Refractive surgery beyond 2020.
Marcus AngDamien GatinelDan Z ReinsteinErik MertensJorge L Alió Del BarrioJorge L AlióPublished in: Eye (London, England) (2020)
Refractive surgery refers to any procedure that corrects or minimizes refractive errors. Today, refractive surgery has evolved beyond the traditional laser refractive surgery, embodied by the popular laser in situ keratomileusis or 'LASIK'. New keratorefractive techniques such as small incision lenticule extraction (SMILE) avoids corneal flap creation and uses a single laser device, while advances in surface ablation techniques have seen a resurgence in its popularity. Presbyopic treatment options have also expanded to include new ablation profiles, intracorneal implants, and phakic intraocular implants. With the improved safety and efficacy of refractive lens exchange, a wider variety of intraocular lens implants with advanced optics provide more options for refractive correction in carefully selected patients. In this review, we also discuss possible developments in refractive surgery beyond 2020, such as preoperative evaluation of refractive patients using machine learning and artificial intelligence, potential use of stromal lenticules harvested from SMILE for presbyopic treatments, and various advances in intraocular lens implants that may provide a closer to 'physiological correction' of refractive errors.
Keyphrases
- cataract surgery
- minimally invasive
- coronary artery bypass
- artificial intelligence
- end stage renal disease
- surgical site infection
- chronic kidney disease
- newly diagnosed
- ejection fraction
- machine learning
- soft tissue
- peritoneal dialysis
- prognostic factors
- patients undergoing
- bone marrow
- emergency department
- deep learning
- human health
- climate change