To propose a phenotype-centered expert framework for evaluating the role of FS-LASIK in comparison to other refractive procedures, particularly SMILE.
Approach:
Literature Review: Synthesis of evidence across various domains including visual outcomes, optical quality, ocular surface effects, corneal nerves, biomechanics, and patient preferences.
Key Findings:
FS-LASIK remains relevant for eyes that are structurally safe and likely to benefit from customized excimer ablation.
Procedure choice should consider not only visual acuity but also optical quality, ocular surface vulnerability, and patient preferences.
FS-LASIK offers advantages in customized ablation techniques that can address specific optical aberrations.
Interpretation:
The review presents a phenotype-centered approach to selecting refractive surgery procedures.
Limitations:
The review does not provide formal graded guidelines for procedure selection, and the narrative synthesis may not encompass all recent developments in refractive surgery.
Conclusion:
FS-LASIK can be a suitable option in specific clinical scenarios, particularly for eyes that are structurally safe and likely to benefit from customized optical solutions.
