Wavefront-guided Versus Wavefront-optimized LASIK for Nearsightedness

Study Overview
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Brief Summary
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The purpose of the study is to compare the results of LASIK surgery when using wavefront-guided excimer laser treatment compared to wavefront optimized excimer laser treatment in patients with nearsightedness with and without astigmatism

Detailed Description
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This is a research study comparing the outcomes of LASIK surgery for nearsightedness when using the two different excimer laser technologies. Patients will have both eyes treated with the Alcon WaveLight Allegretto excimer laser. You will be one of 150 sighted patients at Stanford to undergo treatment in this clinical research trial. This will be a prospective, randomized, research study in which up to 300 consecutive eyes scheduled to undergo excimer laser in situ keratomileusis (LASIK) using one laser technology in the first eye and the second laser technology in the fellow eye for the correction of myopia (nearsightedness) with or without astigmatism will be enrolled. The choice of which eye receives the wavefront guided technology and which eye receives the wavefront-optimized technology will be randomized prior to enrollment. Randomization will be done according to a randomization schedule. You will know which eye is being treated with which each technology. The randomization will determine only whether your right or left eye is treated with the wavefront guided technology. The other eye will be treated with wavefront-optimized laser technology. You have a fifty percent chance of having your left eye treated with custom wavefront guided technology as your right eye. Subjects will undergo bilateral (both eyes at once) LASIK treatments using the Alcon WaveLight Allegretto excimer laser. All subjects will be followed for one year after the vision correction procedure. Subjects scheduled to undergo LASIK for the correction of myopia (nearsightedness) with or without astigmatism will be screened for eligibility. Eligible subjects will be examined preoperatively to establish a baseline for ocular condition (the general health and glasses prescription of the eyes). Postoperatively, subjects will undergo an ophthalmic evaluation (complete eye examination) at regular intervals as specified in this protocol. Retreatments (a second operation on the same eye for residual nearsightedness) will not be allowed during the first twelve months of this study. If you elect to undergo a retreatment of your LASIK surgery prior to the 12-month post-operative visit, the retreated eye will be exited from the study as of the retreatment date. Any significant new finding developed during the course of the research which may relate to the subject's willingness to continue participation will be provided to the subject or subject's representative in a timely manner.

Official Title
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A Prospective Eye to Eye Comparison of LASIK Using Wavefront-guided Treatment Versus Wavefront-optimized Treatment

Conditions
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Myopia, Astigmatism

Intervention / Treatment
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* Procedure: Wavefront-guided LASIK
* Procedure: Wavefront-optimized LASIK


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Subjects age 21 and older with healthy eyes. Nearsightedness between -7.50 diopters and -7.00 diopters with or without astigmatism of up to 3.50 diopters. Exclusion Criteria: Subjects under the age of 21. Patients with excessively thin corneas. Patients with topographic evidence of keratoconus. Patients with autoimmune diseases. Patients who are pregnant or nursing. Patients must have similar levels of nearsightedness in each eye. They can not be more than 3.0 diopter of difference between eyes. Patients must have similar levels of astigmatism in each eye. They can not have more than 4.0 diopters of difference in nearsightedness or astigmatism between their two eyes.

Ages Eligible for Study
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Minimum Age: 21 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Procedure: Wavefront-guided LASIK|Wavefront-guided LASIK in one eye using the Allegretto excimer laser|
|Procedure: Wavefront-optimized LASIK|Wavefront-optimized LASIK in one eye using the Allegretto excimer laser|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in best corrected visual acuity |  | 12 months | 
| Changes in 5 and 25% contrast visual acuity |  | 12 months | 
| Refractive predictability |  | 12 months | 
| Uncorrected visual acuity |  | 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in higher order aberrations |  | 1 yr | 
| Quality of vision measurement |  | 1 yr | 
| Topographic analysis |  | 1 yr | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Wavefront-guided LASIK., Wavefront-optimized LASIK., Custom LASIK