FemtoLASIK clinical case of laser visual correction of residual myopia in the eye with IOL by using MEL-90 and VisuMax 500

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Abstract

The authors describe their experience of successful laser additional correction of residual myopic refractive error (Vis OD = 0.04; Sph –5.75 D, Cyl –2.00 D, ax 25° = 0.4) using the FemtoLASIK method with the MEL-90 excimer laser and the VISUMAX femtosecond laser (Carl Zeiss Meditec) in a 15-year-old patient on a pseudophakic eye (Acrysof® Natural, model SN60AT), with moderate glistening and refractive amblyopia after phacoemulsification of congenital posterior capsular cataract with IOL implantation performed at the age of 7 years. Moreover, the very next day after present surgery, the patient’s maximum distance visual acuity without correction increased to 0.5, but she still had the ability to read ordinary magazine text at close distance. Thus, the described clinical case confirms that FemtoLASIK technology can be successfully used as the second stage of bioptics (laser correction of myopia in pseudophakic eyes) in young patients.

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About the authors

Ludmila Popowska

LUMED Clinic

Email: poplud@interia.pl
ORCID iD: 0000-0003-0217-4146

MD

Poland, Warsaw-Opoczno

Monika Popowska-Kedra

LUMED Clinic

Email: Popowska-monika@wp.pl
ORCID iD: 0009-0000-1232-0843

MD

Poland, Warsaw-Opoczno

Andrey B. Kachanov

S. Fyodorov Eye Microsurgery Federal State Institution, St. Petersburg branch; North-Western State Medical University named after I.I. Mechnikov

Author for correspondence.
Email: andrey_kachanov@yahoo.com
ORCID iD: 0009-0003-8330-8077

MD, Dr. Sci. (Med.), Professor

Russian Federation, Saint Petersburg; Saint Petersburg

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Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. OCT image: moderate IOL glistening in the right eye of the patient

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3. Fig. 2. Slit lamp photography of the anterior segment, corneal flap and IOL on the right eye of patient the next day after FemtoLASIK surgery

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4. Fig. 3. The 4-maps refractive of PENTACAM [sagittal curvature front (anterior surface of cornea), elevation of front (anterior cornea), elevation of back (posterior cornea) and corneal thickness pachymetry] on the right eye of patient the next day after FemtoLASIK surgery

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