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Chapter-107 Corneal Applications of Ultrashort Pulse Laser

BOOK TITLE: Copeland and Afshari's Principles and Practice of Cornea (2 Volumes)

Author
1. Yoo Sonia H
2. Shousha Mohamed Abou
ISBN
9789350901724
DOI
10.5005/jp/books/11777_107
Edition
1/e
Publishing Year
2013
Pages
10
Author Affiliations
1. Bascom Palmer Eye Institute, University of Miami, Miller School of Medicine, USA, Bascom Palmer Eye Institute, University of Miami, Miami, Florida, USA
2. Saint Louis University School of Medicine, Saint Louis University Eye Institute, St Louis, Missouri, USA, Saint Louis University Eye Institute, St Louis, Missouri, USA
Chapter keywords
LASIK flaps, transient light-sensitivity syndrome, microkeratome LASIK Flaps, diffuse lamellar keratitis, deep anterior lamellar keratoplast, astigmatic keratectomy

Abstract

Ultrashort pulse laser is a powerful tool in the field of corneal surgery. It can photodisrupt tissue with minimal collateral damage thereby increasing the success of surgery. Ultrashort pulse laser is used in procedures like laser in situ keratomileusis (LASIK) flap creation, penetrating keratoplasty (PK), anterior lamellar keratoplasty (ALK), endothelial keratoplasty (EK), astigmatic keratectomy (AK), intrastromal corneal ring segment (ICRS) placement and several other corneal surgeries. Interaction of laser with the tissue depends on various properties of the laser which are given in a table. Various shortcomings of ultrashort pulse laser and ways to overcome those are discussed. Various advantages of femtosecond (FS) laser and their shortcomings are described. PK has been the gold standard for managing full thickness corneal pathologies. Different incision configurations of FS penetrating keratoplasty are explained diagrammatically. Also, anterior lamellar keratoplasty, endothelial keratoplasty and astigmatic keratectomy are discussed in detail.

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