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Wavefront-guided re-treatments offer enhanced visual quality and happier patients

www.escrs.org

Dermot McGrath in London

Excerpts: Excimer laser re-treatment using the wavefront-guided Visx S4 CustomVue (AMO) platform is a safe and effective technique for resolving problems with quality of vision after previous refractive surgery, according to Jeffrey Machat, MD.



Turning to some case studies of CustomVue re-treatments, Dr. Machat cited the example of a moderate myope with induced coma, trefoil, and spherical aberration, as well as residual refractive error, after his initial optimized treatment.

The Allegretto treatment increased the patient’s coma value from 0.30 to 0.44. After re-treatment with CustomVue, it was reduces to 0.23. Best-correct visual acuity in the eye had dropped to 20/25 from 20/20 pre-operatively after optimized treatement, but was restored back to 20/20 after re-treatment. Trefoil, which had increased from 0.04 to 0.34 with Allegretto, decreased after re-treatment to 0.19.


Click here for the full article in pdf format.

Moose’s Comment: Progress is being made but the refractive surgery providers are not exactly calling those people on their waiting-lists who have had bad out comes from their initial refractive surgery.

Article does not provide the actual details of the re-surgery. Was it surface ablation over the existing flap? Was it a with a flap-lift? Etc.

Still, it is progress and those who are waiting for a surgical fix should be encouraged.
 
Posts: 1337 | Registered: Sun April 29 2001Reply With QuoteEdit or Delete MessageReport This Post
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Please note that Machat only treats Canadians.
 
Posts: 104 | Registered: Fri November 05 1999Reply With QuoteEdit or Delete MessageReport This Post
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