Copenhagen 2016 Registration Programme Exhibitor Information Virtual Exhibition Satellite Meetings Glaucoma Day 2016 Hotel Star Alliance

10 - 14 Sept. 2016, Bella Center, Copenhagen, Denmark

This Meeting has been awarded 27 CME credits


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Femtosecond laser-assisted arcuate keratotomy (AK) to reduce corneal astigmatism during FLACS

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Session Details

Session Title: Presented Poster Session: FLACS

Session Date/Time: Monday 12/09/2016 | 15:00-16:30

Paper Time: 15:50

Venue: Poster Village: Pod 4

First Author: : R.Trajkovski MACEDONIA

Co Author(s): :    V. Daskalov   M. Stefanova           

Abstract Details


To report the initial results of intrastromal arcuate keratotomy performed with a femtosecond laser to treat corneal astigmatism during FLACS


Pentagram Eye Hospital, Sofia, Bulgaria


Patients with corneal astigmatism (naturally occurring) were treated with a VICTUS femtosecond laser platform to perform paired AK on the steep axis completely placed within the corneal stroma. Patients were followed for 6 months after surgery. Preoperative and postoperative (1-day, 1-week, and 1-, 3-, and 6-month) examinations included corrected and uncorrected visual acuities, manifest refraction, endothelial cell count, corneal pachymetry and corneal topography.


The study enrolled 15 patients. No corneal perforations occurred, and all incisions were placed at the planned locations. After a 6-month follow-up, the mean refractive cylinder was reduced from 1.71 diopters (D) ± 0.63 (SD) to 0.28 ± 0.39 D (P<.001). The mean topographic astigmatism was reduced from 1.80 ± 0.53 D preoperatively to 0.51 ± 0.28 D at 6 months (P=.002). There was excellent refractive and topographic stability over time. The endothelial cell density was unchanged significantly. Patient satisfaction was very high.


The femtosecond laser allowed the effective creation of precise, purely intrastromal, arcuate incision patterns with an excellent safety profile, rapid recovery, and stability of vision without the known risks associated with incisions that penetrate Bowman membrane and are near to Descemet membrane. The femtosecond laser enables predictable, and effective corneal incisions for use in AK to correct corneal astigmatism in range of 2.50 Dpt.

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