A protocol for topographic-guided corneal repair utilizing the US Food and Drug Administration-approved Wavelight Contoura

Manoj Motwani Motwani LASIK Institute, San Diego, CA, USA Purpose: To demonstrate how Wavelight Contoura can be used to repair corneas damaged by trauma and prior poor surgical outcomes. Methods: Four representative eyes are presented that show different scenarios in which highly irregular corneas...

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Autor principal:	Motwani M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	Corneal ablation laser-assisted in situ keratomileusis LASIK photorefractive keratectomy PRK refractive surgery corneal irregularity corneal trauma decentered excimer laser ablations radial keratotomy higher order aberrations Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/ca27a3134cab49638f5ac8311037880d
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spelling	oai:doaj.org-article:ca27a3134cab49638f5ac8311037880d2021-12-02T03:14:45ZA protocol for topographic-guided corneal repair utilizing the US Food and Drug Administration-approved Wavelight Contoura1177-5483https://doaj.org/article/ca27a3134cab49638f5ac8311037880d2017-03-01T00:00:00Zhttps://www.dovepress.com/a-protocol-for-topographic-guided-corneal-repair-utilizing-the-us-food-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Manoj Motwani Motwani LASIK Institute, San Diego, CA, USA Purpose: To demonstrate how Wavelight Contoura can be used to repair corneas damaged by trauma and prior poor surgical outcomes. Methods: Four representative eyes are presented that show different scenarios in which highly irregular corneas can be corrected with Wavelight Contoura using a protocol (named the San Diego Protocol) designed to use the information in Contoura processing. Both laser-assisted in situ keratomileusis (LASIK) and photorefractive keratectomy (PRK) were used. Results: Highly aberrant corneas with large amounts of warpage can be corrected safely with the Wavelight Contoura system. The San Diego Protocol requires individual analysis of each case with decisions based on the level of warpage and the level of epithelial hyperplastic compensation. The need for a second refractive power equalization procedure should be planned for. Conclusion: Contoura measured refraction can be integrally used as part of the San Diego Protocol to safely repair highly warped corneas. The refractive outcomes show dramatic improvement in vision, best-corrected visual acuity (BCVA), refraction, and topographic uniformity. Keywords: corneal ablation, laser-assisted in situ keratomileusis, photorefractive keratectomy, refractive surgery, corneal irregularity, corneal trauma, decentered excimer laser ablations, radial keratotomy, higher order aberrationsMotwani MDove Medical PressarticleCorneal ablationlaser-assisted in situ keratomileusisLASIKphotorefractive keratectomyPRKrefractive surgerycorneal irregularitycorneal traumadecentered excimer laser ablationsradial keratotomyhigher order aberrationsOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 11, Pp 573-581 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Corneal ablation laser-assisted in situ keratomileusis LASIK photorefractive keratectomy PRK refractive surgery corneal irregularity corneal trauma decentered excimer laser ablations radial keratotomy higher order aberrations Ophthalmology RE1-994
spellingShingle	Corneal ablation laser-assisted in situ keratomileusis LASIK photorefractive keratectomy PRK refractive surgery corneal irregularity corneal trauma decentered excimer laser ablations radial keratotomy higher order aberrations Ophthalmology RE1-994 Motwani M A protocol for topographic-guided corneal repair utilizing the US Food and Drug Administration-approved Wavelight Contoura
description	Manoj Motwani Motwani LASIK Institute, San Diego, CA, USA Purpose: To demonstrate how Wavelight Contoura can be used to repair corneas damaged by trauma and prior poor surgical outcomes. Methods: Four representative eyes are presented that show different scenarios in which highly irregular corneas can be corrected with Wavelight Contoura using a protocol (named the San Diego Protocol) designed to use the information in Contoura processing. Both laser-assisted in situ keratomileusis (LASIK) and photorefractive keratectomy (PRK) were used. Results: Highly aberrant corneas with large amounts of warpage can be corrected safely with the Wavelight Contoura system. The San Diego Protocol requires individual analysis of each case with decisions based on the level of warpage and the level of epithelial hyperplastic compensation. The need for a second refractive power equalization procedure should be planned for. Conclusion: Contoura measured refraction can be integrally used as part of the San Diego Protocol to safely repair highly warped corneas. The refractive outcomes show dramatic improvement in vision, best-corrected visual acuity (BCVA), refraction, and topographic uniformity. Keywords: corneal ablation, laser-assisted in situ keratomileusis, photorefractive keratectomy, refractive surgery, corneal irregularity, corneal trauma, decentered excimer laser ablations, radial keratotomy, higher order aberrations
format	article
author	Motwani M
author_facet	Motwani M
author_sort	Motwani M
title	A protocol for topographic-guided corneal repair utilizing the US Food and Drug Administration-approved Wavelight Contoura
title_short	A protocol for topographic-guided corneal repair utilizing the US Food and Drug Administration-approved Wavelight Contoura
title_full	A protocol for topographic-guided corneal repair utilizing the US Food and Drug Administration-approved Wavelight Contoura
title_fullStr	A protocol for topographic-guided corneal repair utilizing the US Food and Drug Administration-approved Wavelight Contoura
title_full_unstemmed	A protocol for topographic-guided corneal repair utilizing the US Food and Drug Administration-approved Wavelight Contoura
title_sort	protocol for topographic-guided corneal repair utilizing the us food and drug administration-approved wavelight contoura
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/ca27a3134cab49638f5ac8311037880d
work_keys_str_mv	AT motwanim aprotocolfortopographicguidedcornealrepairutilizingtheusfoodanddrugadministrationapprovedwavelightcontoura AT motwanim protocolfortopographicguidedcornealrepairutilizingtheusfoodanddrugadministrationapprovedwavelightcontoura
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A protocol for topographic-guided corneal repair utilizing the US Food and Drug Administration-approved Wavelight Contoura

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