Current trends in advanced surface ablation.

Curr Opin Ophthalmol

Center for Excellence in Eye Care, Baptist Medical Arts Building, Miami, Florida 33176, USA.

Published: July 2008

AI Article Synopsis

  • Surface ablation techniques have advanced since their introduction in the mid-1990s, leading to improved vision quality and reduced postoperative pain for patients.
  • Recent developments have enhanced safety and outcomes by minimizing haze and pain through methods like preserving epithelial flaps and using mitomycin-C.
  • Most patients eligible for laser in situ keratomileusis can also undergo surface ablation, with superior results seen in those with specific eye conditions; overall, both procedures are comparable in safety and vision quality.

Article Abstract

Purpose Of Review: Since their introduction in the mid-1990s, surface ablation techniques have continued to evolve, enabling surgeons to give patients better quality of vision with less postoperative pain. The purpose of this chapter is to discuss that evolution, the common techniques used today, and how to address potential complications.

Recent Findings: Advanced surface ablation techniques offer advantages over laser in situ keratomileusis, including expanded potential patient profiles, reduced haze and pain postoperatively, and increased quality of vision. Haze reduction via preserved epithelial flaps, smoother stromal beds, and introduction of mitomycin-C intraoperatively have all improved safety outcomes of advanced surface ablation.

Summary: Experience has shown us that virtually all patients who are candidates for laser in situ keratomileusis can be candidates for surface ablation, but patients with specific ocular conditions, such as epithelial basement membrane dystrophy, superficial corneal scars, and previous radial keratotomy will have the best outcomes with surface ablation. Surface ablation and laser in situ keratomileusis are comparable in terms of safety and quality of vision. Wavefront-guided photorefractive keratectomy offers better acuity and less induction of higher order aberrations than wavefront-guided laser in situ keratomileusis.

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Source
http://dx.doi.org/10.1097/ICU.0b013e3283034210DOI Listing

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