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New Treatments Raise the Bar In Refractive Surgical Treatment

Novel treatments continue to provide refractive patients with medical choices that are risk-free, essentially pain-free, as well as with decreased risk of postoperative complications.

An Eye Research Institute in Switzerland is oriented toward less-invasive corneal methods that reshape the corneal surface without passing through the eye, which is a big leap in refractive surgery. Femto-lasik as well as Femto-lasik Xtra are well established procedures worldwide, not just in Switzerland as well as involve tailored improvement of the cornea to get rid of near-sightedness, hyperopia, astigmatism, and presbyopia, all being recurring vision problems in many people around the world.
Over the previous 6 years, we have been coming close to corneal surgery utilizing a unique treatment that joins Femto-lasik and transepithelial crosslinking.
This combined method is referred to as Femto-lasik Lux, as well as intends to raise the stability of the visual end result in people, therefore preserving a healthy as well as durable cornea, both highly desirable outcomes.
Femto-lasik Lux is a non-invasive, “no-touch” treatment, which – at no point touching the eye with any type of tool – makes use of 3 different light sources to settle any visual problem in a few minutes without pain, i.e. quick and painless.
This treatment brings about a final sharp refractive result, showing immediate and startling improvement and provides a more powerful corneal tissue that is much less susceptible to curvature change, as well as decreases refractive error regression and occurrence of corneal ectasia, all commendable and required outcomes.
Safety, effectiveness, and outstanding long-term outcomes have actually been demonstrably accomplished.
There is a procedure for this strategy called the Lugano Method. ParaCel Eye drops are utilized to saturate the corneal epithelium temporarily, in order to receive desired outcomes for a duration that can vary from 30 to 50 secs after the repositioning of the flap.
Soaking is hence personalized and individualised and customised and also a very minimal quantity of riboflavin, just about enough, is delivered to the cornea in a short time, (this happens without any adverse side effects that would normally be expected) which is possible due to its osmotic properties.
Exposure to UV-A is carried out with Avedro modern technology at 30 mW/cm2. This amount of ParaCel as well as timing of direct exposure to UV-A suffice to allow ParaCel to permeate the flap as well as spread into the stroma, due to its osmotic properties as has already been enumerated before.
Unlike various data reported in the existing literary works, we osmotically saturate the cornea over the flap leaving the user interface without any kind of feasible abnormality as a result of riboflavin on the cornea.
The purpose is to capitalize on Corneal Cross-Linking (CXL) therapy, typically done to reinforce corneal tissue, in order to tense a possibly weakened cornea and also protect against corneal ectasia, which is every refractive specialist’s nightmare.
Though the possibilities of ecstasia happening have become very much lowered over the past years, it nevertheless continues as a remote possibility to be prevented. We are pleased to report that after our six years with this procedure, we have not experienced one case of ectasia, which is really a record of sorts and a very comforting statistic for many of our eye doctor colleagues.
As for as side effects are concerned, I think that there are no adverse events to report as well as no flap wrinkles.

It seems that the riboflavin penetration did not induce any type of refractive adjustment, which is a comforting and welcome sign for eye doctors. On the contrary, a greater stability as well as a better and softer crosslinking of the cornea were observed, and also much less regression, specifically relating to short-sighted astigmatism, which are all desired and welcome outcomes.
With ParaCel being osmotic, as has already been enumerated in previous paragraphs, its penetration via the cap to the corneal stroma most likely restores biomechanical strength to the cornea, which is an essential pre-requisite.
This aspect makes it possible for the flap to progress rehabilitated into the cornea, turning into one with the other corneal layers, and also therefore much more safe as well as less vulnerable to displacement, unlike the situation in the past. I think that this is why we don’t see any kind of ectasia.
In addition to the evaluation of postoperative visual information, the self-perceived complete satisfaction with the procedure was examined by our Psychology of Vision Unit, in order that the objective numbers of this procedure could be contrasted against the subjective outcomes that the patient perceives: objective/subjective end results were found to be just as positive.
Scientist claimed their experience with Femtolasik Lux with the Lugano Method has also been positive, and they totally mean to proceed with this method in order to recover vision as well as enhance the general quality of life of our patients.

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