Mathematical Model: Comparative Study of Thermal Effects of Laser in Corneal Refractive Surgeries

Lasers have been widely used in ophthalmology. Refractive errors are some of the most common ophthalmic abnormalities worldwide. Laser refractive surgery was developed to correct refractive errors myopia, hyperopia and astigmatism. Two types of laser surgical techniques: lamellar and thermal are available to reshape the corneal curvature. Ultraviolet (UV) emitting argon fluoride (ArF) excimer laser is used to sculpt cornea in lamellar procedures, whereas, infrared (IR) emitting holmium yttrium aluminum garnet (Ho: YAG) laser is used to shrink cornea in thermal procedure. Tissue heating is common in all types of laser surgical techniques. Hence, in this paper, a finite element model is developed to investigate the temperature distribution of cornea in different laser refractive surgeries. Characteristics of optical and thermal processes and influence of the parameters of radiation and tissues on the results of laser action are investigated. The results of mathematical modeling in different surgical techniques are discussed, compared, and validated with experimental results