Laser eye surgery: Safe and effective for correction of refractive errors

In print

Laser eye surgery: Safe and effective for correction of refractive errors

By Sunny Li and Mo Ziaei
Eye Health Figure 1
Steps involved in laser in-situ keratomileusis surgery [Supplied]

This article focuses on the three most common laser-based refractive surgeries currently offered in New Zealand

This article has been endorsed by the RNZCGP and has been approved for up to 0.25 CME credits for continuing professional development purposes (1 cred, Educate small, BACK panel - grey

1. WHO. Blindness and vision impairment. 14 October 2021.

2. GBD 2019 Blindness and Vision Impairment Collaborators; Vision Loss Expert Group of the Global Burden of Disease Study. Causes of blindness and vision impairment in 2020 and trends over 30 years, and prevalence of avoidable blindness in relation to VISION 2020: the Right to Sight: an analysis for the Global Burden of Disease Study. Lancet Glob Health 2021;9(2):e144–60.

3. Uncorrected refractive error: the major and most easily avoidable cause of vision loss. Community Eye Health 2007;20(63):37–39.

4. Tahhan N, Papas E, Fricke TR, et al. Utility and uncorrected refractive error. Ophthalmology 2013;120(9):1736–44.

5. Lou L, Yao C, Jin Y, et al. Global patterns in health burden of uncorrected refractive error. Invest Ophthalmol Vis Sci 2016;57(14):6271–77.

6. Fares U, Al-Aqaba MA, Otri AM, et al. A review of refractive surgery. European Ophthalmic Review 2011;5(1):50–55.

7. Shortt AJ, Allan BDS, Evans JR. Laser-assisted in-situ keratomileusis (LASIK) versus photorefractive keratectomy (PRK) for myopia. Cochrane Database Syst Rev 2013;(1):CD005135.

8. Kohnen T, Strenger A, Klaproth OK. Basic knowledge of refractive surgery: correction of refractive errors using modern surgical procedures. Dtsch Arztebl Int 2008;105(9):163–70.

9. Ziaei M, Mearza AA, Allamby D. Wavefront-optimized laser in situ keratomileusis with the Allegretto Wave Eye-Q excimer laser and the FEMTO LDV Crystal Line femtosecond laser: 6 month visual and refractive results. Cont Lens Anterior Eye 2015;38(4):245–49.

10. Solomon KD, Fernández de Castro LE, Sandoval HP, et al. LASIK world literature review: quality of life and patient satisfaction. Ophthalmology 2009;116(4):691–701.

11. Eydelman M, Hilmantel G, Tarver ME, et al. Symptoms and satisfaction of patients in the Patient-Reported Outcomes With Laser In Situ Keratomileusis (PROWL) studies. JAMA Ophthalmol 2017;135(1):13–22.

12. Bower KS, Weichel ED, Kim TJ. Overview of refractive surgery. Am Fam Physician 2001;64(7):1183–90.

13. Wong AHY, Cheung RKY, Kua WN, et al. Dry eyes after SMILE. Asia Pac J Ophthalmol (Phila) 2019;8(5):397–405.

14. Xia F, Shen Y, Han T, et al. Small Incision Lenticule Extraction (SMILE) for moderate and high myopia: Seven-year outcomes of refraction, corneal tomography, and wavefront aberrations. J Ophthalmol 2020;2020:3825864.

15. Masters J, Kocak M, Waite A. Risk for microbial keratitis: Comparative metaanalysis of contact lens wearers and post-laser in situ keratomileusis patients. J Cataract Refract Surg 2017;43(1):67–73.

16. Battat L, Macri A, Dursun D, Pflugfelder SC. Effects of laser in situ keratomileusis on tear production, clearance, and the ocular surface. Ophthalmology 2001;108(7):1230–35.

17. Sandoval HP, Donnenfeld ED, Kohnen T, et al. Modern laser in situ keratomileusis outcomes. J Cataract Refract Surg 2016;42(8):1224–34.