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femtosecond cornea

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https://www.readbyqxmd.com/read/28747621/evaluation-of-biomechanical-changes-in-myopia-patients-with-unsatisfactory-corneas-after-femto-second-laser-in-situ-keratomileusis-fs-lasik-concurrent-with-accelerated-corneal-collagen-cross-linking-using-corvis-st-two-year-follow-up-results
#1
Weiwei Xu, Ye Tao, Liqiang Wang, Yifei Huang
BACKGROUND Some myopia patients with unsatisfactory corneas consider corneal refractive surgery for different reasons. Accelerated corneal collagen crosslinking (ACXL) is an effective method to enhance the resistance of the cornea. The present investigation was designed to evaluate the changes of biomechanical properties in patients with myopia and thin corneas after femtosecond-laser in situ keratomileusis (FS-LASIK) concurrent with ACXL. MATERIAL AND METHODS A prospective study was designed. A total of 22 eyes of 11 myopia astigmatism patients with unsatisfactory corneas were enrolled...
July 27, 2017: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/28745654/-analysis-of-corneal-biomechanical-changes-after-femtosecond-laser-assisted-laser-in-situ-keratomileusis-in-children-with-hyperopic-anisometropia
#2
I L Kulikova, O V Shlenskaya, N V Chapurin
AIM: to analyze corneal hysteresis (CH) and corneal resistance factor (RF) readings obtained with the Reichert Ocular Response Analyzer (ORA) before and after hyperopic femtolaser-assisted laser in situ keratomileusis (FS-LASIK) in children with anisometropia as well as to establish factors that may cause changes in these parameters. MATERIAL AND METHODS: CH and RF were evaluated before and 1.5 years after FS-LASIK performed on amblyopic eyes of 28 patients aged 6-14 years...
2017: Vestnik Oftalmologii
https://www.readbyqxmd.com/read/28741162/-scanning-electron-microscopic-investigations-of-cutting-edge-quality-in-lamellar-keratotomy-using-the-wavelight-femtosecond-laser-fs-200-what-influence-do-spot-distance-and-an-additional-tunnel-have
#3
T Hammer, T Höche, J Heichel
BACKGROUND: Femtosecond lasers (fs-lasers) are established cutting instruments for the creation of LASIK flaps. Previous studies often showed even rougher surfaces after application of fs-laser systems compared to lamellar keratotomy with mechanical microkeratomes. When cutting the cornea with fs-lasers, an intrastromal gas development occurs, which has a potentially negative influence on the cutting quality if the gas cannot be dissipated; therefore, manufacturers have chosen the way of gas assimilation in so-called pockets...
July 24, 2017: Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
https://www.readbyqxmd.com/read/28730109/human-eye-ocular-component-analysis-for-refractive-state-and-refractive-surgery
#4
Chao-Kai Chang, Jui-Teng Lin, Yong Zhang
AIM: To analyze the clinical factors influencing the human vision corrections via the changing of ocular components of human eye in various applications; and to analyze refractive state via a new effective axial length. METHODS: An effective eye model was introduced by the ocular components of human eye including refractive indexes, surface radius (r1, r2, R1, R2) and thickness (t, T) of the cornea and lens, the anterior chamber depth (S1) and the vitreous length (S2)...
2017: International Journal of Ophthalmology
https://www.readbyqxmd.com/read/28691945/femtosecond-laser-assisted-tuck-in-penetrating-keratoplasty-for-advanced-keratoglobus-with-endothelial-damage
#5
Jorge L Alió Del Barrio, Olena Al-Shymali, Jorge L Alió
PURPOSE: To describe the outcomes of femtosecond laser-assisted tuck-in penetrating keratoplasty as a single-step surgical procedure for visual and anatomical rehabilitation of patients with severe keratoglobus (KTG) and endothelial damage. METHODS: Two eyes of a 7-year-old patient with bilateral severe KTG and previous corneal hydrops were operated. Assisted by the femtosecond laser, both donor and recipient corneas were prepared. An 8.5-mm full-thickness donor tissue with a peripheral partial-thickness rim of 1...
July 6, 2017: Cornea
https://www.readbyqxmd.com/read/28646864/femtosecond-laser-assisted-cataract-surgery-after-penetrating-keratoplasty-a-case-report
#6
Danmin Cao, Shiming Wang, Yong Wang
BACKGROUND: Cataract surgery after penetratingkeratoplasty (PKP) is often challenging due to changes in the integrity of the cornea caused by PKP. For example, corneal endothelial cell (CEC) loss and corneal edema commonly occur after traditional phacoemulsification cataract surgery in patients that previously had successful PKP. Recent studies have reported that femtosecond laser-assisted cataract surgery (FLACS) significantly reduces the need for ultrasound energy minimizing mechanical damage to the cornea and results in a reduction of CEC loss and corneal edema...
June 24, 2017: BMC Ophthalmology
https://www.readbyqxmd.com/read/28611133/long-term-clinical-outcome-of-femtosecond-laser-assisted-lamellar-keratectomy-with-phototherapeutic-keratectomy-in-anterior-corneal-stromal-dystrophy
#7
Jonghyun Lee, Jin Hyoung Kim, Doh Lee, Ji Woong Chang, Joo Youn Shin, Ji Won Seo, Min Hwan Seo, Nam Ju Moon
PURPOSE: To evaluate long-term outcome of femtosecond laser-assisted lamellar keratectomy (FLK) with phototherapeutic keratectomy (PTK) in patients with anterior corneal stromal dystrophies. METHODS: A total of 10 eyes from seven patients who underwent FLK were included. The patients had suffered from recurrent corneal erosion or visual disturbance in anterior corneal dystrophies (five Avellino dystrophies and two lattice dystrophies). Planar-shaped lamellar keratectomy was performed using femtosecond laser...
June 13, 2017: British Journal of Ophthalmology
https://www.readbyqxmd.com/read/28494492/biomechanical-differences-between-femtosecond-lenticule-extraction-flex-and-small-incision-lenticule-extraction-smile-tested-by-2d-extensometry-in-ex-vivo-porcine-eyes
#8
Bogdan Spiru, Sabine Kling, Farhad Hafezi, Walter Sekundo
Purpose: To evaluate the biomechanical stability of ex vivo porcine corneas after femtosecond lenticule extraction (FLEx) and small incision lenticule extraction (SmILE) refractive surgeries. Methods: Forty-five porcine eyes were equally divided into three groups: Groups 1 and 2 were treated with FLEx and SmILE procedure, respectively. Group 3 served as control. A refractive correction of -14 diopters (D) with a 7-mm zone using either a 160-μm flap (FLEx) or a 160-μm cap (SmILE) was performed...
May 1, 2017: Investigative Ophthalmology & Visual Science
https://www.readbyqxmd.com/read/28489723/femtosecond-laser-assisted-pterygium-surgery
#9
Matthias Fuest, Yu-Chi Liu, Minas T Coroneo, Jodhbir S Mehta
PURPOSE: Pterygium is a prevalent ocular surface disorder. Conjunctival autografting (CAG) after pterygium resection is the gold standard treatment. Thinner CAGs without Tenon tissue provide better results but are technically difficult to achieve. We report on the first femtosecond laser (FSL)-assisted pterygium surgery (FLAPS) in humans. METHODS: In a clinical trial, we treated 6 eyes of 5 patients with FLAPS. After manual removal of the pterygium, CAGs were dissected with the Ziemer Z8 at 60-μm depth and glued into the resection defect...
July 2017: Cornea
https://www.readbyqxmd.com/read/28407161/preliminary-evidence-of-successful-near-vision-enhancement-with-a-new-technique-presbyopic-allogenic-refractive-lenticule-pearl-corneal-inlay-using-a-smile-lenticule
#10
Soosan Jacob, Dhivya Ashok Kumar, Amar Agarwal, Athiya Agarwal, Ramalingam Aravind, A I Saijimol
PURPOSE: To describe a new technique (PrEsbyopic Allogenic Refractive Lenticule [PEARL] inlay) using an allogenic corneal inlay prepared from a small incision lenticule extraction (SMILE) lenticule. METHODS: A SMILE lenticule of specified thickness (mean: 61.5 ± 3.32 µm) was trephined at the center to 1-mm diameter and implanted in the cornea on the coaxially sighted light reflex under a femtosecond laser-created cap of 120 µm in the nondominant eye of presbyopic patients...
April 1, 2017: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/28393023/mathematical-analysis-of-corneal-remodelling-after-intracorneal-ring-surgery-in-keratoconus
#11
Elias F Jarade, Elise Slim, Carole Cherfan, Hala El Rami, Toufic Hassan, Elias Chelala
AIM: To represent mathematically the intersection between the ectatic corneal geometry and the plane of intracorneal ring implants (ICRS) in order to determine the corneal response to ICRS surgery in keratoconus (KC). Thereafter, to present the concept and early results of a newly derived topography-guided nomogram for ICRS surgery for the treatment of keratectasia. METHODS: The corneal rings plane intersection was modelled to a conic section. Ring effect was the result of: the ring size, position (steep vs flat), location (distance from the geometric centre of the cornea), and the discrepancy between the ring's curvature and the tunnel's curvature...
2017: International Journal of Ophthalmology
https://www.readbyqxmd.com/read/28366359/simple-steep-axis-marking-technique-using-a-corneal-analyzer
#12
Alex L K Ng, Tommy C Y Chan, Vishal Jhanji, George P M Cheng
We describe a simple steep-axis marking technique that uses a corneal analyzer (OPD III scan) during arcuate keratotomy in femtosecond laser-assisted cataract surgery. The technique requires a single reference mark at the limbus, which does not have to be on the horizontal axis. Using the corneal analyzer, the angle between the steep axis and the reference line between the reference mark and the center of the cornea can be determined. The angle from the reference mark is used intraoperatively to locate the steep axis...
February 2017: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/28341606/safety-and-efficacy-of-sequential-intracorneal-ring-segment-implantation-and-cross-linking-in-pediatric-keratoconus
#13
Youssef Abdelmassih, Sylvain El-Khoury, Ali Dirani, Rafic Antonios, Ali Fadlallah, Carole G Cherfan, Elias Chelala, Elias F Jarade
PURPOSE: To evaluate the safety and visual outcome of intracorneal ring segment (ICRS) implantation followed by cross-linking in pediatric keratoconus patients. DESIGN: Retrospective interventional case series. METHODS: This retrospective study included pediatric patients (aged ≤14 years) with keratoconus and poor corrected distance visual acuity (CDVA) that underwent ICRS implantation and cross-linking (CXL). ICRS were inserted under topical anesthesia after creating a corneal tunnel with a femtosecond laser...
June 2017: American Journal of Ophthalmology
https://www.readbyqxmd.com/read/28192588/conventional-versus-inverted-side-cut-flaps-for-femtosecond-laser-assisted-lasik-laboratory-and-clinical-evaluation
#14
Vishal Jhanji, Tommy C Y Chan, Wai Ying Li, Rayne R Lim, Marco C Y Yu, Kasin Law, Peng Yi, Yolanda W Y Yip, Yumeng Wang, Tsz Kin Ng, Shyam S Chaurasia, Rajiv R Mohan
PURPOSE: To study the differences in early corneal cellular events and biomechanical properties after femtosecond laser-assisted LASIK performed using conventional or inverted side-cut angles. METHODS: In the laboratory study, left eyes of 24 rabbits underwent LASIK flap creation with a 70° or 115° side-cut. The contralateral eyes served as controls. The corneas were harvested 24 hours postoperatively. In the clinical study, 2 eyes of each patient (n = 29) were randomized to corneal flap creation with 70° or 115° side-cut angles during LASIK...
February 1, 2017: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/28188490/a-review-of-laser-assisted-versus-traditional-phacoemulsification-cataract-surgery
#15
REVIEW
H Burkhard Dick, Tim Schultz
The use of femtosecond laser surgery improves the precision and reproducibility of corneal incisions and the capsular opening; it also reduces the amount of ultrasound energy required for lens nucleus work-up. The rate of complications reported so far appears to be low. There are a number of contraindications such as a history of cornea and/or glaucoma surgery and certain anatomical features like deep-set eyes, kyphosis, tremor, and obesity. Visual recovery and refractive results of both techniques are excellent...
June 2017: Ophthalmology and Therapy
https://www.readbyqxmd.com/read/28162196/-comparison-of-the-effects-of-different-side-cut-angles-on-corneal-biomechanical-properties-after-femtosecond-laser-assisted-laser-in-situ-keratomileusis
#16
COMPARATIVE STUDY
H Li, Y Wang, R Dou, L Wang, L L Xu, X J Li, J M Zhang
Objective: To evaluate the effects of side-cut angles on corneal biomechanical properties after femtosecond laser assisted-laser in situ keratomileusis (FS-LASIK). Methods: In this clinical control study, 97 right eyes of 97 patients with myopia and myopic astigmatism undergoing FS-LASIK surgery were included randomly. Two types of side-cut angles were designed for the flap, 90° in 48 eyes and 130° in 49 eyes. The values of corneal resistance factor (CRF), cornea hysteresis (CH) and 37 biomechanical waveform parameters were measured using the ocular response analyzer preoperatively and at 1 and 3 months postoperatively...
January 11, 2017: [Zhonghua Yan Ke za Zhi] Chinese Journal of Ophthalmology
https://www.readbyqxmd.com/read/28135749/-limitations-of-smile-small-incision-lenticule-extraction
#17
T Seiler, T Koller, V V Wittwer
Background SMILE is a relatively new technique to correct moderate and high myopia. The limits of SMILE are yet unknown. Methods Literature research using PubMed until October 1, 2016. Results/Discussion Recently presented axial 2D-strain-stress measurements indicate that the biomechanical impairment of the cornea after SMILE and LASIK is comparable. The difference in elastic moduli is statistically not different. The visual rehabilitation after SMILE takes significantly longer (weeks) compared to LASIK (days)...
January 2017: Klinische Monatsblätter Für Augenheilkunde
https://www.readbyqxmd.com/read/28068442/oct-study-of-the-femtosecond-laser-opaque-bubble-layer
#18
Gustavo K Marino, Marcony R Santhiago, Steven E Wilson
PURPOSE: To characterize the location and regularity of the opaque bubble layer (OBL) in the corneal stroma after femtosecond laser-assisted LASIK (FS-LASIK) flap generation. METHODS: In this prospective study, 30 eyes of 15 patients who had FS-LASIK surgery for myopia, astigmatism, and/or hyperopia were included. Screen captures were obtained at the end of the flap creation and the eyes with hard type OBL were immediately imaged with anterior segment optical coherence tomography...
January 1, 2017: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/27956294/nonlinear-optical-corneal-collagen-crosslinking-of-ex%C3%A2-vivo-rabbit-eyes
#19
Samantha M Bradford, Donald J Brown, Tibor Juhasz, Eric Mikula, James V Jester
PURPOSE: To determine whether riboflavin-induced collagen crosslinking (CXL) could be precisely achieved in the corneal stroma of ex vivo rabbit eyes using nonlinear optical excitation with a low numerical aperture lens and enlarged focal volume. SETTING: Gavin Herbert Eye Institute, University of California Irvine, Irvine, California, USA. DESIGN: Experimental study. METHODS: The corneal epithelium was removed and the corneas were soaked in 0...
November 2016: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/27956293/immunohistochemical-study-of-corneal-inflammation-after-femtosecond-laser-clear-corneal-incisions-or-manual-surgery
#20
Lisa Toto, Claudia Curcio, Alessandra Mastropasqua, Peter A Mattei, Erminia D'Ugo, Chiara De Nicola, Leonardo Mastropasqua
PURPOSE: To use immunohistochemical staining to evaluate corneal inflammation and apoptosis induced after femtosecond laser incisions or manual incisions. SETTING: Ophthalmology Clinic, University G. d'Annunzio, Chieti, Italy. DESIGN: Experimental study. METHODS: Ninety human cadaver corneas were cut manually or with the femtosecond laser at different energies and analyzed by immunohistochemistry after 5 minutes or 4 hours...
November 2016: Journal of Cataract and Refractive Surgery
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