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- W2111174624 abstract "In the consultation section of the January issue,1 the refractive surgical problem involved a patient who was operated on for a pterygium but the surgeon did not know that laser in situ keratomileusis (LASIK) had been performed 10 years previously. The LASIK flap was excised during surgery, and irregular astigmatism and corneal scarring developed. The patient's visual acuity deteriorated to 20/100. All the options presented to solve the problem are worth evaluation; however, there is an additional therapeutic option that was not presented. Customized transepithelial no-touch ablation is an all-automated transepithelial treatment that is ideal for cases such as this patient. We reported excellent results after treating 48 eyes with a severe irregular astigmatism for different reasons.A The issue in the consultation case is irregular astigmatism and corneal scarring after inadvertent LASIK flap removal. The CIPTA (corneal interactive programmed topographic ablation) program of the iVis laser (iVis Technologies) that we use calculates the ablation profile based on the measured topography, which corresponds to the epithelial surface. Since the epithelium may show marked variations in thickness in corneas with irregular astigmatism, an irregular corneal surface must be expected after a conventional photorefractive keratectomy. Moreover, it acts as a masking substance during this treatment. The software is also able to calculate a new morphological surface and ablation center for corneas in which the visual axis changed because of the irregular astigmatism (2nd-order aberration). In these complex ablations, a laser frequency of 1 kHz minimizes the treatment time." @default.
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- W2111174624 date "2010-08-01" @default.
- W2111174624 modified "2023-09-27" @default.
- W2111174624 title "C-Ten as ideal therapeutic option" @default.
- W2111174624 cites W2911530085 @default.
- W2111174624 doi "https://doi.org/10.1016/j.jcrs.2010.05.009" @default.
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