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Article citations


Ziaei, M., Barsam, A., Shamie, N., Vroman, D., Kim, T., Donnenfeld, E., Holland, E., Kanellopoulos, J., Mah, F., Randleman, B., Daya, S. and Guell, J. (2015) Reshaping Procedures for the Surgical Management of Corneal Ectasia. Journal of Cataract & Refractive Surgery, 41, 842-872.

has been cited by the following article:

  • TITLE: Femtosecond Laser-Assisted Refractive Autokeratoplasty: A Pilot Study

    AUTHORS: Halina Viktorovna Sitnik, Aleksey Yurevich Slonimsky, Yuriy Borisovich Slonimsky, Tatsiana Aleksandrovna Imshenetskaya

    KEYWORDS: Keratoconus, Keratoplasty, Autokeratoplasty, Femtosecond Laser

    JOURNAL NAME: Open Journal of Ophthalmology, Vol.6 No.2, May 12, 2016

    ABSTRACT: Purpose: To develop a new method of femtosecond laser-assisted refractive autokeratoplasty (FRAK) in advanced keratoconus and to evaluate preliminarily early clinical results. Methods: A total of 17 patients with stable advanced keratoconus and a mean age of 33 ± 8.4 years were included in the study. FRAK was performed in all cases with the IntraLase 60 kHz (Abbott Medical Optics Inc.). A 2-step resection of corneal stroma was performed using the femtosecond laser, with the generation of a circular corneal flap with wedge-shaped profile. After flap removal, the corneal wound was sutured. Results: The surgical procedure and early postoperative period were uneventful in all cases. Mean uncorrected distance visual acuity (UDVA) improved significantly from 0.07 ± 0.03 preoperatively to 0.26 ± 0.13 at 3 months after surgery. Improvement in corrected distance visual acuity (CDVA) was observed in 94.1% of cases, with 76.5% of eyes showing an improvement of more than 3 lines. Between 3 and 6 months after surgery, an additional improvement was observed in UDVA and CDVA. Corneal cylinder decreased significantly from 9.1 ± 3.8 D preoperatively to 4.4 ± 2.75 D at 6 months postoperatively. Conclusions: FRAK may be an alternative treatment in stable advanced keratoconus, allowing a significant visual improvement and corneal regularization while saving the patient's own corneal tissue. The non-penetrating nature of the surgical technique helps to minimize the risks associated to this type of surgery. Further research is needed to determine the functional long-term outcomes.