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Accuracy and safety of partial thickness femtosecond laser radial and arcuate keratotomy incisions in porcine eyes

Eye and Vision 2021年第1期8卷 412-421页

作者： E.Valas Teuma Frank A.Bucci Jr Raman Bedi Gary Gray Mark Packer lensar Inc.OrlandoFLUSA Bucci Laser Vision Institute Wilkes-BarreWilkes‑BarrePAUSA IrisARC ChandigarhIndia Packer Research Associates Inc.1400 Bluebell Ave.BoulderCO 80302USA

Background:To evaluate the accuracy and safety of micro radial and arcuate keratotomy incisions constructed by a femtosecond laser system with a curved contact patient interface in porcine eyes.Methods:Partial thickness micro radial and arcuate keratotomy incisions were constructed in porcine eyes with a femtosecond laser system and evaluated for precision of depth,quality,and consistency.Optical coherence tomography was used to determine the accuracy and precision of incision depth.Corneal endothelial safety was assessed by a fluorescent live/dead cell viability assay to demonstrate laser-induced endothelial cell loss.Quality was evaluated by ease of opening and examination of interfaces.Results:In two micro radial incision groups,intended incision depths of 50%and 80%resulted in mean achieved depths of 50.01%and 77.69%,respectively.In three arcuate incision groups,intended incision depths of 80%,600μm or 100μm residual uncut bed thickness resulted in mean achieved depths of 80.16%,603.03μm and residual bed of 115μm,respectively.No loss of endothelial cell density occurred when the residual corneal bed was maintained at a minimum of 85-116μm.The incisions were easy to open,and interfaces were smooth.Conclusions:A femtosecond laser system with curved contact interface created precise and reproducible micro radial and arcuate keratotomy incisions.Accuracy and precision of the incision depth and preservation of endothelial cell density demonstrated the effectiveness and safety of the system.

关键词： Partial thickness micro radial and arcuate keratotomy incisions Curved contact patient interface Micro radial keratotomy Arcuate keratotomy Femtosecond laser system with curved contact interface lensar femtosecond laser system

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