Literature DB >> 20130899

Femtosecond lenticule extraction for the correction of myopia: preliminary 6-month results.

Marcus Blum1, Kathleen Kunert, Michael Schröder, Walter Sekundo.   

Abstract

PURPOSE: To report the 6-month results of a new method of refractive correction, femtosecond lenticule extraction (FLEx), and the preliminary outcomes in the first 108 eyes.
METHODS: In this prospective study, a flap and a lenticule of intrastromal corneal tissue were cut simultaneously using a femtosecond laser. Thereafter, the lenticule was removed manually and the flap repositioned. One hundred and seven of 108 myopic eyes of 56 patients in the treatment group completed the final 6 months of follow-up. The patients' mean age was 35 years. The preoperative mean spherical equivalent (SE) was -4.59 +/- 1.3 diopters (D). The uncorrected visual acuity and the best spectacle-corrected visual acuity after 6 months, objective and manifest refractions, results of slit-lamp examination, the side effects, and the responses to a questionnaire are reported.
RESULTS: Six months postoperatively, the mean SE was -0.19 +/- 0.47 D; 98.1% of treated eyes were within +/-1.0 D, and 74.8% of eyes within +/-0.5 D of the intended correction. Eight (7.4%) of 108 eyes lost one line of Snellen VA, one (0.9%) eye lost two Snellen lines, 46 eyes (43%) gained one line, ten eyes (9.3%) gained two Snellen lines, and the VA remained unchanged in 42 (39.3%) eyes. The patient responses to a standardized questionnaire indicated that 97.1% of patients were satisfied with the obtained results and would undergo the procedure again.
CONCLUSION: FLEx appears to be a safe and promising corneal refractive procedure for correcting myopia.

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Year:  2010        PMID: 20130899     DOI: 10.1007/s00417-009-1293-1

Source DB:  PubMed          Journal:  Graefes Arch Clin Exp Ophthalmol        ISSN: 0721-832X            Impact factor:   3.117


  19 in total

1.  Comparison of the IntraLase femtosecond laser and mechanical keratomes for laser in situ keratomileusis.

Authors:  Guy M Kezirian; Karl G Stonecipher
Journal:  J Cataract Refract Surg       Date:  2004-04       Impact factor: 3.351

2.  Flap dimensions created with the IntraLase FS laser.

Authors:  Perry S Binder
Journal:  J Cataract Refract Surg       Date:  2004-01       Impact factor: 3.351

3.  "Top hat"-shaped penetrating keratoplasty using the femtosecond laser.

Authors:  Roger F Steinert; Teresa S Ignacio; Melvin A Sarayba
Journal:  Am J Ophthalmol       Date:  2006-12-22       Impact factor: 5.258

4.  Randomized prospective clinical study comparing induced aberrations with IntraLase and Hansatome flap creation in fellow eyes: potential impact on wavefront-guided laser in situ keratomileusis.

Authors:  Dan B Tran; Melvin A Sarayba; Zsolt Bor; Carrie Garufis; Yi-Jing Duh; Charles R Soltes; Tibor Juhasz; Ron M Kurtz
Journal:  J Cataract Refract Surg       Date:  2005-01       Impact factor: 3.351

5.  Transient light-sensitivity syndrome after laser in situ keratomileusis with the femtosecond laser Incidence and prevention.

Authors:  Gonzalo Muñoz; César Albarrán-Diego; Hani F Sakla; Jaime Javaloy; Jorge L Alió
Journal:  J Cataract Refract Surg       Date:  2006-12       Impact factor: 3.351

6.  Flap folds after femtosecond LASIK.

Authors:  Seth A Biser; Adam H Bloom; Eric D Donnenfeld; Henry D Perry; Renée Solomon; Sima Doshi
Journal:  Eye Contact Lens       Date:  2003-10       Impact factor: 2.018

7.  LASIK for myopia using the Zeiss VisuMax femtosecond laser and MEL 80 excimer laser.

Authors:  Marcus Blum; Kathleen Kunert; Annika Gille; Walter Sekundo
Journal:  J Refract Surg       Date:  2009-04       Impact factor: 3.573

8.  First clinical results with the femtosecond neodynium-glass laser in refractive surgery.

Authors:  Imola Ratkay-Traub; Istvan E Ferincz; Tibor Juhasz; Ron M Kurtz; Ronald R Krueger
Journal:  J Refract Surg       Date:  2003 Mar-Apr       Impact factor: 3.573

9.  Automated in situ keratomileusis for myopia.

Authors:  O Ibrahim; G O Waring; T Salah; A el Maghraby
Journal:  J Refract Surg       Date:  1995 Nov-Dec       Impact factor: 3.573

10.  Femtosecond laser flap creation for laser in situ keratomileusis: six-month follow-up of initial U.S. clinical series.

Authors:  Lee T Nordan; Stephen G Slade; Richard N Baker; Carlos Suarez; Tibor Juhasz; Ron Kurtz
Journal:  J Refract Surg       Date:  2003 Jan-Feb       Impact factor: 3.573

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  45 in total

1.  Reply to the letter by Zhang and Hoffman: Relationship between femtosecond laser parameters and quality of the corneal stromal bed surface.

Authors:  Kathleen S Kunert; Marcus Blum; Gernot I W Duncker; Jens Heichel
Journal:  Graefes Arch Clin Exp Ophthalmol       Date:  2011-12-10       Impact factor: 3.117

2.  Femtosecond lenticule extraction (ReLEx) for correction of hyperopia - first results.

Authors:  Marcus Blum; Kathleen S Kunert; Urs Voßmerbäumer; Walter Sekundo
Journal:  Graefes Arch Clin Exp Ophthalmol       Date:  2012-06-14       Impact factor: 3.117

3.  [Femtosecond lenticule extraction (FLEx)].

Authors:  M Blum; W Sekundo
Journal:  Ophthalmologe       Date:  2010-10       Impact factor: 1.059

4.  Development of biomedical publications on ametropia research in PubMed from 1845 to 2010: a bibliometric analysis.

Authors:  Chang-Tai Xu; Shan-Qu Li; Yong-Gang Lü; Bo-Rong Pan
Journal:  Int J Ophthalmol       Date:  2011-02-18       Impact factor: 1.779

5.  Short term effects of small incision lenticule extraction surgery on corneal endothelium.

Authors:  Dan-Yang Wang; Man-Li Liu; Yi-Le Chen; Xiao-Ying Zhang; Yang-Tao Xu; Jian-Chao Wang; Chi-Ho To; Jian-Guo Wang; Quan Liu
Journal:  Int J Ophthalmol       Date:  2016-04-18       Impact factor: 1.779

6.  Surface quality of human corneal lenticules after femtosecond laser surgery for myopia comparing different laser parameters.

Authors:  Kathleen S Kunert; Marcus Blum; Gernot I W Duncker; Rabea Sietmann; Jens Heichel
Journal:  Graefes Arch Clin Exp Ophthalmol       Date:  2011-01-15       Impact factor: 3.117

Review 7.  [Refractive lenticule extraction - The ReLEx/SMILE technique : Video article].

Authors:  M Blum; W Sekundo
Journal:  Ophthalmologe       Date:  2017-09       Impact factor: 1.059

8.  Analysis and management of intraoperative complications during small-incision lenticule extraction.

Authors:  Pei-Jin Qiu; Ya-Bo Yang
Journal:  Int J Ophthalmol       Date:  2016-11-18       Impact factor: 1.779

9.  Small-incision lenticule extraction versus femtosecond lenticule extraction for myopic: a systematic review and Meta-analysis.

Authors:  Jia-Song Wang; Hua-Tao Xie; Ye Jia; Ming-Chang Zhang
Journal:  Int J Ophthalmol       Date:  2017-01-18       Impact factor: 1.779

10.  Refractive lenticule extraction (ReLEx flex) and wavefront-optimized Femto-LASIK: comparison of contrast sensitivity and high-order aberrations at 1 year.

Authors:  Jana Gertnere; Igor Solomatin; Walter Sekundo
Journal:  Graefes Arch Clin Exp Ophthalmol       Date:  2012-12-05       Impact factor: 3.117

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