scholarly journals Optimum Laser Beam Characteristics for Achieving Smoother Ablations in Laser Vision Correction

2017 ◽  
Vol 58 (4) ◽  
pp. 2021 ◽  
Author(s):  
Shwetabh Verma ◽  
Juergen Hesser ◽  
Samuel Arba-Mosquera
2021 ◽  
Vol 12 (3) ◽  
pp. 175-182
Author(s):  
V. A. Alekseev ◽  
V. G. Kostin ◽  
A. V. Usoltseva ◽  
V. P. Usoltsev ◽  
S. I. Yuran

One of the significant weaknesses of excimer laser-based vision correction devices is the difficulty of achieving a required change in the refractive properties of the cornea to sharply focus the image on the retina with distance from the working area (ablation zone) center to the periphery due to a change in the laser beam incidence angle. The study is aimed at improving the quality of laser action on the eye cornea by introducing an optical corrective system into the existing excimer laser vision correction equipment, ensuring the coincidence of the direction of the laser beam incidence on the corneal surface with the normal.It has been shown that the greater the reflection coefficient, the lower the absorbed energy, and the shallower the laser radiation penetration and ablation depths, which reduces the laser action opportunities and quality. When using excimer laser vision correction devices, it has been proposed to change the angle of the laser beam incidence on the cornea with a distance from the working area (ablation zone) center to the periphery during the surgery by introducing an optical corrective system based on a lightweight controllable and movable mirror, which allows achieving the coincidence of the direction of the laser beam incidence on the corneal surface with the normal.The studies have shown that the coincidence of the laser beam incidence on the corneal surface at any point with the normal when using a priori data on the specifics of the patient's eye allows expanding the functional opportunities of excimer laser photoablation, i. e., expand the ablation zone by 30 % and eliminate the possibility of errors caused by the human factor. The technique proposed can be used for excimer laser vision correction according to PRK, LASIK, Femto-LASIK, and other methods. To implement this approach, a patented excimer laser vision correction unit has been proposed with a PCcontrolled optical shaping system comprising galvo motor platforms and galvo mirrors installed on them.


Vision ◽  
2021 ◽  
Vol 5 (1) ◽  
pp. 8
Author(s):  
Diego de Ortueta

Purpose: We evaluated the refractive visual outcomes and efficacy of Transepithelial Photorefractive Keratectomy (TransPRK) using Smart Pulse Technology with static and dynamic cyclotorsion and the AMARIS 1050 Hz RS laser platform from Schwind in the eyes after a refractive lens exchange. Setting/Venue: Aurelios Augenlaserzentrum, Recklinghausen. Methods: We retrospectively evaluated the data of 552 consecutive eyes treated with refractive lens exchange between 2016 and 2019. A total of 47 eyes (8.5%) required a touch up after the clear lens exchange. From 43 eyes of 43 patients, we obtained a minimum follow up of 3 months. In all cases, we performed a TransPRK with a minimum optical zone of 7.2 mm, centering the ablation on the vertex of the cornea. Results: The average age of the treated eyes was 57 years old, with a range between 48 and 68 years. The mean treated sphere was 0.42 diopters (D), with a range between −1.0 and +1.75 D. The mean astigmatism was 1.06 D. Postoperatively, after laser vision correction, we reduced the sphere to a mean of 0.11 D (range −0.5 to +0.75 D), and, postoperatively, the mean astigmatism was 0.25 D (range −0.75 to 0 D). The predictability for a spheric equivalent (SEQ) of 0.5 D was 91%, and for 1 D it was 100% of the cases. No eye lost more than one Snellen line. Conclusions: TransPRK with smart pulse was predictable for correcting ametropia after Clear Lens Surgery.


2020 ◽  
Vol 210 ◽  
pp. 97-106 ◽  
Author(s):  
Julie M. Schallhorn ◽  
Steven C. Schallhorn ◽  
David Teenan ◽  
Stephen J. Hannan ◽  
Martina Pelouskova ◽  
...  

2017 ◽  
Vol 33 (1) ◽  
pp. 30-36 ◽  
Author(s):  
Craig S. Schallhorn ◽  
Julie M. Schallhorn ◽  
Stephen Hannan ◽  
Steven C. Schallhorn

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