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New paradigm for the treatment of myopia by refractive surgery

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Abstract

It has become clear that today’s refractive surgery algorithms do not result in the optimum correction for each patient. On average, patients having undergone refractive surgery do not achieve their pre operative visual performance even when corrected for residual refractive errors. Current algorithms, based on Munnerlyn’s original paper,1 do not take into account the uniqueness of individual corneas. It is now believed that at least some of the decrease in visual performance seen following surgery is due to a change in the monochromatic aberrations of the cornea induced by the surgery.

© 2000 Optical Society of America

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