[The mechanism and application of the correction for spherical myopia using small beam excimer laser]

In the laser ablation refractive surgeries, the corneal ablation model and its realization by laser are difficult to design. They greatly affect the results of those surgeries. This paper firstly presents a mathematical model for corneal ablation to correct the refractive error of spherical myopia, and then gives a technique of planning laser focus positions on cornea to realize the ablation model. Based on the principle of the correction for spherical myopia using small beam laser, our excimer laser corneal surgery system has been able to perform such refractive surgery. Now the corneal surgery system has been applied to clinical practice. Thirty-nine eyes with spherical myopia underwent LASIK using this kind of system. Their refractive states have been greatly improved. Preoperatively, the mean sphere was -5.57+/-2.95 D and the mean uncorrected visual acuity 0.12+/-0.07. One day after surgery, the mean sphere was -0.03+/-0.57 D and the mean uncorrected visual acuity 0.90+/-0.29. One month after surgery, the mean sphere was -0.68+/-0.98 D, and the mean uncorrected visual acuity 1.0+/-0.26.