Skip to main content

The Femtosecond Laser: a New Tool for Refractive and Corneal Surgery

  • Chapter
Cataract and Refractive Surgery

Part of the book series: Essentials in Ophthalmology ((ESSENTIALS))

  • 1077 Accesses

7.4 Conclusions

The FS laser permits photodisruption of the cornea at low energy levels and with high precision, making it a very useful tool for corneal surgery. The flexibility of the laser platform permits the customization of LASIK flaps, as well as the production of unique trephination patterns in penetrating and lamellar keratoplasties. While offering an excellent safety profile, the FS laser also produces LASIK outcomes that are equivalent, or slightly superior to those of blade-based microkeratomes. As clinical experience with this new technology accrues, rapid expansion into other varieties of anterior segment surgery is anticipated.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Asano-Kato N, Toda I, Hori-Komai Y, et al. Epithelial ingrowth after laser in situ keratomileusis: clinical features and possible mechanisms. Am J Ophthalmol 2002;134(6):801–807.

    Article  PubMed  Google Scholar 

  2. Binder PS. Flap dimensions created with the IntraLase FS laser. J Cataract Refract Surg 2004;30:26–32.

    Article  PubMed  Google Scholar 

  3. Biser SA, Bloom AH, Donnenfeld ED, et al. Flap folds after femtosecond LASIK. Eye Contact Lens 2003;29(4):252–254.

    Article  PubMed  Google Scholar 

  4. Boxer Wachler BS, Chandra NS, Chou B, et al. Intacs for keratoconus. Ophthalmology 2003;110:1031–1040.

    Article  PubMed  Google Scholar 

  5. Colin J, Velou S. Utilization of refractive surgery technology in keratoconus and corneal transplants. Curr Opin Ophthalmol 2002;13:230–234.

    Article  PubMed  Google Scholar 

  6. Durrie DS, Kezirian GM. Femtosecond laser versus mechanical keratome flaps in wavefrontguided laser in situ keratomileusis: prospective contralateral eye study. J Cataract Refract Surg 2005;31:120–126.

    Article  PubMed  Google Scholar 

  7. Guell JL. Are intracorneal rings still useful in refractive surgery? Curr Opin Ophthalmol 2005;16:260–265.

    Article  PubMed  Google Scholar 

  8. Hoffman RS, Fine IH, Packer M, et al. Surgical glove-associated diffuse lamellar keratitis. Cornea 2005;24(6):699–704.

    Article  PubMed  Google Scholar 

  9. Jabbur NS, Chicani CF, Kuo IC, et al. Risk factors in interface epithelialization after laser in situ keratomileusis. J Refract Surg 2004;20(4):343–348.

    PubMed  Google Scholar 

  10. Kezirian GM, Stonecipher KG. Comparison of the IntraLase femtosecond laser and mechanical keratomes for laser in situ keratomileusis. J Cataract Refract Surg 2004;30:804–811.

    Article  PubMed  Google Scholar 

  11. Kurtz RM, Liu X, Elner VM, et al. Photodisruption in the human cornea as a function of laser pulse width. J Refract Surg 1997;13:653–658.

    PubMed  CAS  Google Scholar 

  12. Kurtz RM, Horvath C, Liu H, et al. Lamellar refractive surgery with scanned intrastromal picosecond and femtosecond laser pulses in animal eyes. J Refract Surg 1998;14:541–548.

    PubMed  CAS  Google Scholar 

  13. Linebarger EJ, Hardten DR, Lindstrom RL. Diffuse lamellar keratitis: diagnosis and management. J Cataract Refract Surg 2000;26:1072–1077.

    Article  PubMed  CAS  Google Scholar 

  14. Lubatschowski H, Maatz G, Heisterkamp A, et al. Application of ultrashort laser pulses for intrastromal refractive surgery. Arch Clin Exp Ophthalmol 2000;238:33–39.

    Article  CAS  Google Scholar 

  15. Melki SA, Azar DT. LASIK complications: etiology, management, and prevention. Surv Ophthalmol 2001;46:95–116.

    Article  PubMed  CAS  Google Scholar 

  16. Melles GR, Lander F, Nieuwendaal C. Sutureless, posterior lamellar keratoplasty: a case report of a modified technique. Cornea 2002;21:325–327.

    Article  PubMed  Google Scholar 

  17. Pallikaris IG, Kymionis GD, Panagopoulou SI, et al. Induced optical aberrations following formation of a laser in situ keratomileusis flap. J Cataract Refract Surg 2002;28:1737–1741.

    Article  PubMed  Google Scholar 

  18. Porter J, MacRae S, Yoon G, et al. Separate effects of the microkeratome incision and laser ablation on the eye’s wave aberration. Am J Ophthalmol 2003;136:327–337.

    Article  PubMed  Google Scholar 

  19. Principe AH, Lin DY, Small KW, et al. Macular hemorrhage after laser in situ keratomileusis (LASIK) with femtosecond laser flap creation. Am J Ophthalmol 2004;138(4):657–659.

    Article  PubMed  Google Scholar 

  20. Ratkay-Traub I, Ferinca IE, Juhasz T, et al. First clinical results with the femtosecond neodynium-glass laser in refractive surgery. J Refract Surg 2003;19:94–103.

    PubMed  Google Scholar 

  21. Sarayba MA, Juhasz T, Chuck RS, et al. Femtosecond laser posterior lamellar keratoplasty: a laboratory model. Cornea 2005;24(3):328–333.

    Article  PubMed  Google Scholar 

  22. Seitz B, Langenbucher A, Hofmann-Rummelt, et al. Nonmechanical posterior lamellar keratoplasty using the femtosecond laser (femto-PLAK) for corneal endothelial decompensation. Am J Ophthalmol 2003;136(4):769–772.

    Article  PubMed  Google Scholar 

  23. Seitz B, Brunner G, Viestenz A, et al. Inverse mushroom-shaped nonmechanical penetrating keratoplasty using a femtosecond laser. Am J Ophthalmol 2005;139(5):941–943.

    Article  PubMed  Google Scholar 

  24. Solomon KD, Donnenfeld E, Sandoval HP, et al. Flap thickness accuracy: comparison of 6 microkeratome models. J Cataract Refract Surg 2004;30:964–977.

    Article  PubMed  Google Scholar 

  25. Soong HK, Mian S, Abbasi O, et al. Femtosecond laser-assisted posterior lamellar keratoplasty: initial studies of surgical technique in eye bank eyes. Ophthalmology 2005;112:44–49.

    Article  PubMed  Google Scholar 

  26. Stulting RD, Randleman JB, Couser JM, et al. The epidemiology of diffuse lamellar keratitis. Cornea 2004;23(7):680–688.

    Article  PubMed  Google Scholar 

  27. Terry MA, Ousley PJ. Replacing the endothelium without surface corneal incisions or sutures: first U.S. clinical series with the deep lamellar endothelial keratoplasty procedure. Ophthalmology 2003;110:755–764.

    Article  PubMed  Google Scholar 

  28. Terry MA, Ousley PJ, Will B. A practical femtosecond laser procedure for DLEK endothelial transplantation: cadaver eye histology and topography. Cornea 2005;24:453–459.

    Article  PubMed  Google Scholar 

  29. Tran DB, Sarayba MA, Zsolt B, et al. Randomized prospective clinical study comparing induced aberrations with IntraLase and Hansatome flap creation in fellow eyes: potential impact on wave-front-guided laser in situ keratomileusis. J Cataract Refract Surg 2005;31:97–105.

    Article  PubMed  Google Scholar 

  30. Vogel A. Nonlinear absorption: intraocular microsurgery and laser lithotripsy. Phys Med Biol 1997;42:895–912.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2006 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Weikert, M.P., Bottros, A. (2006). The Femtosecond Laser: a New Tool for Refractive and Corneal Surgery. In: Kohnen, T., Koch, D.D. (eds) Cataract and Refractive Surgery. Essentials in Ophthalmology. Springer, Berlin, Heidelberg . https://doi.org/10.1007/3-540-30796-6_7

Download citation

  • DOI: https://doi.org/10.1007/3-540-30796-6_7

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-30795-2

  • Online ISBN: 978-3-540-30796-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics