Biomechanical Comparison of PRK, LASIK, and KLEx Using Personalized Finite Element Simulations

Although the same volume of tissue was removed in all procedures, corneal biomechanics influence refractive surgery outcomes, with PRK offering advantages in terms of reduced undercorrection and more favorable stress distribution. PRK's conservative approach offers a greater biomechanical safety margin, making it the recommended option for suspiciously weak corneas.

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Publication Details

Journal
Journal of Refractive Surgery
Published
2025-10-01
DOI
https://doi.org/10.3928/1081597x-20250806-01
Primary Topic
Corneal surgery and disorders
Type
article
Field-Weighted Citation Impact
0.00

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article

Biomechanical Comparison of PRK, LASIK, and KLEx Using Personalized Finite Element Simulations

Matteo Frigelli, Miguel Ángel Ariza-Gracia, Philippe Büchler, Abhijit Sinha Roy et al.
Journal of Refractive Surgery
Corneal surgery and disorders
article

Biomechanical Comparison of PRK, LASIK, and KLEx Using Personalized Finite Element Simulations

Matteo Frigelli, Miguel Ángel Ariza-Gracia, Philippe Büchler, Abhijit Sinha Roy, Malavika H. Nambiar, Theo Guenter Seiler
article en

Abstract

Although the same volume of tissue was removed in all procedures, corneal biomechanics influence refractive surgery outcomes, with PRK offering advantages in terms of reduced undercorrection and more favorable stress distribution. PRK's conservative approach offers a greater biomechanical safety margin, making it the recommended option for suspiciously weak corneas.

Journal of Refractive SurgeryVol. 41(10)
University of Bern (CH), Düsseldorf University Hospital (DE), Institut de Recherche en Opthalmologie (CH), Universitätsklinik für Augenheilkunde (CH), Narayana Nethralaya (IN), Heinrich Heine University Düsseldorf (DE)
National Science Foundation, Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung
Openalex Percentile: Top 58%
Corneal surgery and disorders
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