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March 28, 2023
1 min learn
Source/Disclosures
Published by:
Trattler W. The way forward for refractive surgical procedure: Trends and future improvements. Presented at: Telling It Like It Is 2023; Feb. 15-19, 2023. Tampa, Florida.
Disclosures:
Trattler reviews having disclosures for AcuFocus, Alcon, Allergan, ArcScan, Avellino Labs, Avedro/Glaukos, Azura Ophthalmics, Bausch + Lomb, BVI, CXLO, Guardian Health, Johnson & Johnson, Kala, Lensar, Ocular Therapeutix, Oculus, Omeros, RxSight, Sight Sciences, Sun, TissueTech/BioTissue, Zeiss and Zepto.
Key takeaways:
- While present refractive surgical procedure applied sciences are efficient, surgeons ought to seek for higher remedies.
- Future tendencies embrace increasing candidacy, enhancing refractive procedures and adopting improvements.
TAMPA, Fla. — Expanding candidacy, enhancing procedures and adopting new improvements are key to advancing refractive surgical procedure sooner or later, in line with a speaker on the Telling It Like It Is assembly.
“Overall, our goal is to get our patients out of glasses, out of contact lenses,” William B. Trattler, MD, mentioned. “Our current technologies are really safe and effective, but we’re always looking for bigger and better.”
Image: Adobe Stock
In laying a possible pathway for the way forward for refractive surgical procedure, Trattler mentioned it ought to begin with increasing the vary of candidacy for procedures. While most sufferers he sees are candidates for refractive surgical procedure, some are usually not. Example of borderline candidates embrace sufferers with vital dry eye, delicate irregular astigmatism or a historical past of RK. Poor candidates embrace sufferers with keratoconus with lack of visible acuity and sufferers with Fuchs’ corneal dystrophy.
Trattler mentioned present procedures might want to enhance to raised deal with sufferers. He has seen numerous advances within the final 25 years alone, similar to higher diagnostics and improved laser remedies, and advances in epithelial mapping have helped enhance outcomes with present LASIK, PRK and SMILE procedures.
“PRK is a better procedure than it was 15 year ago with less discomfort,” he mentioned. “Our future will be if we can get our patients to be painless, as well as faster vision recovery and avoiding haze.”
Finally, Trattler mentioned innovation will probably be vital to enhancing refractive surgical procedure. One space of examine that pursuits him is harnessing index of refraction within the cornea or lens to enhance imaginative and prescient.
“This is still very investigational, so we have a ways to go before this will be available,” he mentioned. “It might be a treatment for our patients with keratoconus that aren’t eligible for LASIK or PRK, but maybe that’s a way we can change their prescription in a nice way.”
Telling It Like It Is
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