Keratorefractive procedures

摘要

Abstract: Two laser types are going to find a place in refractive surgery of the cornea: the excimer laser (193 nm) and mid-infrared YAG lasers, such as Ho:YAG (2.1 $mu@m) and Er:YAG (2.94 $mu@m). Whereas the excimer laser used for photorefractive keratectomy (PRK) and phototherapeutic keratectomy (PTK) is currently studied in clinical trials, Ho:YAG and Er:YAG lasers are still in the state of preclinical evaluation. For myopic corrections excimer laser PRK has shown to be safe and effective in the range up to $MIN@7.0 D. The results compare favorably with conventional procedures such as radial keratotomy. Complications are rare. Hyperopic and astigmatic corrections using the Ho:YAG laser (HOT) are effective, but safety and stability has yet to be proven. Er:YAG laser photoablation yields a healing response in animal eyes similar to the excimer laser.!5