Estimation of psychosomatic aspects and morpho-functional results of carrying out of FemtoLASIK operations with the help of different femtosecond laser installations

    Abstract

    Estimation of psychosomatic aspects and morpho-functional results of carrying out of FemtoLASIK operations with the help of different femtosecond laser installations

    Breev V.A., Solodkova E.G., Balalin S.V., Lopatin M.A.

    The S. Fedorov Eye Microsurgery Federal State Institution, the Volgograd branch, Volgograd

    A prospective study of the results of the operations of bilateral FemtoLASIK 60 patients (120 eyes) about the myopia of varying degrees. The formation of a corneal flap was carried out using a femtosecond laser platform Fs 200 (WaveLight, Alcon, Germany) and a femtosecond laser platform FemtoLDV Z8 (Ziemer, Switzerland). Preoperative study on the inquirer K. Schreiner showed that all patients belong to the first, stress-resistant category. Intraoperative pain in the first group was estimated at 1 point, in the second group – at 1.5 points, which is most likely due to a longer stage of femto-assisting surgery. This assumption is confirmed by plasma enzyme cortisol immunoassay data, higher values were observed in the observation group using the FemtoLDV Z8 femtosecond laser machine.

    Conclusion. Patients with a similar stressful state experience greater psycho-emotional and physical discomfort when using the FemtoLDV Z8 femtosecond laser machine compared to the Fs 200 femtosecond laser machine, which may require additional medical preparation of patients for the upcoming operations.

    Key words: cortisol, FemtoLASIK, stress factor.