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EN
The role of corneal biomechanical properties in patients referred to laser vision correction (LVC) is currently being raised. Understanding of corneal biomechanics may support the proper selection of refractive surgery candidates, improve the refractive outcomes and safety of refractive procedures. The Ocular Response Analyzer (ORA) and Corvis ST are commonly used devices to assess corneal biomechanical parameters in LVC. The vertical corneal incisions have a greater impact on corneal biomechanics weakening than horizontal incisions. Maintaining the high biomechanical strength of the cornea following LVC can decrease the potential risk of postoperative ectasia.
EN
The paper reports an overview of the currently available and registered laser platforms to treat presbyopia. A close attention has been paid to monovision as the most popular treatment method across the world. Postoperative limitations and preoperative criteria, including ocular dominance, form part of this report. Differences between the regular monovision and the novel micromonovision protocols (Laser Blended Vision) have been emphasised. Various multifocal ablation protocols have been described with their limitations and possible side effects. As with every treatment modality, safety and efficacy play important roles, and the article presents the available data concerning both of the parameters.
PL
W artykule dokonano przeglądu zarejestrowanych platform używanych w leczeniu starczowzroczności. Szczególną uwagę poświęcono monowizji, będącej obecnie najbardziej popularną laserową metodą korekcji tej dolegliwości. Przedstawiono jej ograniczenia i kryteria kwalifikacji pacjentów, zwracając uwagę na rolę dominacji ocznej. Podkreślono różnicę między tradycyjną monowizją a zabiegami mikromonowizji (LBV, laser blended vision). Opisano także aktualne protokoły ablacji wieloogniskowej i ich ograniczenia. Przedstawiono wyniki i profil bezpieczeństwa laserowych metod korekcji starczowzroczności.
EN
Laser vision correction became a popular method of refractive error treatment. The laser vision correction techniques influence the corneal biomechanical properties including corneal hysteresis and corneal resistance factor. The ocular response analyzer and Corvis ST devices are used in clinical practice to measure the corneal biomechanics. Reasonable laser treatment planning, taking into account the impact on corneal biomechanics, may potentially improve the safety of the refractive procedures. Thicker caps in refractive lenticule extraction and thinner flaps in flap-related procedures promote better corneal biomechanics preservation. The myopic refractive treatment appears to have a greater effect on corneal biomechanics weakening than hyperopic correction.
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