Skip to main content
NCBI home page
Postgraduate Medical Journal logoLink to Postgraduate Medical Journal
. 1998 Sep;74(875):524–528. doi: 10.1136/pgmj.74.875.524

Excimer laser ophthalmic surgery: evaluation of a new technology.

D A Infeld 1, J G O'Shea 1
PMCID: PMC2361049  PMID: 10211324

Abstract

The aim of this article is to provide information and an overview of the potential risks and benefits of excimer laser surgery, a new and promising technique in ophthalmic surgery. Although this review concentrates on the use of the laser for refractive purposes, novel therapeutic techniques are also discussed. It is hoped that this will enable general practitioners, optometrists and physicians to provide appropriate advice and counselling for patients.

Full text

PDF
524

Images in this article

524Figure 1
on p.524
525Figure 2
on p.525
525Figure 3
on p.525
525Figure 4
on p.525

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Cameron J. A., Antonios S. R., Badr I. A. Excimer laser phototherapeutic keratectomy for shield ulcers and corneal plaques in vernal keratoconjunctivitis. J Refract Surg. 1995 Jan-Feb;11(1):31–35. doi: 10.3928/1081-597X-19950101-09. [DOI] [PubMed] [Google Scholar]
  2. Carson C. A., Taylor H. R. Excimer laser treatment for high and extreme myopia. The Melbourne Excimer Laser and Research Group. Arch Ophthalmol. 1995 Apr;113(4):431–436. doi: 10.1001/archopht.1995.01100040045025. [DOI] [PubMed] [Google Scholar]
  3. Cherry P. M. Removal of epithelium and scraping the underlying stroma as treatment for photorefractive keratectomy overcorrection or undercorrection of myopia. Ophthalmic Surg Lasers. 1996 May;27(5 Suppl):S487–S492. [PubMed] [Google Scholar]
  4. Cherry P. M. The treatment of pain following excimer laser photorefractive keratectomy: additive effect of local anesthetic drops, topical diclofenac, and bandage soft contact. Ophthalmic Surg Lasers. 1996 May;27(5 Suppl):S477–S480. [PubMed] [Google Scholar]
  5. Epstein D., Fagerholm P., Hamberg-Nyström H., Tengroth B. Twenty-four-month follow-up of excimer laser photorefractive keratectomy for myopia. Refractive and visual acuity results. Ophthalmology. 1994 Sep;101(9):1558–1564. doi: 10.1016/s0161-6420(94)31150-x. [DOI] [PubMed] [Google Scholar]
  6. Gartry D. S., Kerr Muir M. G., Marshall J. Excimer laser photorefractive keratectomy. 18-month follow-up. Ophthalmology. 1992 Aug;99(8):1209–1219. doi: 10.1016/s0161-6420(92)31821-4. [DOI] [PubMed] [Google Scholar]
  7. Gartry D. S., Kerr Muir M., Marshall J. The effect of topical corticosteroids on refraction and corneal haze following excimer laser treatment of myopia: an update. A prospective, randomised, double-masked study. Eye (Lond) 1993;7(Pt 4):584–590. doi: 10.1038/eye.1993.127. [DOI] [PubMed] [Google Scholar]
  8. Gartry D. S., Muir M. G., Lohmann C. P., Marshall J. The effect of topical corticosteroids on refractive outcome and corneal haze after photorefractive keratectomy. A prospective, randomized, double-blind trial. Arch Ophthalmol. 1992 Jul;110(7):944–952. doi: 10.1001/archopht.1992.01080190050028. [DOI] [PubMed] [Google Scholar]
  9. Güell J. L., Muller A. Laser in situ keratomileusis (LASIK) for myopia from -7 to -18 diopters. J Refract Surg. 1996 Feb;12(2):222–228. doi: 10.3928/1081-597X-19960201-03. [DOI] [PubMed] [Google Scholar]
  10. Hamberg-Nyström H., Tengroth B., Fagerholm P., Epstein D., van der Kwast E. M. Patient satisfaction following photorefractive keratectomy for myopia. J Refract Surg. 1995 May-Jun;11(3 Suppl):S335–S336. doi: 10.3928/1081-597X-19950502-30. [DOI] [PubMed] [Google Scholar]
  11. Helmy S. A., Salah A., Badawy T. T., Sidky A. N. Photorefractive keratectomy and laser in situ keratomileusis for myopia between 6.00 and 10.00 diopters. J Refract Surg. 1996 Mar-Apr;12(3):417–421. doi: 10.3928/1081-597X-19960301-17. [DOI] [PubMed] [Google Scholar]
  12. Migden M., Elkins B. S., Clinch T. E. Phototherapeutic keratectomy for corneal scars. Ophthalmic Surg Lasers. 1996 May;27(5 Suppl):S503–S507. [PubMed] [Google Scholar]
  13. Moodaley L., Liu C., Woodward E. G., O'Brart D., Muir M. K., Buckley R. Excimer laser superficial keratectomy for proud nebulae in keratoconus. Br J Ophthalmol. 1994 Jun;78(6):454–457. doi: 10.1136/bjo.78.6.454. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. O'Brart D. P., Corbett M. C., Lohmann C. P., Kerr Muir M. G., Marshall J. The effects of ablation diameter on the outcome of excimer laser photorefractive keratectomy. A prospective, randomized, double-blind study. Arch Ophthalmol. 1995 Apr;113(4):438–443. doi: 10.1001/archopht.1995.01100040054026. [DOI] [PubMed] [Google Scholar]
  15. O'Brart D. P., Lohmann C. P., Fitzke F. W., Smith S. E., Kerr-Muir M. G., Marshall J. Night vision after excimer laser photorefractive keratectomy: haze and halos. Eur J Ophthalmol. 1994 Jan-Mar;4(1):43–51. doi: 10.1177/112067219400400108. [DOI] [PubMed] [Google Scholar]
  16. O'Brart D. P., Muir M. G., Marshall J. Phototherapeutic keratectomy for recurrent corneal erosions. Eye (Lond) 1994;8(Pt 4):378–383. doi: 10.1038/eye.1994.90. [DOI] [PubMed] [Google Scholar]
  17. Orndahl M., Fagerholm P., Fitzsimmons T., Tengroth B. Treatment of corneal dystrophies with excimer laser. Acta Ophthalmol (Copenh) 1994 Apr;72(2):235–240. doi: 10.1111/j.1755-3768.1994.tb05022.x. [DOI] [PubMed] [Google Scholar]
  18. Pallikaris I. G., Papatzanaki M. E., Siganos D. S., Tsilimbaris M. K. A corneal flap technique for laser in situ keratomileusis. Human studies. Arch Ophthalmol. 1991 Dec;109(12):1699–1702. doi: 10.1001/archopht.1991.01080120083031. [DOI] [PubMed] [Google Scholar]
  19. Pallikaris I. G., Siganos D. S. Excimer laser in situ keratomileusis and photorefractive keratectomy for correction of high myopia. J Refract Corneal Surg. 1994 Sep-Oct;10(5):498–510. [PubMed] [Google Scholar]
  20. Salah T., Waring G. O., 3rd, el-Maghraby A., Moadel K., Grimm S. B. Excimer laser in-situ keratomileusis (LASIK) under a corneal flap for myopia of 2 to 20 D. Trans Am Ophthalmol Soc. 1995;93:163–190. [PMC free article] [PubMed] [Google Scholar]
  21. Seiler T., McDonnell P. J. Excimer laser photorefractive keratectomy. Surv Ophthalmol. 1995 Sep-Oct;40(2):89–118. doi: 10.1016/s0039-6257(95)80001-8. [DOI] [PubMed] [Google Scholar]
  22. Sutton G., Kalski R. S., Lawless M. A., Rogers C. Excimer retreatment for scarring and regression after photorefractive keratectomy for myopia. Br J Ophthalmol. 1995 Aug;79(8):756–759. doi: 10.1136/bjo.79.8.756. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Talley A. R., Hardten D. R., Sher N. A., Kim M. S., Doughman D. J., Carpel E., Ostrov C. S., Lane S. S., Parker P., Lindstrom R. L. Results one year after using the 193-nm excimer laser for photorefractive keratectomy in mild to moderate myopia. Am J Ophthalmol. 1994 Sep 15;118(3):304–311. doi: 10.1016/s0002-9394(14)72953-8. [DOI] [PubMed] [Google Scholar]
  24. Taylor H. R., Guest C. S., Kelly P., Alpins N. A. Comparison of excimer laser treatment of astigmatism and myopia. The Excimer Laser and Research Group. Arch Ophthalmol. 1993 Dec;111(12):1621–1626. doi: 10.1001/archopht.1993.01090120043019. [DOI] [PubMed] [Google Scholar]
  25. Thomann U., Meier-Gibbons F., Schipper I. Phototherapeutic keratectomy for bullous keratopathy. Br J Ophthalmol. 1995 Apr;79(4):335–338. doi: 10.1136/bjo.79.4.335. [DOI] [PMC free article] [PubMed] [Google Scholar]
  26. Tuunanen T. H., Tervo T. M. Excimer laser phototherapeutic keratectomy for corneal diseases: a follow-up study. CLAO J. 1995 Jan;21(1):67–72. [PubMed] [Google Scholar]
  27. Ward M. A., Artunduaga G., Thompson K. P., Wilson L. A., Stulting R. D. Phototherapeutic keratectomy for the treatment of nodular subepithelial corneal scars in patients with keratoconus who are contact lens intolerant. CLAO J. 1995 Apr;21(2):130–132. [PubMed] [Google Scholar]

Articles from Postgraduate Medical Journal are provided here courtesy of BMJ Publishing Group

RESOURCES