Comparison of femtosecond and excimer laser platforms available for corneal refractive surgery.

Abstract:

PURPOSE OF REVIEW:The evolution of laser technology has left today's refractive surgeon with a choice between multiple laser platforms. The purpose of this review is to compare currently available femtosecond and excimer laser platforms, providing a summary of current evidence. RECENT FINDINGS:Femtosecond lasers create LASIK flaps with better accuracy, uniformity, and predictability than mechanical microkeratomes. Newer higher-frequency femtosecond platforms elicit less inflammation, producing better visual outcomes. SMILE achieved similar safety, efficacy, and predictability as LASIK with greater preservation of corneal nerves and biomechanical strength. The emergence of wavefront technology has resulted in improved excimer laser treatments. Comparisons of wavefront-guided and wavefront-optimized treatments suggest that there is an advantage to using wavefront-guided platforms in terms of visual acuity and quality of vision. Topography-guided ablations are another well tolerated and effective option, especially in eyes with highly irregular corneas. SUMMARY:Advances in femtosecond and excimer laser technology have not only improved the safety and efficacy of refractive procedures, but have also led to the development of promising new treatment modalities, such as SMILE and the use of wavefront-guided and topography-guided ablation. Future studies and continued technological progress will help to better define the optimal use of these treatment platforms.

journal_name

Curr Opin Ophthalmol

authors

Chen LY,Manche EE

doi

10.1097/ICU.0000000000000268

subject

Has Abstract

pub_date

2016-07-01 00:00:00

pages

316-22

issue

4

eissn

1040-8738

issn

1531-7021

journal_volume

27

pub_type

杂志文章,评审
  • Treatment for meibomian gland dysfunction and dry eye symptoms with a single-dose vectored thermal pulsation: a review.

    abstract:PURPOSE OF REVIEW:Meibomian gland dysfunction (MGD) is understood to be a highly prevalent, chronic progressive disease and the leading cause of dry eye. All available published peer-reviewed results of the novel vectored thermal pulsation therapy for patients with MGD are investigated. RECENT FINDINGS:The PubMed and ...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000165

    authors: Blackie CA,Carlson AN,Korb DR

    更新日期:2015-07-01 00:00:00

  • Paralytic strabismus.

    abstract::During the past year, many papers described new surgical approaches to correct extraocular muscles paralysis. New advances have been made in the knowledge of ptosis and superior oblique muscle myochymia. Moreover, the author reports sensory problems concerning subjective cyclorotation and binocularity that arise with ...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-200110000-00008

    authors: Bellusci C

    更新日期:2001-10-01 00:00:00

  • Endothelium-derived vasoactive substances relevant to normal-tension glaucoma.

    abstract::Glaucoma is a progressive optic neuropathy that has a multi-factorial etiology. The most important risk factor is certainly an increased intraocular pressure. However, clinical observations have indicated that factors other than increased intraocular pressure also damage the neural tissue in glaucomatous optic neuropa...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-199804000-00016

    authors: Orgül S,Prünte C,Flammer J

    更新日期:1998-04-01 00:00:00

  • Development of refraction and strabismus.

    abstract::In the past year, as in recent years, most of the research on the development of refraction has focused on the following: 1) mechanisms whereby the eye can maintain coordinated growth to achieve emmetropia and 2) disruptions of emmetropization resulting in myopia or hyperopia. Preterm children and those with Down synd...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-199910000-00002

    authors: Gwiazda J,Thorn F

    更新日期:1999-10-01 00:00:00

  • Current treatments and preventive strategies for radiation retinopathy.

    abstract:PURPOSE OF REVIEW:Radiation retinopathy remains a devastating cause of visual morbidity in patients undergoing radiation for globe, orbit, and head and neck malignancies. This review discusses the recent efforts of several authors to treat radiation retinopathy once it has developed and efforts to prevent its developme...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000141

    authors: Reichstein D

    更新日期:2015-05-01 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

  • Toward a new definition of glaucomatous optic neuropathy for clinical research.

    abstract:PURPOSE OF REVIEW:A process is ongoing to produce a definition of glaucomatous optic neuropathy (GON) using quantitative, objective data from structural and functional tests. At present, a common practice is to define GON by subjective features said to be 'characteristic' as judged by those experienced in glaucoma care...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000644

    authors: Iyer J,Vianna JR,Chauhan BC,Quigley HA

    更新日期:2020-03-01 00:00:00

  • Advances in medical therapy for glaucoma.

    abstract:PURPOSE OF REVIEW:To discuss a new class of medication that has recently become available for the treatment of glaucoma; as well as share insights into developments in glaucoma medicine administration which has the potential to revolutionize medical therapy for glaucoma. RECENT FINDINGS:Newly available eye drops, neta...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章

    doi:10.1097/ICU.0000000000000740

    authors: Ostler E,Rhee D,Burney E,Sozeri Y

    更新日期:2020-12-30 00:00:00

  • Alternatives to allograft corneal transplantation.

    abstract:PURPOSE OF REVIEW:Corneal transplantation is the most commonly performed solid organ transplantation in the world. Despite a glorious history of more than a 100 years, the success of conventional corneal transplantation surgery is marred by problems like graft rejection,graft infection and associated glaucoma due to lo...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:

    authors: Jhanji V,Sharma N,Agarwal T,Vajpayee RB

    更新日期:2010-07-01 00:00:00

  • Toxic optic neuropathies.

    abstract:PURPOSE OF REVIEW:Many causes of toxic optic neuropathy have been described to date and novel causes of toxicity are continuously being added to the current literature. The pathophysiological basis for the toxicity or a direct causal relationship is yet to be determined for many of these agents. This review highlights ...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000001

    authors: Altiparmak UE

    更新日期:2013-11-01 00:00:00

  • Surgical management of seventh nerve paralysis and floppy eyelid syndrome.

    abstract::A seven-stage approach to the management of the paretic eyelid complex has been described. These stages include supportive care, planning and execution of general facial reanimation, lower eyelid and canthal resuspension or support, passive upper eyelid animation, dynamic lid animation, and soft tissue repositioning. ...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-199908000-00004

    authors: Seiff SR

    更新日期:1999-08-01 00:00:00

  • Diabetes and thyroid-related eye disease.

    abstract::Diabetes and thyroid-related eye disease cause significant morbidity. Although these are endocrine disorders, they cause different ocular manifestations. Previously unexamined epidemiologic factors offer new insight to diabetic eye disease. The association of hyperglycemia, systemic medical therapy, and visual loss is...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-199412000-00011

    authors: Feman SS

    更新日期:1994-12-01 00:00:00

  • Recent advancements in diabetic retinopathy treatment from the Diabetic Retinopathy Clinical Research Network.

    abstract:PURPOSE OF REVIEW:Diabetic retinopathy and diabetic macular edema (DME) are common eye diseases leading to vision loss. The Diabetic Retinopathy Clinical Research Network (DRCRnet), a collaboration of private and academic practices supported by the National Eye Institute and the National Institute of Diabetes, Digestiv...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000262

    authors: Baker CW,Jiang Y,Stone T

    更新日期:2016-05-01 00:00:00

  • Paraneoplastic disorders of neuro-ophthalmologic interest.

    abstract::Certain paraneoplastic disorders associated with degeneration of the retina, optic nerve, brainstem, and cerebellum may cause visual loss, impairment of ocular motility, or nystagmus and other saccadic intrusions and oscillations. Most of these remote effects of cancer are probably autoimmune conditions. Many affected...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-199612000-00005

    authors: Jacobson DM

    更新日期:1996-12-01 00:00:00

  • Is there treatment for traumatic optic neuropathy?

    abstract:PURPOSE OF REVIEW:The purpose of this study is to discuss current controversies surrounding the proposed treatments for traumatic optic neuropathy (TON) and review recent evidence from the literature relating to these therapeutic options. RECENT FINDINGS:No recent randomized controlled trials investigating surgical or...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000198

    authors: Chaon BC,Lee MS

    更新日期:2015-11-01 00:00:00

  • Horner syndrome.

    abstract::Horner syndrome refers to the constellation of signs resulting from the interruption of sympathetic innervation to the eye and ocular adnexae. Classically, the clinical findings include a triad of ipsilateral blepharoptosis, pupillary miosis, and facial anhidrosis. The history, additional clinical examination features...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-200312000-00007

    authors: Walton KA,Buono LM

    更新日期:2003-12-01 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 systemic disease: ocular parasitosis.

    abstract:PURPOSE OF REVIEW:To highlight recent advances in basic research, diagnostic as well as therapeutic advances in ocular parasitosis and to evaluate their application in medical practice. RECENT FINDINGS:Knowledge relating to immunoreactivity in ocular parasitology has grown impressively in past few years. The outcome o...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0b013e32833ef67e

    authors: Rathinam SR,Ashok KA

    更新日期:2010-11-01 00:00:00

  • Lensectomy, vitrectomy indications, and techniques in cataract surgery.

    abstract::Removal of a cataract during a vitrectomy can be performed to improve visualization for the surgeon or to facilitate visual rehabilitation for the patient. Because aphakic eyeglasses or contact lenses are often poor options to correct aphakia, placement of an intraocular lens during or after a vitrectomy is becoming i...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-199602000-00014

    authors: Ryan EH Jr,Gilbert HD

    更新日期:1996-02-01 00:00:00

  • 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

  • Advances in experimental optic nerve regeneration.

    abstract:PURPOSE OF REVIEW:Recent advances in experimental studies of optic nerve regeneration to better understand the pathophysiology of axon regrowth and provide insights into the future treatment of numerous optic neuropathies. RECENT FINDINGS:The optic nerve is part of the central nervous system and cannot regenerate if i...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000417

    authors: Chun BY,Cestari DM

    更新日期:2017-11-01 00:00:00

  • Pediatric glaucoma: review of recent literature.

    abstract:PURPOSE OF REVIEW:The purpose of this review is to update the clinician on the recent work in the field of pediatric glaucoma. RECENT FINDINGS:Using the iCare tonometer to measure intraocular pressure (IOP) in children is highly successful. New data from the Infant Aphakia Treatment Study show that after 5 years of fo...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000349

    authors: Giangiacomo A,Beck A

    更新日期:2017-03-01 00:00:00

  • The phaco machine: analysing new technology.

    abstract:PURPOSE OF REVIEW:The phaco machine is frequently overlooked as the crucial surgical instrument it is. Understanding how to set parameters is initiated by understanding fundamental concepts of machine function. RECENT FINDINGS:This study analyses the critical concepts of partial occlusion phaco, occlusion phaco and pu...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0b013e32835b0770

    authors: Fishkind WJ

    更新日期:2013-01-01 00:00:00

  • Should patients with ocular genetic disorders have genetic testing?

    abstract:PURPOSE OF REVIEW:To discuss the risks, benefits and value of genetic testing for ocular genetic disease. RECENT FINDINGS:Testing for ocular genetics diseases is becoming more available and successful gene therapy is being reported. Clinicians must prepare for this trend by considering diagnostic genetic testing for t...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000083

    authors: Zanolli MT,Khetan V,Dotan G,Pizzi L,Levin AV

    更新日期:2014-09-01 00:00:00

  • Corneal and conjunctival infections.

    abstract::Recent advances in the field of infectious conjunctivitis and keratitis include new diagnostic methods, the identification of new pathogens, and novel therapeutic agents. Tandem confocal microscopy has been used to diagnose Acanthamoeba keratitis, and polymerase chain reaction has proven to be a rapid and sensitive te...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-199708000-00002

    authors: Brodovsky SC,Snibson GR

    更新日期:1997-08-01 00:00:00

  • Ophthalmological aspects of Alzheimer's disease.

    abstract::Patients with Alzheimer's disease may present to the ophthalmologist with visual symptoms that precede or overshadow the features of dementia. This visual variant of Alzheimer's disease has been recognized only recently and typically appears in late middle age as progressive visuospatial and reading dysfunction, with ...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:

    authors: Fletcher WA

    更新日期:1994-12-01 00:00:00

  • Prevalence of age-related macular degeneration.

    abstract::Early and late age-related macular degeneration (AMD) have a high prevalence in elderly patients but may be differentiated by medical or environmental factors, eg, hypertension, geographic area, or antioxidant agents. Because nuclear sclerotic cataract is associated with AMD both aging changes may share a common patho...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-199506000-00009

    authors: Pauleikhoff D,Koch JM

    更新日期:1995-06-01 00:00:00

  • Resident laser refractive surgery training.

    abstract:PURPOSE OF REVIEW:The Residency Review Committee Ophthalmology of the Accreditation Council for Graduate Medical Education has recently established guidelines pertaining to the minimum operative requirements for training ophthalmology residents in refractive surgery. Despite being one of the most frequently performed o...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0b013e32833a8967

    authors: Madu AA,Ali T

    更新日期:2010-07-01 00:00:00

  • Endoresection utilizing pars plana vitrectomy for benign and malignant intraocular tumors.

    abstract:PURPOSE OF REVIEW:Endoresection of intraocular tumors is a complicated procedure utilizing pars plana vitrectomy techniques. Though it has potential downsides and complications, there is potential for this technique in the treatment of malignant and benign intraocular tumors. RECENT FINDINGS:Endoresection has been uti...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000561

    authors: Reichstein D,Karan K

    更新日期:2019-05-01 00:00:00

  • Effects of smoking on ocular health.

    abstract:PURPOSE OF REVIEW:To review recent data on the effects of smoking on ocular health. RECENT FINDINGS:Smoking has been associated with a myriad of negative ocular health effects including age-related macular degeneration (ARMD) and cataract. Most recently, several papers have demonstrated a connection between smoking an...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0b013e32834bbe7a

    authors: Galor A,Lee DJ

    更新日期:2011-11-01 00:00:00