Abstract
PURPOSE: The field of refractive surgery is changing quickly in the areas of screening, treatment, and postoperative management. The objective of this study was to review advances in the field of refractive surgery as reported in the peer-reviewed literature during the previous year.
DESIGN: This was a literature review.
METHODS: In this article, we highlight the progression in the field from May 2013 to the end of June 2014. This article is organized as preoperative, intraoperative, and postoperative considerations.
RESULTS: The growing use of newer modalities of treatment, such as small-incision lenticule extraction (SmILE) and phakic intraocular lenses, and their safety and efficacy add to the armamentarium in treating refractive error. This past year has seen many studies, which show these procedures to be safe and effective. Also, structurally, SmILE may result in a more biomechanically stable cornea, so that we may be able to safely treat higher refractive errors.
CONCLUSIONS: While laser-assisted in situ keratomileusis is the predominant surgical procedure, photorefractive keratectomy is still an appropriate choice in certain scenarios (higher risk for ectasia postrefractive surgery and patient choice) with safe, predictable results, and patient satisfaction. Many of the new developments in laser-assisted in situ keratomileusis have focused on flap creation with femtosecond lasers. Histopathology and in vivo optical coherence tomography studies have shown that the stromal bed is smoother, the side cuts are vertical, and the flap has predictable thickness. New surgical modalities, such as femtosecond lenticule extraction and SmILE, are increasingly being used.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 112-120 |
| Number of pages | 9 |
| Journal | Asia-Pacific journal of ophthalmology (Philadelphia, Pa.) |
| Volume | 4 |
| Issue number | 2 |
| DOIs | |
| State | Published - Mar 1 2015 |
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ASJC Scopus subject areas
- Ophthalmology
Cite this
Advances in Refractive Surgery : May 2013 to June 2014. / Mysore, Naveen; Krueger, Ronald.
In: Asia-Pacific journal of ophthalmology (Philadelphia, Pa.), Vol. 4, No. 2, 01.03.2015, p. 112-120.Research output: Contribution to journal › Review article
}
TY - JOUR
T1 - Advances in Refractive Surgery
T2 - May 2013 to June 2014
AU - Mysore, Naveen
AU - Krueger, Ronald
PY - 2015/3/1
Y1 - 2015/3/1
N2 - PURPOSE: The field of refractive surgery is changing quickly in the areas of screening, treatment, and postoperative management. The objective of this study was to review advances in the field of refractive surgery as reported in the peer-reviewed literature during the previous year.DESIGN: This was a literature review.METHODS: In this article, we highlight the progression in the field from May 2013 to the end of June 2014. This article is organized as preoperative, intraoperative, and postoperative considerations.RESULTS: The growing use of newer modalities of treatment, such as small-incision lenticule extraction (SmILE) and phakic intraocular lenses, and their safety and efficacy add to the armamentarium in treating refractive error. This past year has seen many studies, which show these procedures to be safe and effective. Also, structurally, SmILE may result in a more biomechanically stable cornea, so that we may be able to safely treat higher refractive errors.CONCLUSIONS: While laser-assisted in situ keratomileusis is the predominant surgical procedure, photorefractive keratectomy is still an appropriate choice in certain scenarios (higher risk for ectasia postrefractive surgery and patient choice) with safe, predictable results, and patient satisfaction. Many of the new developments in laser-assisted in situ keratomileusis have focused on flap creation with femtosecond lasers. Histopathology and in vivo optical coherence tomography studies have shown that the stromal bed is smoother, the side cuts are vertical, and the flap has predictable thickness. New surgical modalities, such as femtosecond lenticule extraction and SmILE, are increasingly being used.
AB - PURPOSE: The field of refractive surgery is changing quickly in the areas of screening, treatment, and postoperative management. The objective of this study was to review advances in the field of refractive surgery as reported in the peer-reviewed literature during the previous year.DESIGN: This was a literature review.METHODS: In this article, we highlight the progression in the field from May 2013 to the end of June 2014. This article is organized as preoperative, intraoperative, and postoperative considerations.RESULTS: The growing use of newer modalities of treatment, such as small-incision lenticule extraction (SmILE) and phakic intraocular lenses, and their safety and efficacy add to the armamentarium in treating refractive error. This past year has seen many studies, which show these procedures to be safe and effective. Also, structurally, SmILE may result in a more biomechanically stable cornea, so that we may be able to safely treat higher refractive errors.CONCLUSIONS: While laser-assisted in situ keratomileusis is the predominant surgical procedure, photorefractive keratectomy is still an appropriate choice in certain scenarios (higher risk for ectasia postrefractive surgery and patient choice) with safe, predictable results, and patient satisfaction. Many of the new developments in laser-assisted in situ keratomileusis have focused on flap creation with femtosecond lasers. Histopathology and in vivo optical coherence tomography studies have shown that the stromal bed is smoother, the side cuts are vertical, and the flap has predictable thickness. New surgical modalities, such as femtosecond lenticule extraction and SmILE, are increasingly being used.
UR - http://www.scopus.com/inward/record.url?scp=84991215059&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84991215059&partnerID=8YFLogxK
U2 - 10.1097/APO.0000000000000117
DO - 10.1097/APO.0000000000000117
M3 - Review article
C2 - 26065356
AN - SCOPUS:84991215059
VL - 4
SP - 112
EP - 120
JO - Asia-Pacific Journal of Ophthalmology
JF - Asia-Pacific Journal of Ophthalmology
SN - 2162-0989
IS - 2
ER -