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San Francisco-Safe and predictable creation of corneal flaps is now more achievable because the relationship between microkeratome performance and the forces generated by the microkeratomes are newly under-stood. Microkeratomes can be designed to match the suction plate apertures to the corneal volume as well as the corneal curvature. Excessive upward forces and flap irregularities produced by the microkeratome are eliminated, according to Ronald Singal, MD, who spoke at the American Society of Cataract and Refractive Surgery annual meeting.