Beruflich Dokumente
Kultur Dokumente
Outline of Topics
Introduction Corneal vs Cataract Surgery Basis of Pulsed Lasers Methods Reason for Ultrashort Pulse Procedure for Corneal Surgery Results Femtosecond vs Keratome Integration in Practice Further Improvement Conclusions
Introduction
A femtosecond is to 1 sec is as 1 sec to 31.7 million years Femtosecond lasers have broad range of applications Difference between corneal surgery and cataract surgery?
http://www.davidorf.com/los-angeles/corneal-transplant.htm
Laser Fundamentals
Bandwidth of operation Gain medium and mirrors 1= 2L Constructive interference Longitudinal modes 2= L q = 2 L/ q Values of q around 105 to 106 3= L c/2nL Mode-locking Pulses can be as short as several femtoseconds
* UCVA = Uncorrected Distance Visual Acuity. Patients that had 20/20 vision or better after 3 months. ** MRSE = Manifest Refractive Spherical Equivalent. Patient eyes within 0.50 diopters of attempted correction after 3 months.
G.M. Kezirian, K. G.Stonecipher, Comparison of the IntraLase femtosecond laser and mechanical kertomes for laser in situ keratomileusis, J. Cataract Refract. Surg. 30(4), 804811(2004)
T.V. Roberts, M. Lawless, S. J. Bali, C. Hodge, G. Sutton, Surgical outcomes and safety of femtosecond laser cataract surgery: a prospective study of 1500 consecutive cases, Ophthalmol. 120 (2), 227 233 (2013)
Non-Planar Incisions
Current method: clear corneal incision higher risk of gaping wounds Positional spikes and conical incisions Benefits: Repositioning, stability, healing
http://www.healio.com/ophthalmology/journals/osli/%7B8f35c33d-4c42-4779-afbb-247f776d1372%7D/architectural-analysis-of-clear-corneal-incision-techniques-in-cataract-surgery-using-fourier-domain-oct J. B. Jonas, U. Vossmerbaeumer, Femtosecond laser LASIK flap preparation with conical incision and positional spikes, J. Cataract Refract. Surg. 30(5), 1107-1108 (2004).
Conclusion
Non-invasive and versatile Avoid dangers and risk of a bladed tool Potential to develop better and safer outcome
Picture Credits
http://www.attiko.eu/en/laser_myopia.html http://www.davidorf.com/los-angeles/corneal-transplant.htm http://www.healio.com/ophthalmology/journals/osli/%7B8f35c33d-4c42-4779-afbb-247f776d1372%7D/architecturalanalysis-of-clear-corneal-incision-techniques-in-cataract-surgery-using-fourier-domain-oct http://www.lasikguider.com/2010/01/how-all-laser-bladeless-lasik-is.html
http://ohioeye.com/wp-content/uploads/2013/02/LASIK-Flap.jpg
http://www.davidorf.com/los-angeles/corneal-transplant.htm http://www.lasikdallas.net/cataract-surgery-dallas/