Femtosecond lasers for laser in situ keratomileusis: a systematic review and meta-analysis

Anne Huhtala,1 Juhani Pietilä,1,2 Petri Mäkinen,1,2 Hannu Uusitalo1–3 1Silmäasema Eye Hospital, 2SILK, Department of Ophthalmology, School of Medicine, University of Tampere, 3TAUH Eye Center, Tampere University Hospital, Tampere, Finland Purpose: The aim of th...

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Autores principales:	Huhtala A, Pietilä J, Mäkinen P, Uusitalo H
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	Femtosecond laser laser in situ keratomileusis LASIK Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/fefaec0f708d4ca5ba6cf8821695b8eb
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spelling	oai:doaj.org-article:fefaec0f708d4ca5ba6cf8821695b8eb2021-12-02T08:42:10ZFemtosecond lasers for laser in situ keratomileusis: a systematic review and meta-analysis1177-5483https://doaj.org/article/fefaec0f708d4ca5ba6cf8821695b8eb2016-03-01T00:00:00Zhttps://www.dovepress.com/femtosecond-lasers-for-laser-in-situ-keratomileusis-a-systematic-revie-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Anne Huhtala,1 Juhani Pietilä,1,2 Petri Mäkinen,1,2 Hannu Uusitalo1–3 1Silmäasema Eye Hospital, 2SILK, Department of Ophthalmology, School of Medicine, University of Tampere, 3TAUH Eye Center, Tampere University Hospital, Tampere, Finland Purpose: The aim of this study was to review and meta-analyze whether there are differences between reported femtosecond (FS) lasers for laser-assisted in situ keratomileusis (LASIK) in terms of efficacy, predictability, and safety as primary outcomes and corneal flap thickness measurements and pre- and postoperative complications as secondary outcomes.Methods: A comprehensive literature search of PubMed, Science Direct, Scopus, and Cochrane CENTRAL Trials Library databases was conducted to identify the relevant prospective randomized controlled trials of FS lasers for LASIK. Thirty-one articles describing a total of 5,404 eyes were included.Results: Based on efficacy, IntraLase FS 10 and 30 kHz gave the best results. Based on predictability and safety, there were no differences between various FS lasers. FEMTO LDV and IntraLase FS 60 kHz produced the most accurate flap thicknesses. IntraLase and Wavelight SF200 had the fewest intraoperative complications. IntraLase, Visumax, and Wavelight FS200 had the most seldom postoperative complications.Conclusion: There were dissimilarities between different FS lasers based on efficacy and intraoperative and postoperative complications. All FS lasers were predictable and safe for making corneal flaps in LASIK. Keywords: femtosecond laser, laser in situ keratomileusis, LASIK, meta-analysisHuhtala APietilä JMäkinen PUusitalo HDove Medical PressarticleFemtosecond laserlaser in situ keratomileusisLASIKOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2016, Iss Issue 1, Pp 393-404 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Femtosecond laser laser in situ keratomileusis LASIK Ophthalmology RE1-994
spellingShingle	Femtosecond laser laser in situ keratomileusis LASIK Ophthalmology RE1-994 Huhtala A Pietilä J Mäkinen P Uusitalo H Femtosecond lasers for laser in situ keratomileusis: a systematic review and meta-analysis
description	Anne Huhtala,1 Juhani Pietilä,1,2 Petri Mäkinen,1,2 Hannu Uusitalo1–3 1Silmäasema Eye Hospital, 2SILK, Department of Ophthalmology, School of Medicine, University of Tampere, 3TAUH Eye Center, Tampere University Hospital, Tampere, Finland Purpose: The aim of this study was to review and meta-analyze whether there are differences between reported femtosecond (FS) lasers for laser-assisted in situ keratomileusis (LASIK) in terms of efficacy, predictability, and safety as primary outcomes and corneal flap thickness measurements and pre- and postoperative complications as secondary outcomes.Methods: A comprehensive literature search of PubMed, Science Direct, Scopus, and Cochrane CENTRAL Trials Library databases was conducted to identify the relevant prospective randomized controlled trials of FS lasers for LASIK. Thirty-one articles describing a total of 5,404 eyes were included.Results: Based on efficacy, IntraLase FS 10 and 30 kHz gave the best results. Based on predictability and safety, there were no differences between various FS lasers. FEMTO LDV and IntraLase FS 60 kHz produced the most accurate flap thicknesses. IntraLase and Wavelight SF200 had the fewest intraoperative complications. IntraLase, Visumax, and Wavelight FS200 had the most seldom postoperative complications.Conclusion: There were dissimilarities between different FS lasers based on efficacy and intraoperative and postoperative complications. All FS lasers were predictable and safe for making corneal flaps in LASIK. Keywords: femtosecond laser, laser in situ keratomileusis, LASIK, meta-analysis
format	article
author	Huhtala A Pietilä J Mäkinen P Uusitalo H
author_facet	Huhtala A Pietilä J Mäkinen P Uusitalo H
author_sort	Huhtala A
title	Femtosecond lasers for laser in situ keratomileusis: a systematic review and meta-analysis
title_short	Femtosecond lasers for laser in situ keratomileusis: a systematic review and meta-analysis
title_full	Femtosecond lasers for laser in situ keratomileusis: a systematic review and meta-analysis
title_fullStr	Femtosecond lasers for laser in situ keratomileusis: a systematic review and meta-analysis
title_full_unstemmed	Femtosecond lasers for laser in situ keratomileusis: a systematic review and meta-analysis
title_sort	femtosecond lasers for laser in situ keratomileusis: a systematic review and meta-analysis
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/fefaec0f708d4ca5ba6cf8821695b8eb
work_keys_str_mv	AT huhtalaa femtosecondlasersforlaserinsitukeratomileusisasystematicreviewandmetaanalysis AT pietilaj femtosecondlasersforlaserinsitukeratomileusisasystematicreviewandmetaanalysis AT makinenp femtosecondlasersforlaserinsitukeratomileusisasystematicreviewandmetaanalysis AT uusitaloh femtosecondlasersforlaserinsitukeratomileusisasystematicreviewandmetaanalysis
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Femtosecond lasers for laser in situ keratomileusis: a systematic review and meta-analysis

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