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LASIK Flap Creation With the Ziemer Femtosecond Laser in 787 Consecutive Eyes
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LASIK Flap Creation With the Ziemer Femtosecond Laser in 787 Consecutive Eyes
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Journal Article
LASIK Flap Creation With the Ziemer Femtosecond Laser in 787 Consecutive Eyes
2010
Overview
PURPOSE:
To present the flap characteristics and short-term efficacy and safety of 787 consecutive LASIK procedures with the FEMTO LDV femtosecond laser (Ziemer Ophthalmic Systems) for the treatment of refractive errors.
METHODS:
Seven hundred eighty-seven consecutive eyes of 405 previously non-operated patients were treated with the FEMTO LDV. Intended flap thickness was 110 µm and intended flap diameter varied from 8.5 to 9.5 mm. Refractive treatment was performed with the WaveLight ALLEGRETTO WAVE Concerto 500 Hz excimer laser. All eyes were wavefront-optimized.
RESULTS:
The mean flap thickness, measured by ultra-sound pachymetry, was 90.0±5.5 µm (range: 67 to 107 µm) in right eyes and 90.1±4.6 µm (range: 77 to 106 µm) in left eyes. Mean flap diameter was 9.1±0.2 mm (range: 8.4 to 9.9 mm) in right eyes and 9.1±0.2 mm (range: 8.0 to 10.0 mm) in left eyes. Increasing flap thickness was correlated with increasing corneal thickness in right eyes and flatter keratometric value K1 in left eyes. The most common complication was minor bleeding during the procedure (12.7%). All other complications were rare (8.4%), and none prevented further laser ablation.
CONCLUSIONS:
The Ziemer FEMTO LDV laser created thinner LASIK flaps than intended but with a low standard deviation and minimal intraoperative complications. [J Refract Surg. 2010;26:7–16.]
