The SCHWIND AMARIS Total-Tech Laser as An All-Rounder in Refractive Surgery
- PMID: 20142960
- PMCID: PMC2813579
- DOI: 10.4103/0974-9233.48868
The SCHWIND AMARIS Total-Tech Laser as An All-Rounder in Refractive Surgery
Abstract
Purpose: To describe and argument an overview of the main features and unique technical points of AMARIS Total-Tech Laser, coupled with patient outcomes supporting the decision to perform LASIK treatments with maximised outcomes.
Settings: Dr. M.C. Arbelaez, Muscat Eye Laser Center, Muscat, Sultanate of Oman.
Methods: The findings collected during 18-month experience using SCHWIND AMARIS Total-Tech Laser have been reviewed to provide arguments for supporting the decision to perform LASIK treatments with maximised outcomes. For updated clinical outcomes, the last 100 myopic astigmatism treatments, the last 100 hyperopic astigmatism treatments, the last 30 ocular-wavefront-guided treatments, and the last 30 corneal-wavefront-guided treatments, all with 6-month follow-up, were included. For all those, LDV femtosecond system was used to prepare the flaps, and AMARIS flying spot system was used to perform ablations. Clinical outcomes were evaluated in terms of predictability, refractive outcome, safety, wavefront aberration, and contrast sensitivity.
Results: 6-month postoperatively, mean defocus was -0.14+/-0.31D and astigmatism 0.25+/-0.37D. 70+/- eyes were within +/-0.25D of emmetropia. 43+/- eyes gained lines of best spectacle-corrected visual acuity. For Aberration-Free treatments, none of the aberration metrics changed from pre- to postoperative values in a clinically relevant amount. For ocular-wavefront-guided treatments, the surgery did not change coma or spherical aberration, and reduced trefoil (p<0.005). For corneal-wavefront-guided treatments, the trefoil, coma, and spherical aberrations, as well as the total root-mean-square values of higher order aberration, were significantly reduced (p<.05) when the pre-existing aberrations were greater than the repeatability and the biological noise.
Conclusions: Although this review does not allow for evidence-based conclusions, following our strategy, LASIK results were excellent. LASIK surgery with AMARIS system yield excellent outcomes. Refractions were reduced to subclinical values with no induction of High-Order-Aberrations. Neither adverse events nor complications were observed.
Keywords: Aberrations; Aspheric; Customized Treatments; LASIK; Wavefront.
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References
-
- Liang J, Grimm B, Goelz S, Bille JF. Objective measurement of wave aberrations of the human eye with the use of a Hartmann-Shack wave-front sensor. J Opt Soc Am A Opt Image Sci Vis. 1994;11:1949–1957. - PubMed
-
- Mastropasqua L, Toto L, Zuppardi E, et al. Photorefractive keratectomy with aspheric profile of ablation versus conventional photorefractive keratectomy for myopia correction: six-month controlled clinical trial. J Cataract Refract Surg. 2006;32:109–116. - PubMed
-
- Thibos LN, Hong X, Bradley A, Cheng X. Statistical variation of aberration structure and image quality in a normal population of healthy eyes. J Opt Soc Am A Opt Image Sci Vis. 2002;19:2329–2348. - PubMed
-
- Oliver KM, Hemenger RP, Corbett MC, et al. Corneal optical aberrations induced by photorefractive keratectomy. J Refract Surg. 1997;13:246–254. - PubMed
-
- Hong X, Thibos LN. Longitudinal evaluation of optical aberrations following laser in situ keratomileusis surgery. J Refract Surg. 2000;16:S647–650. - PubMed
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