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The current state of refractive surgery
Radek Anderle1, Jakub Ventruba
1European Eye Clinic LEXUM, Brno, Czech Republic. anderle@lexum.cz
Collegium Antropologicum
|July 11, 2013
Summary
This paper reviews surgical options for refractive eye disorders, detailing corneal procedures like LASIK and PRK, and intraocular surgeries such as phakic lenses and Refractive Lens Exchange (RLE). It covers indications, contraindications, and combined Bioptics approaches.
Area of Science:
- Ophthalmology
- Refractive Surgery
- Corneal Surgery
- Intraocular Surgery
Background:
- Refractive eye disorders significantly impact vision quality.
- Surgical interventions offer solutions for correcting refractive errors.
Purpose of the Study:
- To provide a comprehensive overview of current surgical treatments for refractive eye disorders.
- To detail the principles, indications, and contraindications of various corneal and intraocular surgical procedures.
Main Methods:
- Review of established corneal refractive surgeries: Laser-Assisted In Situ Keratomileusis (LASIK), Femtosecond laser-assisted LASIK, Photorefractive keratectomy (PRK).
- Description of corneal implants: Intrastromal Corneal Rings Segment (ICRS) and corneal inlays for presbyopia.
- Explanation of astigmatism correction techniques: Astigmatic Keratotomy (AK) and Limbal Relaxing Incisions (LRIs).
- Analysis of intraocular refractive surgeries: Phakic intraocular lenses and Refractive Lens Exchange (RLE) / Presbyopic Lens Exchange (PRELEX) with multifocal IOLs.
- Discussion of combined surgical approaches (Bioptics).
Main Results:
- Detailed principles, indications, and contraindications are provided for each surgical category.
- Corneal surgery options include laser-based procedures, implants, and incisional techniques.
- Intraocular surgery options involve lens preservation (phakic lenses) or replacement (RLE/PRELEX).
- Bioptics combines corneal and intraocular techniques for complex cases.
Conclusions:
- A wide array of surgical options exists for refractive error correction.
- Careful patient selection based on indications and contraindications is crucial for successful outcomes.
- Combined Bioptics offers advanced solutions for specific refractive challenges.
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