ASSESSING VISUAL AND QUALITY-OF-LIFE OUTCOMES FOLLOWING ADVANCED REFRACTIVE SURGERY TECHNIQUES AMONG PATIENTS WITH MYOPIA AND HYPEROPIA

Authors

  • Muhammad Israr Khyber Teaching Hospital, Peshawar, Pakistan. Author https://orcid.org/0009-0006-8943-9504
  • Syed Hassan Idrees Al-Shifa Trust Eye Hospital, Rawalpindi, Pakistan. Author https://orcid.org/0009-0004-2964-638X
  • Nawal kamran Dow University of Health Sciences, Karachi, Pakistan. Author
  • Bushra Muhammad Aslam Dow University of Health Sciences, Karachi, Pakistan. Author
  • Adnan Khan Abbotabad International Medical Institute, Abbottabad, Pakistan. Author
  • Javed Rasul PIMS Hospital, PIMC Phase 5, Hayatabad, Pakistan. Author
  • Muhammad Zia Iqbal Suliman Alrajhi University, Al Bukayriah, Saudi Arabia. Author https://orcid.org/0000-0003-2694-0108

DOI:

https://doi.org/10.71000/s2bwhq98

Keywords:

Adult, Hyperopia, Laser-Assisted In Situ Keratomileusis, , Myopia, Ophthalmologic Surgical Procedures, Patient Satisfaction, Quality of Life, Refractive Surgical Procedures, Visual Acuity, Vision Disorders. 

Abstract

Background: Refractive errors, including myopia and hyperopia, significantly impair visual function and quality of life. With evolving surgical technologies, modern refractive procedures now offer highly precise correction with improved safety profiles. However, comprehensive evaluation of their impact on both clinical outcomes and quality of life across diverse patient groups remains limited.

Objective: To evaluate the effectiveness, safety, and quality-of-life improvements achieved through modern refractive surgery procedures in patients with myopia and hyperopia.

Methods: A descriptive study was conducted over eight months at a refractive surgery center in South Punjab. A total of 120 patients aged 20–45 years underwent LASIK, PRK, or SMILE procedures, with selection based on individual ocular profiles. Uncorrected visual acuity (UCVA), best-corrected visual acuity (BCVA), and refractive error were recorded preoperatively and at one and three months postoperatively. Patient-reported quality of life was assessed using the NEI VFQ-25 questionnaire. Statistical analysis was performed using paired t-tests, with significance set at p<0.05.

Results: Mean UCVA improved significantly from 0.74 to 0.08 LogMAR at three months. BCVA showed stable improvement, and refractive stability was achieved in 92.5% of patients. The mean spherical equivalent improved from -3.75 D to -0.18 D. NEI VFQ-25 scores increased from 68.3 ± 10.4 to 88.9 ± 7.6, reflecting a 30.2% improvement in vision-related quality of life. No major complications were reported.

Conclusion: Modern refractive surgery techniques are effective and safe for correcting myopia and hyperopia, providing both objective visual improvement and enhanced quality of life. These findings support their broader use in vision rehabilitation.

Author Biographies

  • Muhammad Israr, Khyber Teaching Hospital, Peshawar, Pakistan.

    Vitroretinal Fellow, Khyber Teaching Hospital, Peshawar, Pakistan.

  • Syed Hassan Idrees, Al-Shifa Trust Eye Hospital, Rawalpindi, Pakistan.

    MBBS, DPH, DOMS (Resident in Ophthalmology), Department of Ophthalmology, Al-Shifa Trust Eye Hospital, Rawalpindi, Pakistan.

  • Nawal kamran, Dow University of Health Sciences, Karachi, Pakistan.

    Optometrist, Dow University of Health Sciences, Karachi, Pakistan.

  • Bushra Muhammad Aslam, Dow University of Health Sciences, Karachi, Pakistan.

    Optometrist, Dow University of Health Sciences, Karachi, Pakistan.

  • Adnan Khan, Abbotabad International Medical Institute, Abbottabad, Pakistan.

    Abbotabad International Medical Institute, Abbottabad, Pakistan.

  • Javed Rasul, PIMS Hospital, PIMC Phase 5, Hayatabad, Pakistan.

    Associate Professor, PIMS Hospital, PIMC Phase 5, Hayatabad, Pakistan.

  • Muhammad Zia Iqbal , Suliman Alrajhi University, Al Bukayriah, Saudi Arabia.

    Professor of Anatomy & Ophthalmologist, Suliman Alrajhi University, Al Bukayriah, Saudi Arabia.

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Published

2025-10-08