LASIK Up-to-date Newsletter

Wavefront controlled LASIK

Since the introduction of the aberrometer approximately 3 years ago, the media often reported in detail about the “tailored” LASIK. But is this procedure really that superior to the standard-LASIK? What advantages or disadvantages are there?

The aberrometer, which is based on Waveform analysis, sends a laser beam through the eye to the retina. The light is reflected through the glass body, the lens, the pupil, and the cornea. A sensor now measures the irregularities of the reflecting light (Wavefront) at over 50 different points, and produces a precise, three-dimensional map of the visual system eye, including all irregularities and/or aberrations. Supported by this examination, severe aberrations can be detected, which can cause halos, glare, or distorted vision.

The resulting data is added to a mathematical formula, that is being used by the surgeon to program the laser. Therefore it is theoretically possible to take into consideration the refractive power of the eye with varied tissue ablation at different cornea locations.
As a result, Wavefront controlled LASIK can, under certain conditions, improve the optical quality in eyes with aberrations of severe magnitude or irregular astigmatisms. On the other hand, Waveform controlled LASIK has no advantage in eyes without irregularities or aberrations.

The main advantage of Waveform controlled LASIK however, is maintaining or improving night vision after refractive surgery. Whether Waveform LASIK is advantageous to you, can only be determined with an extensive preliminary examination.

The stringent American FDA authority (Food and Drug Administration) has so far released three LASIK systems with Wavefront analysis: LADARWave Customized Ablation System by Alcon, the VISX Custom Vue System, and Zyoptix System by Bausch & Lomb. The latter is being used in FreeVision Laser Eye clinics.

Wavefront technology is also used in developing contact lenses and intra-ocular artificial lenses, as well as in diagnosing retinal diseases.

Source:
Press report by American Academy of Ophthalmology (AAO)
October 3, 2003: Wavefront LASIK Advances Refractive Surgery