Recent Advances in Laser Technology - Corneal Refractive Surgery




laser technology, ophthalmology, solid-state ultraviolet lasers, ablative solid-state lasers


Corneal refractive surgery, a pivotal field in ophthalmology, aims to correct visual impairments like myopia, hyperopia, and astigmatism by corneal modification. This paper explores the evolution and advancements in this domain, particularly highlighting the transition from gas- and excimer lasers to solid-state ultraviolet lasers. The latter are praised for their precision, reduced thermal damage, and faster recovery, transforming surgical outcomes and patient satisfaction. Additionally, the integration of diagnostic technologies such as wavefront analysis and corneal topography has further refined surgical precision. This study also addresses the comparative safety and effectiveness of different laser wavelengths on the cornea, underscoring the minimized risks and enhanced recovery associated with solid-state lasers. Our findings advocate for the increasing adoption of solid-state UV lasers in refractive surgeries due to their significant benefits over traditional methods, despite existing limitations such as cost and the need for specialized training.

Author Biography

Oleksandr Kapustynskyi, Vilnius Gediminas Technical University, Plytines g. 25, LT-10105 Vilnius, Lithuania

Oleksandr Kapustynskyi, is an accomplished mechanical engineer and researcher with a diverse educational background. Currently is Research Fellow and Lecturer at Vilnius Gediminas Technical University, Faculty of Mechanics (Lithuania). In 2011 he obtained a Junior Specialists degree in Chemical and Petroleum Engineering from Berdychiv College of Industrial, Economics and Law, Ukraine. After continued his studies at the National Technical University of Ukraine “Kyiv Polytechnic Institute,” where earned his Bachelor’s degree (2014) and his Master’s degree (2016) in Mechanical. In 2023 he obtained a Doctoral degree at the VilniusTECH Faculty of Mechanics (Lithuania). His research focuses on the mechanical and material engineering, laser technologies, and welding’s.


Abdelhalim, I., Hamdy, O., Khattab, M. A., Abdelkawi, S., Hassab Elnaby, S., & Hassan, A. A. (2023). Evaluating the efficacy of nd:YAG fourth harmonic (266 nm) in comparison with ARF excimer (193 nm) in laser corneal reshaping: Ex vivo pilot study. International Ophthalmology, 43(9), 3087–3096.

Ang, M., Gatinel, D., Reinstein, D. Z., Mertens, E., Alió del Barrio, J. L., & Alió, J. L. (2020). Refractive surgery beyond 2020. Eye, 35(2), 362–382.

Atezhev, V. V., Barchunov, B. V., Vartapetov, S. K., Zav’yalov, A. S., Lapshin, K. E., Movshev, V. G., & Shcherbakov, I. A. (2016). Laser Technologies in ophthalmic surgery. Laser Physics, 26(8), 084010.

Bagayev, S. N., Razhev, A. M., Zhupikov, A. A., & Kargapoltsev, E. S. (2002). SPIE Proceedings.

Kim, W.-S., & Jo, J.-M. (2001). Corneal hydration affects ablation during laser in situ Keratomileusis Surgery. Cornea, 20(4), 394–397.

Pajic, B., Pajic-Eggspuehler, B., Cvejic, Z., Rathjen, C., & Ruff, V. (2023). First clinical results of a new generation of ablative solid-state lasers. Journal of Clinical Medicine, 12(2), 731.

Palanker, D. (2016). Evolution of concepts and technologies in Ophthalmic Laser therapy. Annual Review of Vision Science, 2(1), 295–319.

Pidro, A., Biscevic, A., Pjano, M., Mravicic, I., Bejdic, N., & Bohac, M. (2019). Excimer lasers in refractive surgery. Acta Informatica Medica, 27(4), 278.

Quito, C. F., Agahan, A. L., & Evangelista, R. P. (2013). Long-term followup of laserin situkeratomileusis for hyperopia using a 213 nm wavelength solid-state laser. ISRN Ophthalmology, 2013, 1–7.

Razhev, A. M., Zhupikov, A. A., Churkin, D. S., Chernykh, V. V., & Kostenev, S. V. (2009). Investigating the action of the 193-nm and 223-nm radiation of excimer lasers on the cornea of the human eye in Refractive Surgery. Journal of Optical Technology, 76(5), 263.

Roszkowska, A. M., Tumminello, G., Licitra, C., Severo, A. A., Inferrera, L., Camellin, U., Schiano-Lomoriello, D., & Aragona, P. (2023). One-year results of photorefractive keratectomy for myopia and compound myopic astigmatism with 210 nm wavelength all solid-state laser for refractive surgery. Journal of Clinical Medicine, 12(13), 4311.

Roszkowska, A. M., Urso, M., Signorino, A., & Aragona, P. (2018). Use of the femtosecond lasers in ophthalmology. EPJ Web of Conferences, 167, 05004.

Swinger, C., Lai, S., Johnson, D., Gimbel, H., Lai, M., & Zheng, W. (1996). Surface photorefractive keratectomy for correction of hyperopia using the Novatec laser - 3 month follow-up. Investigative Ophthalmology and Visual Science, 37(3), S55.

Yahalomi, T., Achiron, A., Arnon, R., Stanescu, N., & Pikkel, J. (2023). Dry Eye disease following LASIK, PRK, and lasek: An observational cross-sectional study. Journal of Clinical Medicine, 12(11), 3761.

Yun, S. H., & Kwok, S. J. (2017). Light in diagnosis, therapy and surgery. Nature Biomedical Engineering, 1(1).




How to Cite

Kapustynskyi, O. (2024). Recent Advances in Laser Technology - Corneal Refractive Surgery. RESEARCH REVIEW International Journal of Multidisciplinary, 9(3), 152–159.