Surgical Correction of Myopia

Abstract

Myopia is the most prevalent refractive error in the world and its incidence is increasing. Together with conservative methods of treatment, various surgical methods have been proposed. Corneal refractive surgery is probably the most accepted one. Laser in situ keratomileusis (LASIK), photorefractive keratectomy (PRK), and small incision lenticule extraction (SMILE) are suitable for treatment of myopia up to −8.00 D in the younger age group. For patients not suitable for corneal refractive surgery, lens-based procedures are available. Phakic intraocular lenses are suitable for patients younger than 45 years of age with high myopia or some other contraindications for corneal refractive surgery. For older patients, refractive lens exchange (RLE) with implantation of multifocal or monofocal intraocular lenses is gaining popularity.

Medical femtosecond laser

“…The German company SCHWIND with the medical device SCHWIND ATOS FS (up to 4 MHz, 75-135 nJ) received the European conformity approval for its Smart-Sight application to extract lenticules in July 2020 [28,29] (Fig. 8).…”

Effect of Clear and Femto-Lasik Kerato-Refractive Surgery on Corneal Biomechanical Parameters in Patients With Myopia in Dynamics

“…Рефракционная хирургия продолжает активно развиваться в настоящее время и широко применяется в коррекции как первичной, так и вторичной аметропии [1][2][3][4]. Широкое распространение рефракционной хирургии не может не направить вектор внимания офтальмологов на изучение биомеханических свойств роговицы, так как эксимерлазерная абляция стромы роговицы и формирование роговичного лоскута при клапанных кераторефракционных технологиях (LASIK, FemtoLasik) наряду с нарушением анатомической целостности роговицы способствуют изменению ее биомеханических свойств.…”