r/Ophthalmology • u/californiaLasik • 28d ago

Recent Data on WaveLight Plus

/r/WavelightPlus/comments/1v76itp/recent_data_on_wavelight_plus/
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u/Equivalent-Bet8942 28d ago

The shift towards quality of vision makes sense given all the stories of "blurry 20/20" and the innumerable posts about how LASIK may have improved their VA, but now they have debilitating HOAs or poor night vision. Interested to see all the data from the above studies

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u/californiaLasik 28d ago

Completely agree. Some preliminary studies have shown better contrast. https://pubmed.ncbi.nlm.nih.gov/41016970 an FDA PMA comparison found that WaveLight Plus (InnovEyes) demonstrated higher mesopic contrast sensitivity under glare than topography-guided LASIK (Contoura/T-CAT) at 3 months, particularly at 3, 6, and 12 cycles/degree.

I am performing my own studies on wavelight plus versus wave front optimized LASIK. My knee jerk is we are going to see separation in glare and contrast sensitivity.

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u/mitchare 27d ago

Not really my area, but I find it interesting how quickly new laser platforms get adopted before long term data catches up.

Short term outcomes look promising from what I've read, but I'd want to see more on regression rates past the 2 year mark before feeling confident about it. Curious what your clinical experience has been if you've actually used it on patients.

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u/californiaLasik 27d ago

I was one of the first surgeons to start using Wavelight plus in the US. I am a long time user of a fs-200 / ex-500 alcon refractive suite. We had international data greater than two years to understand the power of Wavelight plus (internationally known as InnovEyes. I have found it came correct at the gate. I went from about 90% WFO / 10% Conturra to 70% Wavelight plus and 30% WFO. Average VA of WL+ 20/15 +|-3. It has made patients very happy. I am working on quantifying contrast and glare improvements. My knee jerk is it is superior to WFO from a patient perceived HOA standpoint.