Small-Incision Corneal Intrastromal Lenticule Extraction: Lessons Learned
Purpose
To communicate concepts learned in the authors first ninety small incision corneal intrastromal lenticule extraction cases. To share with the attendees that cerebral, tactile, physical and 3-dimensional understanding of the small incision intrastromal technique must be appreciated for a successful transition to this new corneal refractive procedure.
Methods
Ninety eyes of ninety spherically myopic patients underwent unilateral lenticule extraction with a femtosecond laser with a refractive goal of emmetropia. Three-dimensional strategies, varied instrumentation, lighting and dissection techniques were evaluated on serial cases and results tabulated.
Results
An optimized technique was the goal of this report. Video segments will be provided to the audience to elucidate how different strategies effect tissue identification, manipulation and removal.
Conclusion
Corneal intrastromal tissue removal through a small incision for the reduction if not elimination of myopia is an emerging surgical procedure in which surgeon input can be used to optimize the result.