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Femtosecond laser applications in corneal surgery
Fernando Morales-Wong1, Alejandro Navas2, Guillermo E Yañez-Oviedo1
1Department of Ophthalmology, University Hospital and Faculty of Medicine, Autonomous University of Nuevo León (UANL), Monterrey, México.
Taiwan Journal of Ophthalmology
|December 13, 2023
Summary
Femtosecond laser (FSL) technology revolutionizes corneal surgery with precise incisions. This review details current and future FSL applications in refractive and reconstructive procedures, enhancing safety and outcomes.
Area of Science:
- Ophthalmology
- Surgical Technology
- Corneal Surgery
Background:
- Femtosecond laser (FSL) technology has significantly advanced corneal surgery.
- FSL enables precise, three-dimensional incisions with minimal collateral tissue damage.
Purpose of the Study:
- To review and summarize current and emerging FSL applications in corneal surgery.
- To discuss commercially available FSL systems and their uses.
Main Methods:
- Literature review of FSL applications in corneal surgery.
- Categorization of applications into refractive and keratoplasty procedures.
Main Results:
- FSL is used for LASIK flaps, SMILE, astigmatic keratotomy, keratoconus treatments, and presbyopia correction.
- Applications in keratoplasty include penetrating, anterior lamellar, and posterior lamellar procedures.
- Other uses include pterygium surgery and keratopigmentation.
Conclusions:
- Femtosecond laser is a versatile tool in corneal surgery, improving reproducibility and safety.
- FSL continues to expand its role in various ophthalmic surgical interventions.
Keywords:
Anterior lamellar keratoplastyastigmatic keratotomybowman layer transplantationcorneacorneal pocketsdescemet stripping automated endothelial keratoplastyfemtosecond laserintracorneal ring segmentslaser in-situ keratomileusispenetrating keratoplastyrefractive corneal lenticule extractionsmall incision lenticule extractionstromal keratophakia
