Refractive Surgery

A common symptom, dry eye can have an adverse impact on visual recovery and outcomes

Providing findings from a retrospective study, Li Lim, MD, noted that eyes with high myopia benefit from CXL add-on to LASIK, resulting in safety, efficacy, and predictability with refractive outcomes that are more stable than those achieved with LASIK alone. 

Follow-up at 7 years shows procedure safe, effective, provides stable correction

Laser technology has potential to modify IOL refractive index without change to lens shape

Comparable levels of near, distance visual acuity; high patient satisfaction marks observed

Combining LASIK, corneal inlays hits refractive ‘sweet spot’ for many patients

Advancements in preoperative assessment, techniques help to enhance refractive surgical outcomes

Quantitative measurement indicates corneal epithelium plays crucial role in outcomes

Myriad tools can help surgeons better assess patients at consultation and postoperative

WFG LASIK achieved better 25% contrast acuity gains in corrected/uncorrected distance VA

Shortcomings in ablative procedures mean that new developments in refractive surgery are welcome. Arthur Cummings, MD, FRCSEd, reviews two new technologies that will increase patient satisfaction.

Know the patient’s family history of glaucoma, and conduct a comprehensive exam before LASIK procedure. It is crucial to monitor the patient after surgery; watch for interfact cysts, loose flaps, and pressure-induced interlamellar stromal keratitis.