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J Cataract Refract Surg 2019 Mar 12. Epub 2019 Mar 12.

School of Biological Science and Biomedical Engineering, Beihang University, Beijing, China; School of Engineering, University of Liverpool, London, England; National Institute for Health Research (NIHR) Biomedical Research Centre for Ophthalmology, Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, England.

Purpose: To assess the regional changes in corneal shape after femtosecond laser-assisted laser in situ keratomileusis (FS-LASIK) in patients with different myopia extents.

Setting: Eye Hospital, Wenzhou Medical University, Wenzhou, China.

Design: Retrospective case series. Read More

J Cataract Refract Surg 2019 Feb 25. Epub 2019 Feb 25.

Alcon Laboratories, Inc., Fort Worth, Texas, USA.

Purpose: To study eyes with 20/10 uncorrected distance visual acuity (UDVA) 3 months and 12 months after topography-guided LASIK for myopia and myopic astigmatism, and to identify factors predictive of this excellent level of visual acuity.

Setting: Nine practices in the USA.

Design: Prospective unmasked study of safety and effectiveness. Read More

Ophthalmologe 2019 Mar;116(3):293-304

Univ.-Augenklinik Düsseldorf, Heinrich-Heine-Universität, Moorenstr. 5, 40225, Düsseldorf, Deutschland.

Astigmatism is the most frequent refractive error worldwide followed by hyperopia and myopia. Internal astigmatism has to be differentiated from external astigmatism. Furthermore, external astigmatism can be divided into "with the rule", "against the rule" and "oblique". Read More

J Refract Surg 2019 Feb;35(2):121-125

Purpose: To report the outcomes of a series of 16 patients who had secondary surface ablation within 4 weeks of an aborted femtosecond laser-assisted in situ keratomileusis (FS-LASIK) procedure.

Methods: A retrospective chart review of electronic medical record data from 2011 to 2015 was performed to identify eyes of patients who had an aborted FS-LASIK procedure followed by secondary surface ablation (photorefractive keratectomy or laser epithelial keratomileusis) within 4 weeks of the primary procedure. Patients were required to have at least three postoperative visits to be included in the study. Read More

J Refract Surg 2019 Feb;35(2):78-86

Purpose: To evaluate the outcomes of primary topography-guided laser in situ keratomileusis (LASIK) in eyes with subjective refractive astigmatism of 2.00 diopters (D) or greater.

Methods: This was a prospective study in consecutive eyes with cylinder of 2. Read More

J Ophthalmol 2019 10;2019:3074659. Epub 2019 Jan 10.

Department of Ophthalmology, No. 181 Hospital of the PLA, Guilin, Guangxi, China.

Purpose: To assess the efficacy of applying bandage contact lens (BCL) in reducing the fibrotic healing response of flap margins following femtosecond laser in situ keratomileusis (FS-LASIK).

Methods: In this prospective, randomized, interventional, observer-masked trial, 41 patients (82 eyes) with myopia and/or myopic astigmatism were scheduled to undergo FS-LASIK. After surgery, patients were fitted with a BCL in one eye (BCL eyes, =41) but not in the contralateral eye (control eyes, =41), following randomized allocation of the BCL to the left or right eye of each patient. Read More

Medicine (Baltimore) 2019 Feb;98(5):e14210

Department of Ophthalmology, Hangzhou MSK Eye Hospital, Hangzhou, China.

Previous studies compared ocular aberration and visual quality after small-incision lenticule extraction (SMILE) and Q value-guided femtosecond laser-assisted in situ keratomileusis (Q-FS-LASIK), but anterior corneal surface aberration properties are poorly known. This study aimed to compare the changes in anterior corneal surface aberration after SMILE versus Q-FS-LASIK.This was a prospective, observational cohort study. Read More

J Cataract Refract Surg 2019 Jan 24. Epub 2019 Jan 24.

London Vision Clinic, London, United Kingdom.

Small-incision lenticule extraction (SMILE) was performed in a patient with high astigmatism and nystagmus. The patient presented for a refractive surgery evaluation with a manifest refraction of -0.50 -6. Read More

J Refract Surg 2019 Jan;35(1):15-23

Purpose: To investigate whether topography-guided laser in situ keratomileusis (LASIK) with anterior corneal astigmatism measured on the WaveLight Contoura (Alcon Laboratories, Inc., Fort Worth, TX) leads to better refractive outcomes compared to treating on the clinically measured manifest refractive astigmatism axis in eyes with primary myopic astigmatism.

Methods: Retrospective analysis of 1,274 consecutive LASIK eyes treated on the topography-measured anterior corneal astigmatism axis compared to eyes treated on the conventional clinical manifest refractive astigmatism axis. Read More

Cornea 2019 Apr;38(4):498-501

Department of Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago, IL.

Purpose: To report a case of partial scleral rupture after laser in situ keratomileusis (LASIK) surgery.

Methods: This is a retrospective case report describing a late complication of LASIK surgery.

Results: A 32-year-old white woman with a history of LASIK surgery performed with a mechanical microkeratome 4 years previously presented for evaluation of partial bilateral scleral ruptures. Read More

J Ophthalmol 2018 15;2018:4342984. Epub 2018 Nov 15.

Beirut Eye Specialist Hospital, P.O. Box 116-5311, Al-Mathaf Square, Beirut, Lebanon.

Purpose: To present safety, efficacy, and early results of a new combinational treatment for early corneal ectasia with hyperopic refractive error aimed to reinstate emmetropia and stabilize cornea.

Method: This is a retrospective case series. All surgeries were performed at the Beirut Eye Specialist Hospital, Lebanon. Read More

Cesk Slov Oftalmol 2018 ;74(1):18-22

  Purpose: To compare the influence of the LASIK and ReLEx SMILE refractive method on tear osmolarity Methods: Prospective non-randomized comparative study. We evaluated the results in two groups of patients who underwent binocular refractive surgery to remove myopia and possibly astigmatism in the eye clinic of Horní Počernice. In each group were 15 patients (30 eyes), patients of one group undergoing FS-LASIK refractive surgery, in the second group a ReLEx SMILE procedure. Read More

Case Rep Ophthalmol 2018 Sep-Dec;9(3):457-464. Epub 2018 Nov 14.

Balestrazzi Associated Ophthalmological Practice, Rome, Italy.

We report a severe case of diffuse lamellar keratitis (DLK) following femtosecond laser-assisted in situ keratomileusis (femto-LASIK). A 25-year-old man was submitted to 150 kHz iFS® IntraLase-assisted LASIK in both eyes for compound myopic astigmatism. The day after surgery, clinical examination showed a diffuse whitish granular cell reaction particularly in the right eye. Read More

Georgian Med News 2018 Oct(283):39-43

Corporate Foundation «University Medical Center»; JSC «Medical University of Astana», Republic of Kazakhstan, Georgia.

The purpose of the study is a comparative analysis of the efficacy and safety of the Femto LASIK and ReLEx SMILE technologies in correcting myopic astigmatism. Materials and methods: The study included 1212 results of interventions in patients with myopic astigmatism, incl. 721 (59. Read More

J Cataract Refract Surg 2019 Jan 10;45(1):62-71. Epub 2018 Nov 10.

Ruhr University, University Eye Hospital, Bochum, Germany.

Purpose: To report the outcomes of small-incision lenticule extraction (SMILE) in myopic eyes with astigmatism of 1.0 to 3.0 diopters (D). Read More

Medicine (Baltimore) 2018 Oct;97(43):e13024

Rationale: Surgically lifting and scraping, mitomycin C, fibrin glue, Nd:YAG laser, hydrogel ocular sealant, and amniotic membrane patch are the reported methods for treating epithelial ingrowth after laser in situ keratomileusis (LASIK). Here we report the management of a rare case of recalcitrant epithelial ingrowth using a combined scraping/laser ablation that occurred after LASIK.

Patient Concerns: A female patient underwent uncomplicated bilateral LASIK 10 years before incurring trauma to the right eye. Read More

Eur J Ophthalmol 2018 Nov 1:1120672118808968. Epub 2018 Nov 1.

3 Department of Optics and Optometry and Vision Sciences, University of Valencia, Valencia, Spain.

Purpose:: To evaluate the visual, refractive, topographic, pachymetric, and biomechanical outcomes after intracorneal ring segment implantation in corneas with post-LASIK ectasia.

Methods:: Retrospective longitudinal study enrolling 26 eyes of 22 patients with post-LASIK ectasia and undergoing intracorneal ring segment implantation (KeraRing®, Mediphacos) using a 60-kHz femtosecond laser (IntraLase®, IntraLase Corp.) for corneal tunnelization. Read More

Graefes Arch Clin Exp Ophthalmol 2019 Jan 27;257(1):233-240. Epub 2018 Oct 27.

Tianjin Eye Hospital & Eye Institute, Tianjin, China.

Purpose: To determine the association between anterior corneal curvature and optical zone centration as well as its impact on aberration profiles in small-incision lenticule extraction (SMILE) and laser in situ keratomileusis (LASIK).

Methods: Seventy-eight eyes of 78 patients treated with SMILE (45 eyes) and LASIK (33 eyes) were included. The centration of the optical zone was evaluated on the instantaneous curvature difference map between the preoperative and 3-month postoperative scans using a superimposed set of concentric circles. Read More

Semin Ophthalmol 2018 25;33(7-8):869-877. Epub 2018 Oct 25.

a School of Medicine, University of Rijeka , Specialty Eye Hospital "Svjetlost" , Zagreb , Croatia.

Purpose: To report the incidence of postoperative ectasia after laser in situ keratomileusis (LASIK).

Methods: A retrospective case review of 30,167 eyes (16,732 patients) was conducted following LASIK between August 2007 and August 2015. The follow-up was between 2 and 8 years. Read More

Indian J Ophthalmol 2018 Nov;66(11):1558-1561

Department of Cornea and Refractive Services, The Eye Foundation, 582A, DB Road, RS Puram, Coimbatore, Tamil Nadu, India.

Purpose: To compare the visual outcomes and higher order aberrations (HOAs) following wavefront optimized (WFO) laser in situ keratomileusis (LASIK) versus topography-guided customized ablation (TCAT) LASIK for myopia and myopic astigmatism.

Methods: Patients who underwent femtosecond-assisted LASIK for myopic correction between August 2016 and October 2017 were included in this interventional prospective case series. The following parameters were evaluated preoperatively and at 3 months' postoperative visit: uncorrected distance vision acuity (UDVA) and corrected distance vision acuity (CDVA), manifest refraction, and HOAs. Read More

Clin Ophthalmol 2018 11;12:2001-2004. Epub 2018 Oct 11.

Motwani Lasik Institute, San Diego, CA, USA,

Optom Vis Sci 2018 Nov;95(11):1064-1076

Specialty Eye Hospital Svjetlost, Zagreb, Croatia.

Significance: Small incision lenticule extraction (SMILE) is advanced as the most minimally invasive and least traumatic corneal procedure for correcting refractive errors using a single laser. Although SMILE obtains similar results to femtosecond laser in situ keratomileusis (LASIK) with spherical myopia, it has deficiencies in astigmatism correction.

Purpose: The purpose of this study was to compare refractive outcomes and high-order aberrations (HOAs) between SMILE and femtosecond LASIK corneal procedures at 1 year post-operative. Read More

Cornea 2019 Jan;38(1):18-23

Konyagoz Eye Hospital, Konya Turkey.

Purpose: To evaluate the influence of incision size on dry eye symptoms in the small incision lenticule extraction (SMILE) procedure.

Methods: Ninety-four eyes of 47 patients with myopia and/or myopic astigmatism who had undergone the SMILE procedure were enrolled in this study. The patients were divided into 3 groups according to the incision size (2, 3, and 4 mm) applied during the SMILE procedure. Read More

J Refract Surg 2018 Oct;34(10):672-680

Purpose: To report the outcomes of LASIK for mixed cylinder using the Triple-A ablation profile with the MEL 90 excimer laser (Carl Zeiss Meditec, Jena, Germany).

Methods: This was a retrospective analysis of all eyes treated by LASIK for mixed cylinder using the Triple-A ablation profile with the MEL 90 laser between July 2013 and October 2016. Patients were observed for 1 year after surgery. Read More

Open Ophthalmol J 2018 26;12:256-263. Epub 2018 Sep 26.

Faculty of Medicine and Health Sciences, An-Najah National University Hospital, An-Najah National University, Nablus, Palestine.

Background: Laser corneal refractive surgery suits, technology and nomograms are improving with time. This may improve the refractive and visual outcomes of the patients.

Objectives: To evaluate the safety, efficacy, stability, and predictability of wavefront-optimized photorefractive keratectomy and Laser-assisted keratomileusis in patients with myopia and myopic astigmatism over 1-year using WaveLight EX500 Excimer Laser machine. Read More

Int Med Case Rep J 2018 12;11:217-220. Epub 2018 Sep 12.

Department of Surgery, Al-Kindy College of Medicine, University of Baghdad, Baghdad, Iraq,

We report a case of myopic astigmatism, not eligible for laser vision correction and with an anterior chamber depth below that recommended for application of phakic implantable collamer lens. In this case, the only refractive surgery option that remained for the patient was intracorneal ring implantation. The aim of the current presentation was to document the clinical and refractive outcomes after continuous intracorneal ring implantation in both eyes in this patient with myopic astigmatism. Read More

BMC Ophthalmol 2018 Sep 21;18(1):255. Epub 2018 Sep 21.

LASIK MD, Montreal, QC, Canada.

Background: Standardization for reporting medical outcomes facilitates clinical study comparisons and has a fundamental role on research reproducibility. In this context, we present AstigMATIC, a free standalone application for automated standardized astigmatism vector analyses in corneal and intraocular refractive surgeries. AstigMATIC uses a simple graphical user interface (GUI) and allows the simultaneous display and analysis of astigmatism magnitude and axis. Read More

Clin Ophthalmol 2018 10;12:1741-1755. Epub 2018 Sep 10.

SILK, Research and Development Center for Ophthalmic Innovations, Department of Ophthalmology, University of Tampere, School of Medicine, Tampere, Finland.

Purpose: To compare factors affecting patient satisfaction after femtosecond laser in situ keratomileusis (FS-LASIK) and small incision lenticule extraction (SMILE) for myopia in the real-life situation study.

Methods: The SMILE group included 100 eyes (51 patients) and the FS-LASIK group 200 eyes (102 patients). In addition to clinical examination, dry eye symptoms and patient satisfaction with far and near vision were reported and graded on the visual analog scale preoperatively and one month after the operation. Read More

Clin Ophthalmol 2018 5;12:1685-1699. Epub 2018 Sep 5.

Cornea, Cataract and Refractive Surgery Services, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India,

Refractive lenticule extraction is becoming the procedure of choice for the management of myopia and myopic astigmatism owing to its precision, biomechanical stability, and better ocular surface. It has similar safety, efficacy, and predictability as femtosecond laser-assisted in situ keratomileusis (FS-LASIK) and is associated with better patient satisfaction. The conventional technique of small incision lenticule extraction (SMILE) involves docking, femtosecond laser application, lenticule dissection from the surrounding stroma, and extraction. Read More

Mo Med 2018 Jan-Feb;115(1):82-84

J. Quinten Tuckfield, BS, medical student at Kansas City University of Medicine and Biosciences.

Small Incision Lenticule Extraction (SMILE) is a relatively new one-step refractive procedure that has recently been approved by the FDA for the treatment of myopia. It is anticipated myopic astigmatism will be FDA-approved in 2019. The SMILE procedure is shown to have similar efficacy, safety, predictability, and stability as current surgical options, such as LASIK, but has been gaining popularity due to fewer potential complications, such as dry eye incidence and greater biomechanical stability, and faster recovery time. Read More

Clin Ophthalmol 2018 28;12:1559-1566. Epub 2018 Aug 28.

Precision Outcome Consultants, Fresno, CA, USA.

Purpose: The aim of this study was to report on the 6-month visual results of Contoura with Layer Yolked Reduction of Astigmatism (LYRA) protocol, as well as the subjective patient-reported outcomes (PRO) by standardized survey.

Patients And Methods: A retrospective analysis was conducted in 50 consecutive eyes with 6-month results that had bilateral Contoura laser-assisted in situ keratomileusis (LASIK) correction of measured astigmatism and axis using the LYRA protocol. PRO were measured via the Refractive Status and Vision Profile (RSVP) standardized survey. Read More

Acta Ophthalmol 2019 Mar 10;97(2):127-136. Epub 2018 Sep 10.

Department of Ophthalmology, Odense University Hospital, Odense, Denmark.

Corneal refractive surgery disrupts corneal integrity and reduces biomechanical stability in consequence of the beneficial refractive alteration. The minimal invasive cap-based refractive procedure, small-incision lenticule extraction (SMILE), has been proposed to affect corneal integrity less than flap-based procedures, due to the fibre-sparing incision of the strong anterior corneal lamellae. Flap-based procedures include laser-assisted in situ keratomileusis (LASIK), femtosecond laser-assisted in situ keratomileusis (FS-LASIK) and femtosecond lenticule extraction (FLEx). Read More

J Cataract Refract Surg 2018 Nov 7;44(11):1350-1354. Epub 2018 Sep 7.

From the Byers Eye Institute (Lee, Toy, Manche), Stanford University School of Medicine, Palo Alto, and the USC Roski Eye Institute (Toy), University of Southern California, Los Angeles, California, USA. Electronic address:

Purpose: To compare astigmatic outcomes between eyes having wavefront-guided laser in situ keratomileusis (LASIK) and eyes having wavefront-guided photorefractive keratectomy (PRK).

Setting: Byers Eye Institute, Stanford University School of Medicine, Palo Alto, California, USA.

Design: Prospective randomized case series. Read More

J Refract Surg 2018 Sep;34(9):590-596

Purpose: To compare contrast sensitivity among participants undergoing wavefront-guided or wavefront-optimized photorefractive keratectomy (PRK) or LASIK for the treatment of myopia or myopic astigmatism 12 months after surgery.

Methods: In a prospective, randomized clinical trial, 215 participants with myopia ranging from -0.50 to -7. Read More

J Ophthalmol 2018 25;2018:6952710. Epub 2018 Jul 25.

Department of Ophthalmology, Research Institute of Surgery and Daping Hospital, Army Medical University, Chongqing, China.

Purpose: To estimate the treatment effectiveness of femtosecond-assisted laser in situ keratomileusis (FS-LASIK) and Toric implantable collamer lens (Toric ICL) for moderate and high astigmatism via vector analysis.

Materials And Methods: The study involved 44 eyes from 44 patients who had a preoperative refractive cylinder ≥1.0 diopters (D) and underwent bilateral FS-LASIK or Toric ICL surgery. Read More

Clin Ophthalmol 2018 10;12:1423-1426. Epub 2018 Aug 10.

LASIK MD, Montreal, QC, Canada,

Open Ophthalmol J 2018 23;12:214-225. Epub 2018 Jul 23.

Community Medicine Department, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.

Aim: To evaluate the predictive factors of LASIK procedure for high myopia with or without astigmatism using a combination of high-frequency femtosecond-assisted LASIK followed by an excimer laser.

Methods: This study was a retrospective interventional case series study to evaluate myopic eyes undergoing high platform LASIK with FEMTO LDV Z2 intervention, followed by WaveLight®EX500 excimer laser machine. Subjects were divided into 2 groups: high myopia (SE of -6. Read More

Open Ophthalmol J 2018 27;12:164-174. Epub 2018 Jul 27.

Department of Ophthalmology, Aarhus University Hospital, Aarhus, Denmark.

Worldwide, femtosecond Laser Assisted Keratomileusis (LASIK) is a well known and commonly used refractive technique, although Small Incision Lenticule Extraction (SMILE) has become increasingly popular since it was introduced in 2011. In LASIK, a corneal flap is cut with a microkeratome or femtosecond laser, followed by thinning of the stromal bed with excimer laser ablation. In SMILE, a minor intrastromal lenticule is cut with a femtosecond laser and subsequently removed through a small incision, leaving the anterior and strongest part of the cornea almost intact. Read More

Open Ophthalmol J 2018 23;12:143-153. Epub 2018 Jul 23.

Singapore National Eye Centre, 11 Third Hospital Avenue, Singapore 168751, Singapore.

Background: LASIK Xtra is a recently described technique which combines LASIK and accelerated corneal cross-linking(CXL) in the same setting. Its long-term outcome in Asians with high myopia is not well described.

Objectives: To compare the efficacy, predictability and safety of LASIK Xtra with LASIK in patients with high myopia. Read More

J Refract Surg 2018 Aug;34(8):527-532

Purpose: To compare ocular and corneal aberrometric outcomes of wavefront-guided (WFG) LASIK and small incision lenticule extraction (SMILE).

Methods: This was a prospective, interventional study where 48 eyes (24 patients) underwent SMILE (Carl Zeiss Meditec, Jena, Germany) and 58 eyes (29 patients) underwent WFG LASIK (Abbott Medical Optics, Abbott Park, IL). Visual acuity and ocular surface disease index were assessed preoperatively and 1 and 3 months postoperatively. Read More

Eye Contact Lens 2019 Mar;45(2):132-136

Joint Shantou International Eye Center (R.Z., L.S., J.L., V.J., M.Z.), Shantou, People's Republic of China; Department of Ophthalmology and Visual Sciences (R.Z., L.S., J.L., A.L., V.J., M.Z.), The Chinese University of Hong Kong, Hong Kong, People's Republic of China; and UPMC Eye Center (V.J.), University of Pittsburgh School of Medicine, Pittsburgh, PA.

Purpose: To compare the visual and refractive outcomes of transepithelial photorefractive keratectomy (Trans-PRK) and sub-Bowman femtosecond-assisted laser in situ keratomileusis (SBK).

Setting: University hospital.

Design: Retrospective, comparative study. Read More

Br J Ophthalmol 2018 Jul 30. Epub 2018 Jul 30.

The Key Lab of Myopia, Ministry of Health, Shanghai, China 

Aims: To compare long-term clinical outcomes following small incision lenticule extraction (SMILE) and femtosecond laser-assisted laser in situ keratomileusis (FS-LASIK) for myopia and myopic astigmatism correction.

Methods: In this retrospective study, we enrolled a total of 101 patients (101 eyes) who underwent SMILE or FS-LASIK 3 years prior. Measured parameters included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), manifest refraction and corneal wavefront aberrations. Read More

J Cataract Refract Surg 2018 Jul;44(7):811-817

From the Centro Universitário Lusíada (M.N. Colombo-Barboza), Hospital Oftalmológico Visão Laser (M.N. Colombo-Barboza, G.N. Colombo-Barboza, L.R. Colombo-Barboza), Santos, São Paulo, the Universidade Metropolitana de Santos (L.R. Colombo-Barboza, G.N. Colombo-Barboza), Santos, São Paulo, Outpatient Clinic for Refractive Surgery (G.N. Colombo-Barboza, Matuoka, Neto), Santa Casa de São Paulo, the Faculdade de Ciências Médicas da Santa Casa de São Paulo (Neto), and the Postgraduate Program in Ophthalmology (de Freitas), Federal University of São Paulo, São Paulo, SP, Brazil.

Purpose: To analyze the reproducibility of laser in situ keratomileusis (LASIK) flap thickness (target 120 μm) using the multifunctional femtosecond laser (Lensx) and correlate postsurgical measurements with preoperative factors.

Setting: Hospital Oftalmológico Visão Laser, Santos, São Paulo, Brazil.

Design: Prospective case series. Read More

Eye Contact Lens 2018 Nov;44 Suppl 2:S426-S432

Department of Ophthalmology (E.E.-M., M.A., M.S., M.H.), Cairo University, Giza, Egypt; and Department of Optics, Pharmacology and Anatomy (D.P.), University of Alicante, Alicante, Spain.

Purpose: To compare Q-adjusted femtosecond-assisted laser in situ keratomileusis (FS-LASIK) and small-incision lenticule extraction (SMILE) in terms of safety, efficacy, and predictability, as well as in terms of changes in dry eye parameters, corneal biomechanics, higher-order aberrations (HOAs), and corneal asphericity.

Methods: A total of 60 eyes were enrolled in this prospective comparative study: 30 underwent SMILE and 30 underwent FS-LASIK. Changes in manifest refraction, uncorrected distance visual acuity and corrected distance visual acuity, corneal topography, corneal hysteresis (CH), and corneal resistance factor (CRF) (Ocular Response Analyzer, ORA), and dry eye parameters were evaluated during a 3-month follow-up. Read More

Clin Ophthalmol 2018 4;12:1213-1218. Epub 2018 Jul 4.

Clínica Novovisión, Madrid, Spain,

Purpose: Based on the assumption that high levels of intraocular pressure (IOP) during femtosecond laser-assisted in situ keratomileusis (FS-LASIK) may compromise the retinal nerve fiber layer (RNFL), newer femtosecond platforms that operate without causing significant IOP elevation have been developed in recent years. However, this assumption has not been adequately tested. The aim of the current study was to evaluate possible changes in RFNL thickness in nonglaucomatous myopic patients undergoing FS-LASIK using the 60 KHz IntraLase device that significantly elevates the IOP for an appreciable period of time vs an advanced surface ablation technique (laser-assisted subepithelial keratomileusis, LASEK) that does not induce any IOP elevation. Read More

J Refract Surg 2018 Jul;34(7):476-481

Purpose: To evaluate which factors may influence the size of the postoperative functional optical zone after hyperopic LASIK.

Methods: Thirty-three eyes with a mean spherical equivalent of +3.55 ± 1. Read More

Open Ophthalmol J 2018 31;12:84-93. Epub 2018 May 31.

Vision Eye Institute, 8-10 Woniora rd, Hurstville, Australia.

Background: Laser-Assisted Keratomileusis (LASIK) can induce corneal aberrations that can impact vision and patient satisfaction. Recent developments in laser technologies have helped minimise these aberrations.

Objective: To assess the quality of vision and change in Higher-Order Aberrations (HOAs) following wavefront-optimized LASIK in low-myopic astigmatic patients. Read More

Ophthalmol Ther 2018 Dec 29;7(2):347-360. Epub 2018 Jun 29.

HDR Research Center, Hoopes Vision, Draper, UT, USA.

Introduction: The primary objective was to show our initial surgical single-site experience with small incision lenticule extraction (SMILE) after the official enrollment in March 2017 following Food and Drug Administration (FDA) approval for simple myopia in late 2016 in the United States and, subsequently, compare our results to the earliest and most advanced generation of excimer platforms for laser-assisted in situ keratomileusis (LASIK) surgery.

Methods: This was a retrospective single-site study of 68 eyes from 35 patients who had SMILE surgery. The patients' preoperative and postoperative uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), manifest sphere, manifest cylinder, intraoperative complications, and preoperative and postoperative visual symptoms were collected. Read More

Rom J Morphol Embryol 2018 ;59(1):277-283

Department of Neurology, "Victor Babes" University of Medicine and Pharmacy, "Pius Brinzeu" Emergency County Hospital, Timisoara, Romania;

Aim: To evaluate the predictability, efficacy and safety of Femtosecond-laser-assisted in situ keratomileusis (LASIK) procedure for mixed astigmatism.

Patients, Materials And Methods: We prospectively evaluated for 12 months 74 eyes (52 patients) with mixed astigmatism that underwent Femtosecond-LASIK treatment. The preoperative mean refractive sphere value was +1. Read More

Cornea 2018 Sep;37(9):1124-1129

Care-Vision Laser Centers, Tel-Aviv, Israel.

Purpose: To determine the factors associated with sporadic diffuse lamellar keratitis (DLK) after microkeratome laser-assisted in situ keratomileusis (LASIK).

Methods: This large database retrospective study included consecutive cases of LASIK performed between 2007 and 2016 at Care-Vision Laser Centers, Tel-Aviv, Israel. Patients were divided into 2 groups according to whether or not they subsequently developed DLK. Read More