PMID: 15232474Jul 3, 2004Paper

Update on laser subepithelial keratectomy (LASEK)

Current Opinion in Ophthalmology
Richard W Yee, Steven B Yee

Abstract

This study reviews current concepts in laser subepithelial keratectomy (LASEK), variations in LASEK techniques, the role of pharmacology in LASEK, and optimizing outcomes in LASEK. Recent studies continue to support the use of LASEK over that of LASIK in the correction of refractive error. In addition, the advent of pharmacological/biologic intervention, improved algorithms, and wavefront technology have expanded the armamentarium available to ophthalmologists in the maximization of LASEK outcomes. LASEK offers an excellent profile in terms of both final outcome (uncorrected visual acuity) and safety (best corrected visual acuity). Untoward effects of LASEK are readily prevented/treated with a variety of agents. Postoperative pain can be ameliorated using topical and oral analgesia. Infection can be most effectively addressed with the fourth generation of fluoroquinolones. Haze may be treated or prevented using numerous remedies namely autologous serum, steroids, ascorbic acid, mitomycin-c, and NSAIDS. Wavefront combined with LASEK rather than with LASIK may offer the best refractive outcome.

References

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Citations

Jan 19, 2011·Journal of Cataract and Refractive Surgery·Suphi TaneriDimitri T Azar
May 25, 2010·Journal of Cataract and Refractive Surgery·Jessica LieGerrit R J Melles
Jun 23, 2009·Survey of Ophthalmology·Miguel A TeusJorge L Alió
Sep 22, 2012·Acta Ophthalmologica·Kyung-Chul YoonJin Choi
Feb 24, 2016·The Cochrane Database of Systematic Reviews·Shi-Ming LiNing-Li Wang
Sep 5, 2006·European Journal of Ophthalmology·D de OrtuetaH Baatz
Jul 19, 2017·Clinical & Experimental Optometry : Journal of the Australian Optometrical Association·Hanife Tuba AkcamAhmet Murad Hondur
Feb 14, 2008·Journal of Refractive Surgery·Massimo Camellin, Daniel Wyler

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