purpose: to evaluate the visual and refractive outcomes of automated lamellar therapeutic keratoplasty (altk) in patients with keratoconus. methods: in this prospective noncomparative clinical trial, altk was performed in 14 eyes of 14 patients with moderate to severe keratoconus. all patients were spectacle and contact lens intolerant.  uncorrected visual acuity (ucva), best corrected visual a...

PURPOSE The purpose of this study was to retrospectively compare the incidence of intraoperative flap complications, such as partial flaps, donut-shaped flaps, central corneal cuts, and complete caps with the Hansatome and Automated Corneal Shaper (ACS) microkeratomes. METHODS All laser in situ keratomileusis (LASIK) procedures performed by a single surgeon with the Hansatome or Automated Cor...

PURPOSE To study the optical changes induced by the microkeratome cut, the subsequent laser ablation, and the biomechanical healing response of the cornea in normal laser in situ keratomileusis (LASIK) eyes. DESIGN Prospective randomized clinical trial. METHODS A Hansatome microkeratome was used to cut a corneal flap in one eye (study eye) of 17 normal myopic patients and a subsequent laser...

AIM To evaluate differences in flap thickness resulting from use of an Alcon Wavelight FS200 femtosecond laser and a MORIA SBK microkeratome when making a 110-µm-thick corneal flap and to identify the potential factors that affect corneal flap thickness. METHODS A prospective case study was performed on 120 eyes of 60 patients who were divided into two groups for LASIK, each group consisting ...

Donor corneas with narrow scleral rims are often disqualified for Descemet's Stripping Automated Endothelial Keratoplasty (DSAEK), mainly because of fluid leak and low pressure when they are mounted onto an artificial anterior chamber (AAC). This report describes a novel method to tight-lock a donor cornea with a narrow scleral rim so that microkeratome cutting is possible, allowing a DSAEK pro...

PURPOSE To evaluate the use of a femtosecond laser combined with a microkeratome in the preparation of posterior corneal disks for Descemet stripping automated endothelial keratoplasty (DSAEK). METHODS This experimental study involved ultrathin DSAEK tissue preparation of 22 donor corneas unsuitable for transplantation. The first cut was performed with an Intralase® FS60 laser and the second ...

AIM To compare the effect of suction on the macular thickness and retinal nerve fiber layer (RNFL) thickness during laser in situ keratomileusis (LASIK) used Ziemer FEMTO LDV femtosecond laser (Ziemer group) and Moria M2 automated microkeratome (Moria group) for flap creation. METHODS Fourier-domain optical coherence tomography (FD-OCT) was used to measure macular thickness, ganglion cell com...

PURPOSE To study the quality of the cut created by 3 microkeratomes from 2 different generations using corneal confocal microscopy. SETTING Department of Refractive Surgery, Instituto Oftalmológico de Alicante, Alicante, Spain. METHODS Two different studies were conducted: Study 1 and Study 2. Study 1 was a prospective analysis using confocal microscopy examination data from 2 reference gro...