Saturday, July 31, 2010

New Study shows All Laser (Bladefree) LASIK safer than conventional LASIK with a blade

New study shows all laser LASIK decreases the risk of dry eyes after LASIK. We are proud to offer the All-Laser (Femtosecond) LASIK to all our patients at Piedmont Better Vision. An abstract of the published article can be seen below.

Dry eye associated with laser in situ keratomileusis: Mechanical microkeratome versus femtosecond laser published by Salomão MQ et al, from the Cleveland Clinic.

Abstract of published article in the Journal of Cataract and Refractive Surgery.

PURPOSE: To compare the incidence of laser in situ keratomileusis (LASIK)-associated dry eye and the need for postoperative cyclosporine A treatment after flap creation with a femtosecond laser and a mechanical microkeratome. SETTING: Cole Eye Institute, Cleveland, Ohio, USA. METHODS: Eyes were randomized to flap creation with an IntraLase femtosecond laser (30 or 60 kHz) or a Hansatome microkeratome. No patient had signs, symptoms, or treatment of dry eye preoperatively. Flap thickness was determined by intraoperative ultrasonic pachymetry. Slitlamp assessments of the cornea and need for postoperative dry-eye treatment were evaluated preoperatively and 1 month postoperatively. RESULTS: The flap was created with the femtosecond laser in 113 eyes and with the microkeratome in 70 eyes. The difference in mean central flap thickness between the femtosecond group (111 mum +/- 14 [SD]) and the microkeratome group (131 +/- 25 mum) was statistically significant (P<.001). The incidence of LASIK-associated dry eye was statistically significantly higher in the microkeratome group (46%) than in the femtosecond group (8%) (P<.0001), as was the need for postoperative cyclosporine A treatment (24% and 7%, respectively) (P<.01). In the microkeratome group, there was no correlation between thick flaps and a higher incidence of LASIK-induced dry eye. CONCLUSIONS: Eyes with femtosecond flaps had a lower incidence of LASIK-associated dry eye and required less treatment for the disorder. In addition to neurotrophic effects from corneal nerve cutting, other factors may be important because no correlation was found between flap thickness (or ablation depth) and the incidence of LASIK-induced dry eye.

Monday, July 5, 2010

International Summer School in Lecce, Italy



The International Summer School in Lecce, Italy. Hosted by the University of Bologna, Dept. of Ophthalmology. Professor Sergio Scalinci hosted a great session! An honor to be a part of the faculty for the superb meeting.

Friday, July 2, 2010

1st European Cornea Society (EUCornea Meeting) in Venice, Italy







What an honor to speak at the inaugural annual European Cornea Society Meeting in Venice, Italy. This was my first time in Venice. What a beautiful and amazing city!! Excellent meeting and the Italians clinician scientists were perfect hosts.





Spent a few days before the meeting in Florence to learn about the amazing history of Italy and its Florentine artists like Michelangelo. Also took a tour of the countryside in Tuscany. Magnificent views!