The Asia-Pacific Journal of Ophthalmology

Asia-Pacific Journal of Ophthalmology:

Issue 5, September/October 2017 Review Article

Femtosecond Lasers and Corneal Surgical Procedures

Marino, Gustavo K.; Santhiago, Marcony R.; Wilson, Steven E.



Author Information


From the *Cole Eye Institute, Cleveland Clinic, Cleveland, Ohio; and †University of São Paulo, São Paulo, Brazil.


Reprints: Steven E. Wilson, MD, Cole Eye Institute, I-32, Cleveland Clinic, 9500 Euclid Ave, Cleveland, OH. E-mail: wilsons4@ccf.org.



Abstract


Our purpose is to present a broad review about the principles, early history, evolution, applications, and complications of femtosecond lasers used in refractive and nonrefractive corneal surgical procedures. Femtosecond laser technology added not only safety, precision, and reproducibility to established corneal surgical procedures such as laser in situ keratomileusis (LASIK) and astigmatic keratotomy, but it also introduced new promising concepts such as the intrastromal lenticule procedures with refractive lenticule extraction (ReLEx). Over time, the refinements in laser optics and the overall design of femtosecond laser platforms led to it becoming an essential tool for corneal surgeons. In conclusion, femtosecond laser is a heavily utilized tool in refractive and nonrefractive corneal surgical procedures, and further technological advances are likely to expand its applications.




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