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Advances in Refractive Surgery: May 2013 to June 2014.

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Recent advancements in refractive surgery include small-incision lenticule extraction (SmILE) and phakic intraocular lenses, offering safe and effective options for refractive error correction. These innovations enhance corneal stability and expand treatment possibilities for patients.

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Area of Science:

  • Ophthalmology
  • Surgical Innovation

Background:

  • Refractive surgery is rapidly evolving.
  • New techniques and technologies are emerging for patient screening, treatment, and postoperative care.

Purpose of the Study:

  • To review recent advancements in refractive surgery.
  • Focus on peer-reviewed literature from May 2013 to June 2014.
  • Organize findings into preoperative, intraoperative, and postoperative considerations.

Main Methods:

  • Literature review.
  • Analysis of studies published within a specific one-year period.

Main Results:

  • Small-incision lenticule extraction (SmILE) and phakic intraocular lenses demonstrate safety and efficacy.
  • SmILE may improve corneal biomechanical stability, enabling treatment of higher refractive errors.
  • Femtosecond laser technology enhances flap creation in laser-assisted in situ keratomileusis (LASIK), resulting in smoother stromal beds and predictable flap thickness.

Conclusions:

  • While LASIK remains predominant, photorefractive keratectomy is suitable for specific cases, offering predictable outcomes and patient satisfaction.
  • Newer modalities like femtosecond lenticule extraction and SmILE are gaining traction.
  • Advancements in femtosecond laser technology improve LASIK outcomes.