April 02, 2003
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Wavefront technology allows more customization, surgeon says

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SAN JUAN, Puerto Rico — Options that allow the surgeon to customize standard refractive surgery to better meet and correct the needs of patients succeed because the surgeon has a more accurate topographic image of the cornea, one surgeon here said.

Ricardo Leon Escobar Cuartas, MD, presented results on the Topolink, a wavefront technology application on Esiris Schwind’s ORK refractive laser system. To date, Dr. Cuartas has used the technology on more than 1,500 patients. In general, he told attendees here at the Pan-American Congress of Ophthalmology that 90% of his patients receive customized laser correction surgery.

Successful wavefront surgery relies upon choosing the right patient, Dr. Escobar Cuartas said. The degree of refraction, age and ability to tolerate the procedure are important factors, he said. Anatomic conditions, such as corneal size and thickness and pupil size should also be considered in the evaluation.

Dr. Escobar Cuartas uses wavefront technology on patients with diverse refractive alterations, principally mixed astigmatism, asymmetric hypermetropia and previous decentralized laser treatments.