Myopic Keratomileusis by Excimer Laser on a Lathe

Autor: Serge Rosolen, Danièle S. Aron-Rosa, Michel Gross, S. Ganem
Rok vydání: 1994
Předmět:
Zdroj: Journal of Refractive Surgery. 10:575-581
ISSN: 1081-597X
DOI: 10.3928/1081-597x-19940901-18
Popis: BACKGROUND: We designed an excimer laser keratomileusis delivery system to increase the regularity of the refractive cut surface and allow greater precision in the level and shape of the ablated zone. METHODS: A parallel faced corneal disc was produced by microkeratectomy from six human eyes and surgical keratectomy in 12 beagle corneas. A 193-nanometer excimer laser that was used to project an oval beam onto the corneal disc was rotated on a flat surface to ensure overlapping of the ovally ablated areas between pulses. RESULTS: Electron microscopy of eye bank lenticules demonstrated a circular smooth regularly concave ablation zone. Histological examination of nine clear corneas confirmed thinning of the stroma without fibroblastic reaction and no epithelial hypertrophy. Mean preoperative corneal power of 43.15 ± 2.18 decreased postoperatively to 33.61 ±2.34. CONCLUSIONS: The new technique of excimer laser keratomileusis has the advantage of a cut surface smoother and the clear zone is devoid of the stepwise concavity and irregularity seen in diaphragm based photoablation delivery systems. [J Refract Corneal Surg. 1994;10:575-581.]
Databáze: OpenAIRE