Increased Hair Cortisol Concentrations in Patients With Progressive Keratoconus
CONCLUSIONS:</span><p>This study shows that increased hair cortisol concentration seems to be associated with the progression of keratoconus. There are a variety of causes of increased hair cortisol concentration.</p><p><b>[<i>J Refract Surg.</i> 2017;33(6):383 –388.]</b></p></div> (Source: Journal of Refractive Surgery)
Source: Journal of Refractive Surgery - June 7, 2017 Category: Opthalmology Source Type: research

A Three-Year Observation of Corneal Backscatter After Small Incision Lenticule Extraction (SMILE)
CONCLUSIONS:</span><p>Corneal backscatter peaks and declines to the baseline in the early period after SMILE and corneal transparency achieves an improvement within 3 years postoperatively.</p><p><b>[<i>J Refract Surg.</i> 2017;33(6):377 –382.]</b></p></div> (Source: Journal of Refractive Surgery)
Source: Journal of Refractive Surgery - June 7, 2017 Category: Opthalmology Source Type: research

Implantation of Implantable Collamer Lenses After Radial Keratotomy
CONCLUSIONS:</span><p>ICL implantation may be considered a reasonable surgical procedure for correcting residual refractive errors after radial keratotomy.</p><p><b>[<i>J Refract Surg.</i> 2017;33(6):395 –398.]</b></p></div> (Source: Journal of Refractive Surgery)
Source: Journal of Refractive Surgery - June 7, 2017 Category: Opthalmology Source Type: research

Small Incision Lenticule Extraction (SMILE) for Hyperopia: Optical Zone Diameter and Spherical Aberration Induction
CONCLUSIONS:</span><p>The mean achieved optical zone diameter of hyperopic SMILE was found to be larger than the mean achieved optical zone diameter of hyperopic LASIK. Consequently, spherical aberration induction was similar for 6.37-mm SMILE and 7-mm LASIK.</p><p><b>[<i>J Refract Surg.</i> 2017;33(6):370 –376.]</b></p></div> (Source: Journal of Refractive Surgery)
Source: Journal of Refractive Surgery - June 7, 2017 Category: Opthalmology Source Type: research

Questionnaires for Measuring Refractive Surgery Outcomes
CONCLUSIONS:</span><p>This review identified three superior quality questionnaires for measuring different aspects of quality of life in refractive surgery. Clinicians and researchers should choose a questionnaire based on the concept being measured with superior psychometric properties.</p><p><b>[<i>J Refract Surg.</i> 2017;33(6):416 –424.]</b></p></div> (Source: Journal of Refractive Surgery)
Source: Journal of Refractive Surgery - June 7, 2017 Category: Opthalmology Source Type: research

Meta-analysis of the FDA Reports on Patient-Reported Outcomes Using the Three Latest Platforms for LASIK
CONCLUSIONS:</span><p>Analysis of the FDA data shows that modern lasers have significantly improved patient-reported visual outcomes after LASIK.</p><p><b>[<i>J Refract Surg.</i> 2017;33(6):362 –368.]</b></p></div> (Source: Journal of Refractive Surgery)
Source: Journal of Refractive Surgery - June 7, 2017 Category: Opthalmology Source Type: research

Comparative Analysis of the Clinical Outcomes of SMILE and Wavefront-Guided LASIK in Low and Moderate Myopia
CONCLUSIONS:</span><p>SMILE and WFG LASIK are efficacious and safe procedures for the correction of low and moderate myopia, but WFG LASIK allows a more predictable outcome and better aberrometric control.<b>[<i>J Refract Surg.</i> 2017;33(5):298 –304.]</b></p></div> (Source: Journal of Refractive Surgery)
Source: Journal of Refractive Surgery - May 10, 2017 Category: Opthalmology Source Type: research

Prospective Evaluation of Outcomes in Patients Undergoing Treatment for Myopia Using the WaveLight Refractive Suite
CONCLUSIONS:</span><p>The primary study objective was exceeded; postoperative UDVA was significantly superior to preoperative CDVA in patients with myopia and myopia with astigmatism who underwent LASIK with the WaveLight Refractive Suite.</p><p><b>[<i>J Refract Surg.</i> 2017;33(5):322 –328.]</b></p></div> (Source: Journal of Refractive Surgery)
Source: Journal of Refractive Surgery - May 10, 2017 Category: Opthalmology Source Type: research

Regeneration of Defective Epithelial Basement Membrane and Restoration of Corneal Transparency After Photorefractive Keratectomy
CONCLUSIONS:</span><p>In the rabbit model, spontaneous resolution of corneal fibrosis (haze) after high correction PRK is triggered by regeneration of EBM with normal ultrastructure in the excimer laser-ablated zone. Conversely, incisional wounds heal in rabbit corneas without the development of myofibroblasts because the EBM regenerates normally by 1 month after surgery.</p><p><b>[<i>J Refract Surg.</i> 2017:33(5):337 –346.]</b></p></div> (Source: Journal of Refractive Surgery)
Source: Journal of Refractive Surgery - May 10, 2017 Category: Opthalmology Source Type: research

LASIK for the Correction of High Hyperopic Astigmatism With Epithelial Thickness Monitoring
CONCLUSIONS:</span><p>LASIK for hyperopia by cumulative treatment of up to +8.33 D with the MEL 80 excimer laser was found to satisfy accepted criteria for safety, efficacy, and stability when applying specialized protocols, including epithelial monitoring.</p><p><b>[<i>J Refract Surg.</i> 2017;33(5):314 –321.]</b></p></div> (Source: Journal of Refractive Surgery)
Source: Journal of Refractive Surgery - May 10, 2017 Category: Opthalmology Source Type: research

Topography-Guided LASIK Versus Small Incision Lenticule Extraction (SMILE) for Myopia and Myopic Astigmatism: A Randomized, Prospective, Contralateral Eye Study
CONCLUSIONS:</span><p>Topography-guided LASIK was superior in all visual performance parameters studied, both subjective and objective. The main difference between the two techniques likely derives from the eye tracking, cyclorotation compensation, and active centration control in the LASIK technology studied in contrast to the current technology available with SMILE-like procedures. This difference appears to affect refractive and visual aberration performance outcomes.</p><p><b>[<i>J Refract Surg.</i> 2017;33(5):306 –312.]</b></p></div> (Source: Journal of Refractive Surgery)
Source: Journal of Refractive Surgery - May 10, 2017 Category: Opthalmology Source Type: research

Customized Topography-Guided Corneal Collagen Cross-linking for Keratoconus
CONCLUSIONS:</span><p>At 1 year postoperatively, TG-CXL seems to be as safe as C-CXL with stronger flattening in Kmax and I index and better improvement in CDVA. TG-CXL induces a biological gradient between the cone and the surrounding area that facilitates nerve and cell recovery.</p><p><b>[<i>J Refract Surg.</i> 2017;33(5):290 –297.]</b></p></div> (Source: Journal of Refractive Surgery)
Source: Journal of Refractive Surgery - May 10, 2017 Category: Opthalmology Source Type: research

AS-OCT as a Rescue Tool During Difficult Lenticule Extraction in SMILE
CONCLUSIONS:</span><p>AS-OCT –guided identification of the retained lenticule followed by Sinskey hook–assisted lenticule extraction aids in completion of the surgical procedure in the same sitting with optimal visual and anatomical outcomes.</p><p><b>[<i>J Refract Surg.</i> 2017;33(5):352 –354.]</b></p></div> (Source: Journal of Refractive Surgery)
Source: Journal of Refractive Surgery - May 10, 2017 Category: Opthalmology Source Type: research

Management of Interface Fluid Syndrome After LASIK by Descemet Membrane Endothelial Keratoplasty in a Patient With Fuchs' Corneal Endothelial Dystrophy
CONCLUSIONS:</span><p>Interface fluid syndrome can develop many years after LASIK as a result of corneal endothelial decompensation and can be effectively treated with DMEK. Close postoperative monitoring of patients is paramount to intervene therapeutically in case of transplant detachment or development of cystoid macular edema requiring further surgical or conservative management.</p><p><b>[<i>J Refract Surg.</i> 2017;33(5):347 –350.]</b></p></div> (Source: Journal of Refractive Surgery)
Source: Journal of Refractive Surgery - May 10, 2017 Category: Opthalmology Source Type: research

Noncontact Quantification of Topography of Anterior Corneal Surface and Bowman's Layer With High-Speed OCT
CONCLUSIONS:</span><p>A noncontact method to quantify the topography and aberrations of corneal surfaces with OCT was presented. OCT measurements yielded greater curvature and aberrations than Pentacam in both normal and keratoconic eyes.</p><p><b>[<i>J Refract Surg.</i> 2017;33(5):330 –336.]</b></p></div> (Source: Journal of Refractive Surgery)
Source: Journal of Refractive Surgery - May 10, 2017 Category: Opthalmology Source Type: research