无瓣角膜屈光手术.pdfVIP

Advances in refractive surgery: microkeratome and femtosecond laser flap creation in relation to safety, efficacy, predictability, and biomechanical stability a b Karl Stonecipher , Teresa S. Ignacio and Megan Stonecipher Purpose of review Introduction Methods of flap creation have changed over the years from Laser in-situ keratomileusis (LASIK) has become the the evolution of the mechanical microkeratome to the most popular corneal refractive surgery. One of the introduction of the IntraLase femtosecond laser keratome, critical steps in this procedure is the creation of the both of which have different mechanisms of action to create corneal flap. The IntraLase femtosecond laser microker- corneal resections. Previous studies report the advantages atome (IntraLase Corp., Irvine, California, USA) and the and disadvantages of the mechanical microkeratome and the mechanical microkeratome platforms have different IntraLase femtosecond laser. The critical components in laser mechanisms of action to create corneal resections. The in-situ keratomileusis surgery remain the same, however: mechanical microkeratome uses shear force through the safety, efficiency, predictability, and biomechanical stability. use of an oscillating blade, traveling across the cornea in a Recent findings torsional or translational approach. The femtosecond Keratoectasia and flap efficiency remain a constant safety laser creates a corneal resection by delivering laser pulses concern in laser in-situ keratomileusis surgery.