JUNE 2010 CATARACT & REFRACTIVE SURGERY TODAY 41 I consider customized wavefront-guided laser vision correction a critical component of today’s refractive surgical practice, because it delivers better outcomes than conventional treatments. Since I began performing customized corrections using the iLASIK suite (Abbott Medical Optics Inc., Santa Ana, CA) along with other technological improvement...

PURPOSE To report the intraoperative management of incomplete microkeratome LASIK flaps. DESIGN Small, retrospective, noncomparative, interventional case series. PARTICIPANTS Five outpatients. METHODS In 5 eyes of 5 patients, the premature stop of the microkeratome resulting from mechanical obstacles resulted in an incomplete flap that would not allow for the completion of the LASIK proce...

PURPOSE To compare the changes in posterior corneal curvature using scanning slit topography (Orbscan II) and Scheimpflug imaging (Pentacam) before and after Epi-laser in situ keratomileusis (LASIK) for myopia. METHODS In a prospective observational case-series study, 20 myopic patients having undergone Epi-LASIK were examined serially with two different devices, Orbscan II and Pentacam, preo...

We present an observational sign that ensures perfect alignment during femtosecond laser-assisted in situ keratomileusis (FS LASIK). Alignment is assured when a microsponge is used to dry the flap and the area of dryness exceeds the area of direct touch of the microsponge. The area might even reach the whole circumference of the flap at the first touch. This sign of alignment can be explained b...

PURPOSE To describe the complex case management system developed by Optical Express, a large corporate provider of laser vision correction, and to detail the benefits this system offers for managing the surgical complications of laser vision correction. METHODS The classification scheme Optical Express uses to categorize surgical complications is described, and the various pathways patients c...

OBJECTIVES To determine the effect of hyperopic laser in situ keratomileusis (H-LASIK) on corneal integrity, by investigating relationships between proportionate corneal tissue ablated and refractive outcomes at 3 months. METHODS 18 eyes of 18 subjects treated with H-LASIK by Technolas 217c Excimer Laser were included in the study. Orbscan II Topography System was used to determine corneal vo...

[This corrects the article on p. 143 in vol. 10, PMID: 28458585.].

mance of the combined system. However, the presence of ocular dominance does not contraindicate the combination of MIOLs with different designs or additions as proved by previous studies.6 It is noteworthy that the majority (82.5%) of patients in our study did not prefer the vision of one eye over the other when specifi cally asked about this item. Future studies should further address the issu...

BACKGROUND The purpose of this study is to evaluate the extent and incidence of opaque bubble layer (OBL) using laser-assisted in situ keratomileusis (LASIK) flaps created with the Alcon/WaveLight® FS200 femtosecond laser as a result of a recent change in flap programming parameters aiming to reduce further the incidence and extent of OBL. METHODS Intraoperative digital images of flaps from 3...