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    Refractive year characterized by expanding array of treatment choices

     

     

    Advances in lasers

    Dr. Gulani noted an excimer laser (VISX, Johnson & Johnson) is his workhorse that can address not only virgin eyes but also complex cases including those referred to him for correcting complications of refractive surgery.

    The new VISX platform launch may coincide with further applications of the femtosecond laser (VisuMax, Carl Zeiss Meditec) in detailing a full application of cornea-based surgery to take the specialty of cornea to an office-based, vision-oriented superspecialty, which is the foundation of Corneoplastique itself.

    With regard to optimizing LASIK outcomes, the advent of topography-guided LASIK (Contoura Vision, Alcon Laboratories) is also leading to better predictability and vision after LASIK.

    “We have been performing topography-guided LASIK this past year with great success and even better postoperative results than in the past,” Dr. Hersh said. “We also have found this procedure useful to correct a number of LASIK problems, such as decentration.”

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