scholarly journals Biomechanical Differences Between Femtosecond Lenticule Extraction (FLEx) and Small Incision Lenticule Extraction (SmILE) Tested by 2D-Extensometry in Ex Vivo Porcine Eyes

2017 ◽  
Vol 58 (5) ◽  
pp. 2591 ◽  
Author(s):  
Bogdan Spiru ◽  
Sabine Kling ◽  
Farhad Hafezi ◽  
Walter Sekundo
Keyword(s):  
Ex Vivo ◽  
Small Incision Lenticule Extraction ◽  
Small Incision ◽  
Lenticule Extraction ◽  
Porcine Eyes ◽  
Femtosecond Lenticule Extraction

scholarly journals Review of Corneal Biomechanical Properties Following LASIK and SMILE for Myopia and Myopic Astigmatism

2018 ◽  
Vol 12 (1) ◽  
pp. 164-174 ◽  
Author(s):  
Iben Bach Damgaard ◽  
Mohamed Reffat ◽  
Jesper Hjortdal
Keyword(s):  
Femtosecond Laser ◽  
Ex Vivo ◽  
Biomechanical Properties ◽  
Small Incision Lenticule Extraction ◽  
Small Incision ◽  
Lenticule Extraction ◽  
A Minor ◽  
Corneal Biomechanical Properties

Worldwide, femtosecond Laser AssistedIn-situKeratomileusis (LASIK) is a well known and commonly used refractive technique, although Small Incision Lenticule Extraction (SMILE) has become increasingly popular since it was introduced in 2011. In LASIK, a corneal flap is cut with a microkeratome or femtosecond laser, followed by thinning of the stromal bed with excimer laser ablation. In SMILE, a minor intrastromal lenticule is cut with a femtosecond laser and subsequently removed through a small incision, leaving the anterior and strongest part of the cornea almost intact. Both LASIK and SMILE require cutting of corneal lamellae that may reduce the biomechanical stability of the cornea, with the potential risk of corneal iatrogenic ectasia as a severe complication. However, SMILE preserves the anterior corneal integrity and may, in theory, better preserve the corneal biomechanical strength than LASIK after surgery.A review aimed to examine the current literature that describes and compares the corneal biomechanical properties after Laser AssistedIn-situKeratomileusis (LASIK) and Small Incision Lenticule Extraction (SMILE). A comprehensive search was performed in Pubmed.gov using the following search queries: Corneal biomechanical properties, corneal biomechanics, ocular response analyser, ocular response analyzer, ORA,ex vivo, in vitro, Corvis, Corvis ST, LASIK, and SMILE.

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