Research progress of opaque bubble layer created in corneal stroma during femtosecond laser surgery

Femtosecond laser-assisted laser in situ keratomileusis(FS-LASIK)and small incision lenticule extraction(SMILE)are the mainstream corneal refractive surgeries at present. Despite efficacy, safety and predictability they have showed in refractive error correction, there are still complications relati...

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Main Authors: Shuang Liu, Bing Qin, Luo-Yu Wang, Hong-Yan Sun
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2023-11-01
Series:Guoji Yanke Zazhi
Subjects:
Online Access:http://ies.ijo.cn/cn_publish/2023/11/202311018.pdf
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author Shuang Liu
Bing Qin
Luo-Yu Wang
Hong-Yan Sun
author_facet Shuang Liu
Bing Qin
Luo-Yu Wang
Hong-Yan Sun
author_sort Shuang Liu
collection DOAJ
description Femtosecond laser-assisted laser in situ keratomileusis(FS-LASIK)and small incision lenticule extraction(SMILE)are the mainstream corneal refractive surgeries at present. Despite efficacy, safety and predictability they have showed in refractive error correction, there are still complications relating to femtosecond laser, such as suction loss and opaque bubble layer(OBL), due to that the production of corneal flap or lenticule is dependent on the femtosecond laser. OBL is a complication that is unique to femtosecond laser surgery and the bubbles are generated from photo-disruptive effect towards corneal tissues which consisted of water vapor and carbon dioxide, and OBL gradually formed when the bubbles are trapped in the stroma. The bubbles can influence the intraoperative manipulation and postoperative visual quality. This review discusses the mechanism, grading, classification, and influencing factors of OBL and its effects on intraoperative manipulations and postoperative recovery, in the hope of providing reference and basis for further clinical studies.
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spelling doaj.art-3fa7358e84be4a48b0f2734ccf9736e22023-10-24T02:34:27ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51232023-11-0123111859186410.3980/j.issn.1672-5123.2023.11.18202311018Research progress of opaque bubble layer created in corneal stroma during femtosecond laser surgeryShuang Liu0Bing Qin1Luo-Yu Wang2Hong-Yan Sun3Department of Ophthalmology, Suqian First People's Hospital;the Affiliated Suqian First People's Hospital of Nanjing Medical University, Suqian 223800, Jiangsu Province, ChinaDepartment of Ophthalmology, Suqian First People's Hospital;the Affiliated Suqian First People's Hospital of Nanjing Medical University, Suqian 223800, Jiangsu Province, ChinaDepartment of Ophthalmology, Suqian First People's Hospital;the Affiliated Suqian First People's Hospital of Nanjing Medical University, Suqian 223800, Jiangsu Province, ChinaDepartment of Ophthalmology, Suqian First People's Hospital;the Affiliated Suqian First People's Hospital of Nanjing Medical University, Suqian 223800, Jiangsu Province, ChinaFemtosecond laser-assisted laser in situ keratomileusis(FS-LASIK)and small incision lenticule extraction(SMILE)are the mainstream corneal refractive surgeries at present. Despite efficacy, safety and predictability they have showed in refractive error correction, there are still complications relating to femtosecond laser, such as suction loss and opaque bubble layer(OBL), due to that the production of corneal flap or lenticule is dependent on the femtosecond laser. OBL is a complication that is unique to femtosecond laser surgery and the bubbles are generated from photo-disruptive effect towards corneal tissues which consisted of water vapor and carbon dioxide, and OBL gradually formed when the bubbles are trapped in the stroma. The bubbles can influence the intraoperative manipulation and postoperative visual quality. This review discusses the mechanism, grading, classification, and influencing factors of OBL and its effects on intraoperative manipulations and postoperative recovery, in the hope of providing reference and basis for further clinical studies.http://ies.ijo.cn/cn_publish/2023/11/202311018.pdfopaque bubble layer(obl)femtosecond laserfemtosecond laser-assisted laser in situ keratomileusis(fs-lasik)small incision lenticule extraction(smile)
spellingShingle Shuang Liu
Bing Qin
Luo-Yu Wang
Hong-Yan Sun
Research progress of opaque bubble layer created in corneal stroma during femtosecond laser surgery
Guoji Yanke Zazhi
opaque bubble layer(obl)
femtosecond laser
femtosecond laser-assisted laser in situ keratomileusis(fs-lasik)
small incision lenticule extraction(smile)
title Research progress of opaque bubble layer created in corneal stroma during femtosecond laser surgery
title_full Research progress of opaque bubble layer created in corneal stroma during femtosecond laser surgery
title_fullStr Research progress of opaque bubble layer created in corneal stroma during femtosecond laser surgery
title_full_unstemmed Research progress of opaque bubble layer created in corneal stroma during femtosecond laser surgery
title_short Research progress of opaque bubble layer created in corneal stroma during femtosecond laser surgery
title_sort research progress of opaque bubble layer created in corneal stroma during femtosecond laser surgery
topic opaque bubble layer(obl)
femtosecond laser
femtosecond laser-assisted laser in situ keratomileusis(fs-lasik)
small incision lenticule extraction(smile)
url http://ies.ijo.cn/cn_publish/2023/11/202311018.pdf
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AT luoyuwang researchprogressofopaquebubblelayercreatedincornealstromaduringfemtosecondlasersurgery
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