Refraktive Hornhautchirurgie: Nachkorrekturen

Zusammenfassung

In den 30 Jahren seit Beginn der laserassistierten Hornhautchirurgie sind die Techniken zur Korrektur von Fehlsichtigkeiten weiterentwickelt und verbessert worden. Dennoch muss ein Teil der Patienten nachkorrigiert werden, u. a. wegen residualer Refraktionsfehler. Darüber soll im Folgenden berichtet werden.

Abstract

This review article focusses on the management of enhancements after corneal refractive laser surgery. Fundamental issues regarding enhancement embrace identification of the underlying reason for postoperative ametropia, assurance of stability of refraction, type of primary refractive laser treatment and thorough evaluation of the given anatomical parameters of the cornea. With respect to specific inclusion and exclusion criteria, different surgical options for enhancement strategies are displayed with their particular advantages and disadvantages including preoperative planning of the according laser parameters and postoperative patient management.

Schlüsselwörter

Refraktive Laser - Nachkorrekturen - Oberflächenablation - LASIK - SMILE

Key words

refractive laser - enhancement - surface ablation - LASIK - SMILE

• Literatur

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