Laser in situ keratomileusis versus long-term contact lens wear

Decision analysis

Hall T. McGee, William Mathers

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Purpose: To compare the risk for vision loss from laser in situ keratomileusis (LASIK) versus long-term contact lens wear using decision analysis. Setting: Oregon Health & Science University, Portland, Oregon, USA. Methods: Based on previously published data, a decision tree was constructed using Markov modeling to calculate the probability of vision loss from LASIK versus contact lenses over time. An outcome variable, visual acuity-adjusted life-year (VALY), was defined to account for timing and severity of vision loss. The VALYs were tallied over a 30-year simulation to determine whether the risk for vision loss with contacts exceeded that with LASIK. Sensitivity analyses were performed to test the effect of changes in key variables including probability of contact lens-related keratitis, probability of ectasia after LASIK, and probability of early post-LASIK vision loss. Results: The model's conclusions were highly sensitive to changes in several variables tested, especially risk for post-LASIK ectasia, risk for early vision loss after LASIK, and risk for contact lens-related keratitis (which correlated with type of lenses worn). Rigid gas-permeable lenses were safer than LASIK in every analysis. The safety of LASIK exceeded that for daily-wear soft lenses only when assumptions were most favorable to LASIK, whereas the safety of LASIK always exceeded that for extended-wear lenses except when assumptions were least favorable to LASIK. Conclusion: This decision analysis found that the risk for vision loss associated with LASIK and with long-term contact lens wear might be closer than generally assumed.

Original languageEnglish (US)
Pages (from-to)1860-1867
Number of pages8
JournalJournal of Cataract and Refractive Surgery
Volume35
Issue number11
DOIs
StatePublished - Nov 2009
Externally publishedYes

Fingerprint

Laser In Situ Keratomileusis
Decision Support Techniques
Contact Lenses
Lenses
Pathologic Dilatations
Keratitis
Safety
Decision Trees
Quality-Adjusted Life Years
Visual Acuity

ASJC Scopus subject areas

  • Ophthalmology
  • Sensory Systems
  • Surgery

Cite this

Laser in situ keratomileusis versus long-term contact lens wear : Decision analysis. / McGee, Hall T.; Mathers, William.

In: Journal of Cataract and Refractive Surgery, Vol. 35, No. 11, 11.2009, p. 1860-1867.

Research output: Contribution to journalArticle

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