Effect of excimer laser repetition rate on outcomes after photorefractive keratectomy

George D. Kymionis, Vasilios F. Diakonis, George Kounis, Dimitrios I. Bouzoukis, Eirineos Gkenos, Harilaos Ginis, Sonia H. Yoo, Ioannis G. Pallikaris

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


Purpose: To compare the refractive outcomes after photorefractive keratectomy (PRK) for low to moderate myopic corrections using 2 excimer lasers with different repetition rates (200 Hz and 400 Hz). Setting: University refractive surgery center. Methods: This retrospective study included all consecutive patients who underwent PRK using the 200 Hz or the 400 Hz Allegretto laser platform (WaveLight Laser Technologie AG). Thirty-five patients (70 eyes) and 29 patients (58 eyes) had PRK with the 200 Hz platform and the 400 Hz platform, respectively, using the same surgical technique. Results: The mean follow-up was 13.22 months ± 1.16 (SD) (range 11 to 15 months). No intraoperative or early postoperative (eg, late reepithelialization) complications were found in either group. At 1 year, 66 eyes (94.2%) in the 200 Hz group and 56 eyes (96.6%) in the 400 Hz group were within ±1.00 diopter of the attempted correction. At 3 months, 20 eyes (29%) in the 200 Hz group and 27 eyes (46%) in the 400 Hz group had mild or moderate corneal haze (P = .03). These corneas showed progressive clearing over subsequent months without statistically significant differences in haze formation between the 2 groups. Twelve months after PRK, all corneas in both groups were clear. Conclusion: Photorefractive keratectomy for the treatment of low to moderate refractive errors using a 200 Hz or 400 Hz excimer laser gave comparable results.

Original languageEnglish (US)
Pages (from-to)916-919
Number of pages4
JournalJournal of cataract and refractive surgery
Issue number6
StatePublished - Jun 2008
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Ophthalmology
  • Sensory Systems


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