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New Orleans-Keratectomy creation with the automated Summit Krumeich-Barraquer Microkeratome (SKBM, Alcon) results in flaps of predictable diameter and hinge size, smooth beds with well-defined edges, and an intact epithelium, said R. Bruce Grene, MD, at the refractive surgery subspecialty day prior to the American Academy of Ophthalmology annual meeting.