Elliptical ELSA (LASEK) instruments for the treatment of astigmatism

Chris P. Lohmann, Christoph Winkler Von Mohrenfels, Wolfgang Herrmann, Bernhard Gabler, Thomas Laube, John Marshall

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Purpose: To investigate newly designed, elliptical ELSA (excimer laser subepithelial ablation) instruments for the treatment of astigmatism. Setting: University Eye Clinic Regensburg, Regensburg, Germany, and the Rayne Institute, Department of Ophthalmology, St. Thomas' Hospital, London, United Kingdom. Methods: The new ELSA instrument set consists of an elliptical microtrephine (11.0 mm × 8.0 mm) with a 70 μm calibrated blade and an elliptical alcohol cone (11.5 mm × 8.5 mm). With this instrument set, ELSA (the laser-assisted subepithelial keratectomy [LASEK] described by Camellin) was performed in 34 astigmatic -eyes. The cylindrical correction was between 1.00 diopters (D) and 3.50 D and the spherical correction, between -0.75 D and -8.75 D. In all eyes, the follow-up was 6 months. The postoperative refractive outcome was analyzed using Alpins vector analysis. Results: Excimer laser subepithelial ablation was performed without intraoperative complications in all eyes. At 6 months, the mean spherical correction was -0.04 D ± 0.27 (SD) (range +0.75 to -0.75 D) and the mean cylindrical correction, 0.27 ± 0.23 D (range 0 to 0.75 D). The mean index of success was 0.18 ± 0.15. Conclusions: With the elliptical instruments, ELSA was an effective and safe surgical procedure for astigmatism.

Original languageEnglish
Pages (from-to)2174-2180
Number of pages7
JournalJournal of Cataract and Refractive Surgery
Volume29
Issue number11
DOIs
StatePublished - Nov 2003
Externally publishedYes

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