Advances in refractive surgery: microkeratome and femtosecond laser flap creation in relation to safety, efficacy, predictability, and biomechanical stability.

Abstract:

PURPOSE OF REVIEW:Methods of flap creation have changed over the years from the evolution of the mechanical microkeratome to the introduction of the IntraLase femtosecond laser keratome, both of which have different mechanisms of action to create corneal resections. Previous studies report the advantages and disadvantages of the mechanical microkeratome and the IntraLase femtosecond laser. The critical components in laser in-situ keratomileusis surgery remain the same, however: safety, efficiency, predictability, and biomechanical stability. RECENT FINDINGS:Keratoectasia and flap efficiency remain a constant safety concern in laser in-situ keratomileusis surgery. Unexpectedly thick flaps as well as variable thickness continue to be a concern with safety in relation to microkeratome technology. Epithelial preservation, flap complications, and newer issues such as Transient Light Sensitivity Syndrome are safety concerns of flap creation. Improved outcomes with regards to vision, induced astigmatism, induced higher-order aberrations, and enhancement rates are seen to favor predictability of femtosecond technologies over the microkeratome. Recent biomechanical studies show improved healing with femtosecond laser flap creation compared with blade-assisted flap creation. SUMMARY:The aim of this review is to summarize the key components for both the microkeratome and the femtosecond laser and to update on the recent advances reported on these topics.

journal_name

Curr Opin Ophthalmol

authors

Stonecipher K,Ignacio TS,Stonecipher M

doi

10.1097/01.icu.0000233957.88509.2d

subject

Has Abstract

pub_date

2006-08-01 00:00:00

pages

368-72

issue

4

eissn

1040-8738

issn

1531-7021

pii

00055735-200608000-00010

journal_volume

17

pub_type

杂志文章,评审
  • Dry eye in 2008.

    abstract:PURPOSE OF REVIEW:Although researchers continue to investigate the multifarious etiologic, anatomical, physiological, and pathological factors of dry eye, successful treatment remains a challenge. RECENT FINDINGS:Dry eye prevalence is substantial across populations and the term 'dry eye' is used to describe numerous c...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0b013e32832b7578

    authors: Abelson MB,Ousler GW 3rd,Maffei C

    更新日期:2009-07-01 00:00:00

  • Surgical management of Graves orbitopathy.

    abstract::The surgical management of Graves ophthalmopathy includes treatment of globe malposition (exophthalmos), strabismus, and eyelid abnormalities. The various techniques used continue to be refined and are detailed in this review. ...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-199910000-00012

    authors: Meyer DR

    更新日期:1999-10-01 00:00:00

  • Nonarteritic anterior ischaemic optic neuropathy.

    abstract:PURPOSE OF REVIEW:There have been many reports in recent literature concerning the use of scanning laser polarimetry, Heidelberg retinal tomography and optical coherence topography in assessing the optic nerve and peripapillary nerve fibre layer. It is important to assess the validity of new equipment and see whether t...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0b013e3283112bc8

    authors: Ho SF,Dhar-Munshi S

    更新日期:2008-11-01 00:00:00

  • Ocular manifestations of immunological and rheumatological inflammatory disorders.

    abstract::Our understanding of ocular manifestations in immunological and rheumatological inflammatory disorders has continued to expand over the past year. A report on the characteristics of ocular disease in children with Behçet's disease is presented. Two reports of Vogt-Koyanagi-Harada syndrome in 4-year-old children are di...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-199612000-00015

    authors: Bredvik BK,Trocme SD

    更新日期:1996-12-01 00:00:00

  • Cosmetic blepharoplasty.

    abstract::Performing flawless cosmetic blepharoplasty surgery requires attention to many details. A proper medical work-up with establishment of patient rapport and preoperative photographic documentation should begin the evaluation. The surgical correction of concomittant brow position abnormalities should be considered. Res...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-199110000-00013

    authors: Bosniak SL,McDevitt TF

    更新日期:1991-10-01 00:00:00

  • Cataract surgery in patients with prior refractive surgery.

    abstract::As the number and types of keratorefractive procedures increase and as the baby boomer population moves into the "cataractous decades," the number of patients requiring cataract surgery following refractive surgery grows larger each year. While technological advances in surgical instrumentation and intraocular lens (I...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-200302000-00008

    authors: Hamilton DR,Hardten DR

    更新日期:2003-02-01 00:00:00

  • Amniotic membrane surgery.

    abstract::Human amniotic membrane (AM) is composed of three layers: a single epithelial layer, a thick basement membrane, and an avascular stroma. Amniotic membrane has anti-adhesive properties and is felt to promote epithelialization and decrease inflammation, neovascularization, and fibrosis. Amniotic membrane transplantation...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-200108000-00006

    authors: Sippel KC,Ma JJ,Foster CS

    更新日期:2001-08-01 00:00:00

  • Simple limbal epithelial transplantation.

    abstract:PURPOSE OF REVIEW:Simple limbal epithelial transplant (SLET) is a technique for addressing limbal stem cell deficiency. Limbal tissue from a donor eye, typically the patient's fellow healthy eye, is transplanted onto an amniotic membrane attached to the surface of the diseased eye. SLET was developed to address limitat...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000377

    authors: Sangwan VS,Sharp JAH

    更新日期:2017-07-01 00:00:00

  • Quantitative assessment of the anterior segment using ultrasound biomicroscopy.

    abstract::The development of ocular imaging devices has progressed rapidly during the past 10 years. Ultrasound biomicroscopy has revolutionized the evaluation of the anterior segment of the eye. The qualitative information gathered using this technology has contributed to our understanding of the pathophysiology of angle-closu...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-200004000-00012

    authors: Ishikawa H,Liebmann JM,Ritch R

    更新日期:2000-04-01 00:00:00

  • Ocular toxicology.

    abstract::This review of recent articles on ocular toxicology concentrates on undesirable effects on the eye induced by systemically used xenobiotics. These include color vision deficiencies or visual field deterioration related to antiepileptic drugs, elevated intraocular pressure associated with inhaled corticosteroids, retin...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-199712000-00016

    authors: Novack GD

    更新日期:1997-12-01 00:00:00

  • Gene therapy for corneal dystrophies and disease, where are we?

    abstract:PURPOSE OF REVIEW:We assess the studies on vector systems for delivery of transgenes to the cornea that have been published over the last year and summarize new work on the identification of specific transgenes for corneal diseases. RECENT FINDINGS:Adeno-associated viral vectors are increasingly being successfully app...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0b013e3283541eb6

    authors: Williams KA,Klebe S

    更新日期:2012-07-01 00:00:00

  • Ocular manifestations of West Nile virus.

    abstract:PURPOSE OF REVIEW:To review the ocular findings of patients with West Nile Virus. RECENT FINDINGS:Ocular findings have included multifocal choroiditis, vitritis, intraretinal hemorrhages, iritis, keratic precipitates, optic neuritis, branch retinal artery occlusions, and chorioretinal scarring in a case of intrauterin...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/01.icu.0000143687.45232.f1

    authors: Bakri SJ,Kaiser PK

    更新日期:2004-12-01 00:00:00

  • Health literacy and glaucoma.

    abstract:PURPOSE OF REVIEW:This review discusses the concept and measurement of health literacy, with a focus on the care of patients with glaucoma. RECENT FINDINGS:Nearly one-fourth of adults in the USA lack the skills needed to fully comprehend and act on verbal or written information in the healthcare environment. This prob...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0b013e32835c8b0e

    authors: Muir KW,Christensen L,Bosworth HB

    更新日期:2013-03-01 00:00:00

  • Targeted retinoblastoma management: when to use intravenous, intra-arterial, periocular, and intravitreal chemotherapy.

    abstract:PURPOSE OF REVIEW:The management of retinoblastoma is complex and involves strategically chosen methods of enucleation, radiotherapy, chemotherapy, laser photocoagulation, thermotherapy, and cryotherapy. Chemotherapy has become the most common eye-sparing modality. There are four routes of delivery of chemotherapy for ...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000091

    authors: Shields CL,Lally SE,Leahey AM,Jabbour PM,Caywood EH,Schwendeman R,Shields JA

    更新日期:2014-09-01 00:00:00

  • Cataract surgery and intraocular lens manufacturing in India.

    abstract:PURPOSE OF REVIEW:Cataract surgery in India has seen exponential growth in the past decade. This leap was possible due to cost-effective cataract surgery with intraocular lenses. The purpose of this review is to update the reader regarding the Indian scenario of cataract surgery and intraocular lens manufacturing. REC...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0b013e3282f2aaed

    authors: Aravind S,Haripriya A,Sumara Taranum BS

    更新日期:2008-01-01 00:00:00

  • The diagnostic challenge of occult large vessel ischemia of the retina and choroid.

    abstract::Vascular occlusions of the retina and choroid can cause severe visual loss. These occlusions can occur as a result of systemic disease or after surgery. In most cases, the retinal appearance provides evidence of ischemia as the cause of visual loss. On occasion, however, clinical examination shows no objective signs o...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章

    doi:10.1097/00055735-199912000-00002

    authors: Zacks DN,Rizzo JF

    更新日期:1999-12-01 00:00:00

  • Update on scleral lenses.

    abstract:PURPOSE OF REVIEW:Scleral rigid gas-permeable lenses play an important and underappreciated role in the treatment of corneal disease. This review provides an update on scleral rigid gas-permeable lenses for the visual rehabilitation of ectasia and irregular astigmatism, and an update on scleral rigid gas-permeable lens...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0b013e328302cc4f

    authors: Jacobs DS

    更新日期:2008-07-01 00:00:00

  • Retinoblastoma management: advances in enucleation, intravenous chemoreduction, and intra-arterial chemotherapy.

    abstract:PURPOSE OF REVIEW:To provide an update on current management of retinoblastoma RECENT FINDINGS:The current major treatment strategies for retinoblastoma involve enucleation, intravenous chemoreduction, and intra-arterial chemotherapy. Enucleation is reserved for eyes with extensive retinoblastoma, in which there is no...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0b013e328338676a

    authors: Shields CL,Shields JA

    更新日期:2010-05-01 00:00:00

  • Macroeconomic landscape of refractive surgery in the United States.

    abstract:PURPOSE OF REVIEW:This review examines the economic history of refractive surgery and the decline of laser-assisted in-situ keratomileusis (LASIK) in the USA, and the emergence of refractive cataract surgery as an area of growth. RECENT FINDINGS:Since it peaked in 2007 at 1.4 million procedures per year, LASIK has dec...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000159

    authors: Corcoran KJ

    更新日期:2015-07-01 00:00:00

  • Diagnosing glaucoma progression: current practice and promising technologies.

    abstract:PURPOSE OF REVIEW:An update on recent work is provided that has broadened our understanding of the evaluation of visual function and structure, and their use in evaluating glaucoma progression. RECENT FINDINGS:The challenge of determining visual-field progression and the implications of long-term fluctuation are revie...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/01.icu.0000193089.52561.ac

    authors: Giangiacomo A,Garway-Heath D,Caprioli J

    更新日期:2006-04-01 00:00:00

  • Astigmatism and LASIK.

    abstract::Although laser in situ keratomileusis (LASIK) enjoys a high success rate, postoperative residual or induced astigmatism may limit uncorrected visual acuity and cause starbursts and glare at night. Irregular astigmatism can also cause loss of best-corrected visual acuity, monocular diplopia, and ghosting of images. Ast...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-200208000-00012

    authors: Wu HK

    更新日期:2002-08-01 00:00:00

  • Refractive lens exchange for myopia: a new perspective?

    abstract:PURPOSE OF REVIEW:Although lens surgery for high myopia has a long History, it has been extremely controversial. Colin's study of 1999 indicated a much higher than expected rate of retinal detachment. The purpose of this review is to reassess the place of refractive lens exchange in high myopia in the light of more rec...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-200502000-00009

    authors: Packard R

    更新日期:2005-02-01 00:00:00

  • Management of canalicular obstructions.

    abstract:PURPOSE OF REVIEW:The successful treatment of canalicular obstructions continues to represent a therapeutic challenge. Conjuctivodacryocystorhinostomy with a Lester Jones bypass tube is the standard treatment in these situations. Although a high rate of anatomic success can be achieved with this procedure, a relatively...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0b013e32832ec3e0

    authors: Liarakos VS,Boboridis KG,Mavrikakis E,Mavrikakis I

    更新日期:2009-09-01 00:00:00

  • Update on Asian eyelid anatomy and clinical relevance.

    abstract:PURPOSE OF REVIEW:Asians make up the world's largest ethnic group, and the eyelid is one of the most prominent features of the face, regardless of race. Recent advances in Asian eyelid research have improved the understanding of its unique anatomy and, more importantly, highlighted differences surgeons should be aware ...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000075

    authors: Saonanon P

    更新日期:2014-09-01 00:00:00

  • The evolution of toxic anterior segment syndrome.

    abstract:PURPOSE OF REVIEW:Toxic anterior segment syndrome (TASS) is a surgical complication resulting from a noninfectious inflammatory reaction to substances used during intraocular ophthalmic surgery. Continuous reporting of new information concerning risk factors and possible causes is critical for preventing this condition...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000540

    authors: Shouchane-Blum K,Dotan A,Bahar I

    更新日期:2019-01-01 00:00:00

  • Topography-guided laser refractive surgery.

    abstract:PURPOSE OF REVIEW:Topography-guided laser refractive surgery regularizes the front corneal surface irregularities to achieve the desired refractive outcome. This is particularly applicable in highly aberrated corneas, where wavefront aberrometry is often not possible. This article aims to review the recently published ...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0b013e3283622a59

    authors: Holland S,Lin DT,Tan JC

    更新日期:2013-07-01 00:00:00

  • Mechanical methods in refractive corneal surgery.

    abstract::Keratorefractive surgery has developed rapidly over the past decade. For patients with aphakia, however, posterior chamber lenses are safer and more predictable than refractive corneal surgery; myopia is the greatest challenge to this type of surgery. No technique as yet has an accuracy that is adequate for the gener...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-199308000-00013

    authors: Hoffmann F,Kruse H,Schüler A

    更新日期:1993-08-01 00:00:00

  • Nystagmus.

    abstract::Ophthalmologic nystagmus can be congenital and manifest/latent both of whose waveforms, compensatory mechanisms, and treatment are different. Physiologically, latent nystagmus may be reversed at will, whereas nystagmus and head nodding may be simultaneously triggered at will. Occasional oscillopsia is more frequent th...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:

    authors: Spielmann A

    更新日期:1994-10-01 00:00:00

  • Clinical implications of vascular growth factors in proliferative retinopathies.

    abstract::Angiogenesis is a fundamental component of normal development and pathologic processes within the eye. Complications due to abnormal ocular neovascularization remain the leading cause of visual loss throughout the world today. Neovascularization and the associated increase in vascular permeability are the underlying t...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-199706000-00005

    authors: Aiello LP

    更新日期:1997-06-01 00:00:00

  • Current concepts in lacrimal drainage surgery.

    abstract::Dacryocystorhinostomy remains the mainstay of treatment of acquired primary and secondary obstructions of the lacrimal drainage system. The advent of the endoscope has prompted renewed interest in the intranasal or endonasal approach to fistulae formation. As results of the intranasal approach are reported, they are c...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-199610000-00010

    authors: Yeatts RP

    更新日期:1996-10-01 00:00:00