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While both procedures interact with the epithelium atop the cornea, the PRK procedure removes this entirely, while LASEK brushes the material away for the procedure, before being placed back for healing after laser surgery. [2] The procedure can be used to treat astigmatism, nearsightedness, and farsightedness. [3]
The treatment is effective for myopia with astigmatism or otherwise irregular corneas, and reduces symptoms such as glare, halos, and night driving difficulty. [8] Refractive Lenticule Extraction (ReLEx): ReLEx "FLEx" (Femtosecond Lenticule Extraction): A femtosecond laser cuts a lenticule within the corneal stroma.
The cataract is removed from the capsule and anterior chamber using hydroexpression [Note 3] viscoexpression, [Note 4] or more-direct mechanical methods. [4] [13] [14] The extraction of the cataract must be done with due care so as not to compromise the integrity of the tunnel; the endothelium and capsule are also vulnerable to injury.
A toric IOL is a type of toric lens used to correct preexisting corneal astigmatism at the time of cataract surgery. [20] Astigmatism can also be treated with limbal relaxing incisions or an excimer laser procedure. [21] [22] About 40% of Americans have significant astigmatism and thus may be candidates for a toric IOL. [22]
Cataract surgery is one of the most cost-effective health interventions, since its economic benefits considerably exceed the cost of treatment. [ 131 ] [ 132 ] The 1998 World Health Report estimated 19.34 million people were bilaterally blind due to age-related cataracts, and that cataracts were responsible for 43% of all cases of blindness.
Access to cataract surgery is very variable by country and region. Even in developed countries availability may vary significantly between rural and more densely populated areas. Cataract surgery is the removal of the natural lens of the eye that has developed a cataract, an opaque or cloudy area. [1]
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