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Related Experiment Video

Updated: Nov 1, 2025

Author Spotlight: Advancements in Refractive Surgical Correction for Presbyopia and Exploring Postoperative Visual Acuity
05:46

Author Spotlight: Advancements in Refractive Surgical Correction for Presbyopia and Exploring Postoperative Visual Acuity

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[Regression and ablation profiles in corneal refractive surgery].

N Romito1, L Trinh1, G Drouglazet-Moalic1

  • 1CHNO des Quinze-Vingts, IHU Foresight, INSERM-DGOS CIC 1423, 28, rue de Charenton, 75012 Paris, France.

Journal Francais D'Ophtalmologie
|June 21, 2021
PubMed
Summary

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Regression after corneal refractive surgery is complex but manageable. Surgical technique, intraoperative choices, and post-operative care, including managing dry eye and using mitomycin C, can reduce regression after laser vision correction.

Area of Science:

  • Ophthalmology
  • Refractive Surgery
  • Corneal Physiology

Background:

  • Regression is a common complication following corneal refractive surgery.
  • Understanding factors influencing regression is crucial for optimizing patient outcomes.
  • Current literature offers insights into managing and potentially preventing refractive outcomes.

Purpose of the Study:

  • To review and synthesize recent data on regression in corneal refractive surgery.
  • To analyze the impact of different ablation profiles on refractive outcomes.
  • To identify strategies for minimizing regression across various refractive procedures.

Main Methods:

  • Literature review of recent studies on corneal refractive surgery and regression.
  • Analysis of data based on surgical techniques (LASIK, SMILE, PRK) and ablation profiles.
Keywords:
AblationCorneaCornéeLASIKPhotokeratectomie réfractivePhotorefractive keratectomyProfilProfileRégressionSMILE

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  • Synthesis of information regarding intraoperative factors and post-operative management.

    • Main Results:

    • Surgical technique has minimal impact on regression for low myopia/astigmatism.
    • LASIK and SMILE are preferred for high myopia; LASIK is better for hyperopic/mixed astigmatism.
    • Wide optical zones, thick residual stromal beds, anti-inflammatory therapy, dry eye treatment, and mitomycin C can reduce regression.

    Conclusions:

    • Regression is multifactorial, influenced by surgical technique, intraoperative parameters, and post-operative care.
    • Optimizing surgical planning and patient management can mitigate regression.
    • Keratometry monitoring is essential for identifying regression causes during follow-up.