A general method to analyze the loss of ablation efficiency at non-normal incidence in a geometrical way is provided. The model is comprehensive and directly considers curvature, system geometry, applied correction, and astigmatism as model parameters, and indirectly laser beam characteristics and ablative spot properties. The model replaces the direct dependency on the fluence by a direct dependence on the nominal spot volume and on considerations about the area illuminated by the beam, reducing the analysis to pure geometry of impact. Compensation of the loss of ablation efficiency at non-normal incidence can be made at relatively low cost and would directly improve the quality of results.
Residual aberrations resulting from cyclotorsion depend on aberrations included in the ablation and cyclotorsional error. The theoretical impact of cyclotorted ablations is smaller than that of decentered ablations or edge effects in coma and spherical aberrations. The results are valid within a single-failure condition of pure cyclotorsional errors, because no other sources of aberrations are considered. The leap from the mathematical model to the real-world outcome cannot be extrapolated without further study.
It would appear that normal corneal sensation after LASIK or PK does not always depend on normal subbasal nerve anatomy but on the collateral organization of subbasal nerve fibers.
The thermal load of the ablation in high-speed laser corneal refractive surgery was minimized using a computer algorithm to control the peak temperature to avoid corneal collagen denaturation with minimal compromise on treatment duration.
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