Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2020, Vol. 34 ›› Issue (2): 67-71.doi: 10.6040/j.issn.1673-3770.1.2020.010

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The efficacy and disadvantages of three excimer laser surface cutting surgeries

CUI Ge, JIANG YangOverview,LI YingGuidance   

  1. Department of Ophthalmology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China
  • Published:2020-04-07

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Abstract: Contemporary excimer laser surgery includes both stoma and surface cutting surgeries. The advantages of surface cutting surgery are stable postoperative biomechanics and no flap related complications. However, the disadvantages include postoperative pain, haze under the corneal epithelium, long term use of glucocorticoids, and refractive regression. Surface cutting operations include photorefractive keratectomy(PRK), TransPRK, laser-assisted sub-epithelial keratectomy(LASEK), and Epi-laser assisted in-situ keratomileusis(Epi-LASIK). Of these, TransPRK is a truly contactless operation and involves only one set of epithelial and matrix cutting. The procedure is widely favored due to the ability to make more accurate cuts. Complications such as postoperative pain, haze, and retractive regression are the three most common complications after surface cutting surgery.

Key words: Excimer laser surface cutting surgery, TransPRK, Pain, haze, Refractive regression

CLC Number: 

  • R778
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