Acta clinica Croatica, Vol. 51. No. 2., 2012.
Conference paper
Excimer Laser Correction of Hyperopia, Hyperopic and Mixed Astigmatism: Past, Present, and Future
Adrian Lukenda
Željka Karaman Martinović
Miro Kalauz
Abstract
The broad acceptance of “spot scanning” or „flying spot“ excimer lasers in the last decade has enabled the domination of corneal ablative laser surgery over other refractive surgical procedures for the correction of hyperopia, hyperopic and mixed astigmatism. This review outlines the most important reasons why the ablative laser correction of hyperopia, hyperopic and mixed astigmatism for many years lagged behind that of myopia. Most of today‘s scanning laser systems, used in the LASI K and PRK procedures, can safely and effectively perform low, moderate and high hyperopic and hyperopic astigmatic corrections. The introduction of these laser platforms has also significantly improved the long term refractive stability of hyperopic treatments. In the future, further improvements in femtosecond and nanosecond technology, eye-tracker systems, and the development of new customized algorithms, such as the ray-tracing method, could additionally increase the upper limit for the safe and predictable corneal ablative laser correction of hyperopia, hyperopic and mixed astigmatism.
Keywords
Hyperopic astigmatism; Hypermetropia; Astigmatism; Excimer laser; Laser in situ keratomileusis (LASIK); Photorefractive keratectomy (PRK); Spot scanning; Flying spot; Laser
Hrčak ID:
106658
URI
Publication date:
1.7.2012.
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