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Article

One-Year Visual and Refractive Outcomes of SmartPulse® Technology in Transepithelial Photorefractive Keratectomy for Myopic and Astigmatic Patients

by
Daiana-Andreea Margarit
1,
Horia Tudor Stanca
2,
Valeria Mocanu
1,3,
Mihnea Munteanu
1,3,*,
Francis Ferrari
4 and
Suta Marius
1
1
Ophthalmology Department, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania
2
Ophthalmology Department, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, Romania
3
Oftalmo Sensory-Tumor Research Center-ORL (EYEENT), 300041 Timisoara, Romania
4
Clinique Espace Nouvelle Vision, 75006 Paris, France
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2024, 13(20), 6182; https://doi.org/10.3390/jcm13206182
Submission received: 26 August 2024 / Revised: 3 October 2024 / Accepted: 16 October 2024 / Published: 17 October 2024
(This article belongs to the Special Issue Refractive Surgery—Where Are We Now?)
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Abstract

Background/Objectives: This study aims to evaluate the efficacy, safety, and predictability of Transepithelial Photorefractive Keratectomy (TPRK) using the SmartPulse® technology excimer laser for the correction of myopia and myopic astigmatism, assessing visual and refractive outcomes over a one-year follow-up period. Methods: This retrospective cohort study analyzed data from patients who underwent TPRK at the Ophthalmology Department—“Victor Babes” University of Medicine and Pharmacy in Timisoara (Romania), between January 2019 and June 2023. The procedure was performed using the SmartPulse® Technology of the SmartSurfACE AMARIS 750S excimer laser (SCHWIND eye-tech-solutions, Kleinostheim, Germany). Preoperative assessments included visual acuity, refraction, and corneal measurements, with postoperative evaluations conducted for up to 12 months. Results: This study included 92 eyes from 46 patients (mean age 29.02 years, 63% male). At 12 months post-op, 100% achieved UDVA 20/25 or better, with an efficacy index of 1.01. Refractive accuracy was 96% within ±0.50 D of the target and astigmatism ≤ 0.50 D in 99% of eyes. The safety index was 1.01. Corneal haze occurred in 8.70% of eyes and was effectively managed with dexamethasone drops. Conclusions: TPRK with the SmartPulse® technology excimer laser demonstrated high efficacy and safety in correcting myopia and myopic astigmatism, achieving stable visual outcomes over one year. The procedure also showed excellent predictability with a low incidence of complications, supporting its use as a reliable refractive surgery option.
Keywords: contactless surgery; SmartSurfACE; transepithelial PRK; SmartPulse® technology; myopia correction; visual and refractive outcomes contactless surgery; SmartSurfACE; transepithelial PRK; SmartPulse® technology; myopia correction; visual and refractive outcomes

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MDPI and ACS Style

Margarit, D.-A.; Stanca, H.T.; Mocanu, V.; Munteanu, M.; Ferrari, F.; Marius, S. One-Year Visual and Refractive Outcomes of SmartPulse® Technology in Transepithelial Photorefractive Keratectomy for Myopic and Astigmatic Patients. J. Clin. Med. 2024, 13, 6182. https://doi.org/10.3390/jcm13206182

AMA Style

Margarit D-A, Stanca HT, Mocanu V, Munteanu M, Ferrari F, Marius S. One-Year Visual and Refractive Outcomes of SmartPulse® Technology in Transepithelial Photorefractive Keratectomy for Myopic and Astigmatic Patients. Journal of Clinical Medicine. 2024; 13(20):6182. https://doi.org/10.3390/jcm13206182

Chicago/Turabian Style

Margarit, Daiana-Andreea, Horia Tudor Stanca, Valeria Mocanu, Mihnea Munteanu, Francis Ferrari, and Suta Marius. 2024. "One-Year Visual and Refractive Outcomes of SmartPulse® Technology in Transepithelial Photorefractive Keratectomy for Myopic and Astigmatic Patients" Journal of Clinical Medicine 13, no. 20: 6182. https://doi.org/10.3390/jcm13206182

APA Style

Margarit, D.-A., Stanca, H. T., Mocanu, V., Munteanu, M., Ferrari, F., & Marius, S. (2024). One-Year Visual and Refractive Outcomes of SmartPulse® Technology in Transepithelial Photorefractive Keratectomy for Myopic and Astigmatic Patients. Journal of Clinical Medicine, 13(20), 6182. https://doi.org/10.3390/jcm13206182

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