Tatham AJ (2020) Influence of stereopsis on the ability to perform simulated microsurgery. J Cataract Refract Surg 46(4):549–554

    Article  PubMed  Google Scholar 

  12. Zhao JL, Xiao F, Zhao HX, Dai Y, Zhang YD (2018) Impact of intraocular scatter on stereopsis. Vision Res 153:124–128

    Article  PubMed  Google Scholar 

  13. Wainman B, Pukas G, Wolak L, Mohanraj S, Lamb J, Norman GR (2020) The critical role of stereopsis in virtual and mixed reality learning environments. Anat Sci Educ 13(3):401–412

    Article  PubMed  Google Scholar 

  14. O’connor AR, Tidbury LP (2018) Stereopsis: are we assessing it in enough depth? Clin Exp Optom 101(4):485–494

    Article  PubMed  PubMed Central  Google Scholar 

  15. Chen CY, Keeffe JE, Garoufalis P, Islam FM, Dirani M, Couper TA, Taylor HR, Baird PN (2007) Vision-related quality of life comparison for emmetropes, myopes after refractive surgery, and myopes wearing spectacles or contact lenses. J Refract Surg 23(8):752–759

    Article  PubMed  Google Scholar 

  16. Waring GO (1997) Quality of vision and freedom from optical correction after refractive surgery. J Refract Surg 13(3):213–215

    Article  PubMed  Google Scholar 

  17. Zarei-Ghanavati S, Gharaee H, Eslampour A, Ehsaei A, Abrishami M (2016) Stereoacuity after photorefractive keratectomy in myopia. J Curr Ophthalmol 28(1):17–20

    Article  PubMed  PubMed Central  Google Scholar 

  18. Sarkar S, Bharadwaj SR, Reddy JC, Vaddavalli PK (2020) Longitudinal changes in optical quality, spatial vision, and depth vision after laser refractive surgery for myopia. Optom Vis Sci 97(5):360–369

    Article  PubMed  Google Scholar 

  19. Jabbarvand M, Hashemian H, Khodaparast M, Anvari P (2016) Changes in stereopsis after photorefractive keratectomy. J Cataract Refract Surg 42(6):899–903

    Article  PubMed  Google Scholar 

  20. Karimian F, Ownagh V, Amiri MA, Tabatabaee SM, Dadbin N (2017) Stereoacuity after wavefront-guided photorefractive keratectomy in anisometropia. J Ophthalmic Vis Res 12(3):265

    Article  PubMed  PubMed Central  Google Scholar 

  21. Razmjoo H, Akhlaghi MR, Dehghani AR, Peyman AR, Sari-Mohammadli M, Ghatreh-Samani H (2008) Stereoacuity following LASIK. J Ophthalmic Vis Res 3(1):28

    PubMed  PubMed Central  Google Scholar 

  22. Nucci P, Drack AV (2001) Refractive surgery for unilateral high myopia in children. J Am Assoc Pediatric Ophthalmol Strabismus 5(6):348–351

    Article  CAS  Google Scholar 

  23. Higgins JP, Thompson SG (2002) Quantifying heterogeneity in a meta-analysis. Stat Med 21(11):1539–1558

    Article  PubMed  Google Scholar 

  24. DerSimonian R, Laird N (1986) Meta-analysis in clinical trials. Control Clin Trials 7(3):177–188

    Article  CAS  PubMed  Google Scholar 

  25. Egger M, Smith GD, Schneider M, Minder C (1997) Bias in meta-analysis detected by a simple, graphical test. BMJ 315(7109):629–634

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  26. Singh D, Saxena R, Sinha R, Titiyal JS (2015) Stereoacuity changes after laser in situ keratomileusis. Optom Vis Sci 92(2):196–200

    Article  PubMed  Google Scholar 

  27. Mravicic I, Bohac M, Lukacevic S, Jagaric K, Maja M, Patel S (2020) The relationship between clinical measures of aniseikonia and stereoacuity before and after LASIK. J Optometry 13(1):59–68

    Article  Google Scholar 

  28. Maden A, Erkin EF, Oner FH (1998) Unilateral refractive keratotomy for anisometropia 14(3):325–330

    CAS  Google Scholar 

  29. Autrata R, Rehurek J (2003) Clinical results of excimer laser photorefractive keratectomy for high myopic anisometropia in children: four-year follow-up. J Cataract Refract Surg 29(4):694–702

    Article  PubMed  Google Scholar 

  30. Autrata R, Rehurek J (2004) Laser-assisted subepithelial keratectomy and photorefractive keratectomy versus conventional treatment of myopic anisometropic amblyopia in children. J Cataract Refract Surg 30(1):74–84

    Article  PubMed  Google Scholar 

  31. Paysse EA, Coats DK, Hussein MA, Hamill MB, Koch DD (2006) Long-term outcomes of photorefractive keratectomy for anisometropic amblyopia in children. Ophthalmology 113(2):169–176

    Article  PubMed  Google Scholar 

  32. Astle WF, Rahmat J, Ingram AD, Huang PT (2007) Laser-assisted subepithelial keratectomy for anisometropic amblyopia in children: outcomes at 1 year. J Cataract Refract Surg 33(12):2028–2034

    Article  PubMed  Google Scholar 

  33. Yin ZQ, Wang H, Yu T, Ren Q, Chen L (2007) Facilitation of amblyopia management by laser in situ keratomileusis in high anisometropic hyperopic and myopic children. J Am Assoc Pediatric Ophthalmol Strabismus 11(6):571–576

    Article  Google Scholar 

  34. Astle WF, Fawcett SL, Huang PT, Alewenah O, Ingram A (2008) Long-term outcomes of photorefractive keratectomy and laser-assisted subepithelial keratectomy in children. J Cataract Refract Surg 34(3):411–416

    Article  PubMed  Google Scholar 

  35. Magli A, Iovine A, Gagliardi V, Fimiani F, Nucci P (2008) Photorefractive keratectomy for myopic anisometropia: a retrospective study on 18 children. Eur J Ophthalmol 18(5):716–722

    Article  CAS  PubMed  Google Scholar 

  36. Lin XM, Yan XH, Zheng WANG, Bin YANG, Chen QW, Su JA, Ye XL (2009) Long-term efficacy of excimer laserin situkeratomileusis in the management of children with high anisometropic amblyopia. Chin Med J 122(7):813–817

    PubMed  Google Scholar 

  37. Ghanem AA, Moad AI, Nematallah EH, El-Adawy IT, Anwar GM (2010) Laser in situ keratomileusis for treated myopic anisometropic amblyopia in children. Saudi J Ophthalmol 24(1):3–8

    Article  PubMed  PubMed Central  Google Scholar 

  38. Ghanem AA, Nematallah EH, El-Adawy IT, Anwar GM (2010) Facilitation of amblyopia management by laser in situ keratomileusis in children with myopic anisometropia. Curr Eye Res 35(4):281–286

    Article  PubMed  Google Scholar 

  39. Zhang J, Yu KM (2017) Femtosecond laser corneal refractive surgery for the correction of high myopic anisometropic amblyopia in juveniles. Int J Ophthalmol 10(11):1678

    PubMed  PubMed Central  Google Scholar 

  40. Astle WF, Huang PT, Ereifej I, Paszuk A (2010) Laser-assisted subepithelial keratectomy for bilateral hyperopia and hyperopic anisometropic amblyopia in children: one-year outcomes. J Cataract Refract Surg 36(2):260–267

    Article  PubMed  Google Scholar 

  41. Eissa S, Eldin NB (2018) ICL versus SMILE in management of anisometropic myopic amblyopia in children. Can J Ophthalmol 53(6):560–567

    Article  PubMed  Google Scholar 

  42. Yang JW, Huang TY, Yang KJ, Lee JS, Ku WC, Yeung L, Wu PH, Lin YF, Sun CC (2012) The effects of hyperopic and astigmatic ametropia on stereoacuity by Titmus stereo test. Taiwan J Ophthalmol 2(1):22–24

    Article  CAS  Google Scholar 

  43. Yang JW, Huang TY, Lee JS, Yeung L, Lin YF, Sun CC (2013) Correlation between myopic ametropia and stereoacuity in school-aged children in Taiwan. Jpn J Ophthalmol 57(3):316–319

    Article  PubMed  Google Scholar 

  44. Adler FH, Moses RA (1965) Physiology of the eye: clinical application. Mosby, Berkeley, CA, USA, pp 528–535

    Google Scholar 

  45. Liu S, Zhang P, Wu X, Hu S, Tan X (2003) Clinical analysis of binocular anisei konia after laser in situ keratomileusis on myopic patients. Yan Ke Xue Bao 19(2):107–109

    PubMed  Google Scholar 

  46. Wilson HR (2017) Binocular contrast, stereopsis, and rivalry: toward a dynamical synthesis. Vision Res 140:89–95

    Article  PubMed  Google Scholar 

  47. Zhao L, Wu H (2019) The difference in stereoacuity testing: contour-based and random dot-based graphs at far and near distances. Ann Transl Med 7(9):193–198

    Article  PubMed  PubMed Central  Google Scholar 

  48. Fawcett SL (2005) An evaluation of the agreement between contour-based circles and random dot-based near stereoacuity tests. J Am Assoc Pediatric Ophthalmol Strabismus 9(6):572–578

    Article  Google Scholar 

  49. Sekundo W, Gertnere J, Bertelmann T, Solomatin I (2014) One-year refractive results, contrast sensitivity, high-order aberrations and complications after myopic small-incision lenticule extraction (ReLEx SMILE). Graefes Arch Clin Exp Ophthalmol 252(5):837–843

    Article  PubMed  Google Scholar 

  50. Sutton G, Lawless M, Hodge C (2014) Laser in situ keratomileusis in 2012: a review. Clin Exp Optom 97(1):18–29

    Article  PubMed  Google Scholar 

  51. Daoud YJ, Hutchinson A, Wallace DK, Song J, Kim T (2009) Refractive surgery in children: treatment options, outcomes, and controversies. Am J Ophthalmol 147(4):573–582

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Isfahan Eye Research Center, Department of Ophthalmology, Isfahan University of Medical Sciences, Isfahan, Iran

    Alireza Peyman, Mohsen Pourazizi, Mohamadreza Akhlaghi & Elham Soltani

  2. Biostatistics and Epidemiology Department, Isfahan University of Medical Sciences, Isfahan, Iran

    Awat Feizi

  3. Health Information Research Center, Medical Informatics Department, Faculty of Medical Management and Information Sciences, Isfahan University of Medical Sciences, Isfahan, Iran

    Alireza Rahimi

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  1. Alireza Peyman
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Correspondence to Elham Soltani.

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Ethics approval for this report was obtained from the Ethics Committee of Isfahan University of Medical Sciences, Isfahan, Iran.

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Peyman, A., Pourazizi, M., Akhlaghi, M. et al. Stereopsis after corneal refractive surgeries: a systematic review and meta-analysis. Int Ophthalmol 42, 2273–2288 (2022). https://doi.org/10.1007/s10792-021-02201-5

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  • DOI: https://doi.org/10.1007/s10792-021-02201-5

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