ESCRS - PP21.16 - Maximizing Higher Order Rms Gains In Aberrated Corneas With Minimal Depth Clipped Topography Ablations

Maximizing Higher Order Rms Gains In Aberrated Corneas With Minimal Depth Clipped Topography Ablations

Published 2025 - 43rd Congress of the ESCRS

Reference: PP21.16 | Type: Poster | DOI: 10.82333/4p81-9102

Authors: Anastasios Charonis* 1 , Samuel Arba Mosquera 2 , Manja Kraemer 2

1AthensVision Eye Institute,Athens,Greece, 2R/D,Schwind EyeTech Solutions,Kleinostheim,Germany

Purpose

To Verify whether minimal depth and volume surface ablations, with intentionally skipped undertreated/untreated a.reas within the Optical Zone (“clipped”topography guided ablations), actually decrease  corneas HO-RMS as much as predicted by the Foresight Schwind’s Software.

Setting

Athens Eye Center, Athens Greece,  Schwind Eye Tech Solutions, Kleinheim Germany 

Methods

 A proprietary software (Schwind’s Clipped Topography Software) was used to design minimal depth
ablations with intentionally undertreated/untreated areas within the OZ.  Schwind’s Foresight software was used to predict
the change of the same cornea’s HO RMS

Results

TransPRK Clipped topography guided ablations was performed in 3 eyes of 3 patients with stage II
keratoconus. We present here the pre and post topographies and compare them with the prediction model.

Conclusions

Prediction of the outcome of intentionally undertreated complex surface ablations is now
possible with the Schwind’s Foresight. The Clipped topography software is a valuable tool that with the help of AI may
soon be able to create any complex  ablation of given volume/ pattern towards "best possible", optimal visual
rehabilitation.