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Review
. 2024 Sep-Oct;80(5):497-504.
doi: 10.1016/j.mjafi.2024.08.003. Epub 2024 Aug 26.

Current paradigms in refractive surgery

Vaibhav Namdev  1 , Manpreet Kaur  2 , Vijay K Sharma  3 , Akanksha Mulay  4 , Rishav Raj  4 , Jeewan S Titiyal  5
Affiliations
Review

Current paradigms in refractive surgery

Vaibhav Namdev et al. Med J Armed Forces India. 2024 Sep-Oct.

Abstract

Refractive surgeries have evolved from the archaic incisional corneal procedures to the use of sophisticated femtosecond lasers and new-generation phakic intraocular lenses (pIOL) for surgical correction of refractive errors. The armamentarium of modern-day refractive surgery includes corneal-based procedures such as photorefractive keratectomy, laser-assisted in situ keratomileusis and keratorefractive lenticule extraction, as well as lensbased pIOL implantation. The current procedures are associated with a high index of efficacy and predictability, with enhanced safety and a significant reduction in sight-threatening complications. Patient counselling and case selection is imperative to achieve optimal visual outcomes and patient satisfaction. This review article provides a comprehensive overview of current refractive surgery procedures, with an emphasis on decision-making. Evolving frontiers in refractive surgeries like customised corneal ablation and presbyopia correcting pIOL are also discussed.

Keywords: Keratorefractive lenticule extraction; Laser-assisted in situ keratomileusis; Phakic intraocular lens; Photorefractive keratectomy; Refractive surgery.

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Conflict of interest statement

The authors have none to declare.

Figures

Fig. 1
Fig. 1
Algorithm for decision making in refractive surgery.
Fig. 2
Fig. 2
Management of Intraoperative Suction Loss during SMILE.
See this image and copyright information in PMC

References

    1. Solomon K.D., Fernández de Castro L.E., Sandoval H.P., et al. LASIK world literature review: quality of life and patient satisfaction. Ophthalmology. 2009;116:691–701. - PubMed
    1. Spadea L., Paroli M.P. Laser refractive surgery in diabetic patients: a review of the literature. Clin Ophthalmol Auckl NZ. 2012;6:1775–1783. - PMC - PubMed
    1. Simpson R.G., Moshirfar M., Edmonds J.N., et al. Laser in situ keratomileusis in patients with collagen vascular disease: a review of the literature. Clin Ophthalmol Auckl NZ. 2012;6:1827–1837. - PMC - PubMed
    1. Maychuk D.Y., Dry Eye Prevalence Study Group Prevalence and severity of dry eye in candidates for laser in situ keratomileusis for myopia in Russia. J Cataract Refract Surg. 2016;42:427–434. - PubMed
    1. Chan T.C.Y., Biswas S., Yu M., Jhanji V. Comparison of corneal measurements in keratoconus using swept-source optical coherence tomography and combined Placido-Scheimpflug imaging. Acta Ophthalmol. 2017;95:e486–e494. - PubMed

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