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The history of modern refractive surgery: a tale of two centuries

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First Author: P.Condon IRELAND

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Abstract Details

Purpose:

1884 Lans Astigmatic Keratotomy Coupling Concept 1936 Sato keratotomy Corneal flattening 1964 Barraquer (Bogotá) Lamellar Keratoplasty (LK) and Microkeratome inventor 1970's Fyodorov began Radial Keratotomy for myopia 1982 -1993 PERK study- Hyperopic shift with RK - RK abandoned 1983 Excimer laser development Trokel (US) Marshall (UK) 1986 Krumeich non-freeze cornea reshaping Keratomileusis (BKS) 1988 1st PRK US (Macdonald) Theo Seiler (EU) 1990's Microkeratome Automation by Ruiz (ALK) 1995 Cross-linking for keratoconus (KC) Theo Seiler 1995 Buratto 1st Lasik Excised corneal disc 1995 Pallikaris first LK with Excimer on Excised Corneal Disc 1999 Intacs FDA approved therapeutic use keratoconus 2010-2020 Femtosecond laser intracorneal lens implants

Setting:

Patrick Condon, MCH, FRCS (Irl.)Treasurer/Conference Organiser (ESCRS) 1990's '50 Years Ophthalmology' Lifetime Lecture (UKISCRS) November 2018 'History of Modern Refractive Surgery' (UKISCRS) Dublin 2019 'History of Cataract Surgery in Ireland' Buratto and Packard's 'History and Evolution of Modern Cataract Surgery' Publisher: Fabian Grupo Editorialia (2019)

Methods:

Data and historic information were collected from colleagues worldwide by attending meetings and correspondence. Personal contacts were essential. Royal Society of medicine library in London provided a wonderful resource for original publications by some of the original doctors mentioned. Original video footage of Barraquer's cryo technique, Krumeich's non-freeze technique , and Buratto's 1st LASIK procedure were donated by Lucio Buratto. No commercial financial assistance was received the preparation of this material.

Results:

This historic record demonstrates the incredible advances that have been made by some of our colleagues in the last 200 years which produced such enormous benefits to the restoration of sight and in the reduction of the need for glasses for the correction of refractive errors

Conclusions:

This paper records a result of 2 years research involved in recovering data and information from some of the key surgeons involved in the development of Refractive Surgery during the last 200 years. It includes photographs of many of the individuals concerned and the equipment they used including video footage of original procedures carried out at the time.

Financial Disclosure:

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