The modern technologies of refractive lenticular extraction

Purpose. To present modern literature data on the main aspects of refractive lenticular extraction technology. Material and methods. To perform the review, the search for literature sources on PubMed abstract databases was analyzed using the keywords “keratorefractive surgery”, “corneal lenticular”, “femtosecond laser” and data from Russian publications on the topic of the article for the period up to and including 2023. Results. According to the literature data, the strengths and weaknesses of the implementation of each of the existing technologies of keratorefractive surgery have been studied, and the postulates of choosing the optimal method for correcting ametropia have been formulated individually for each patient. Conclusion. Today, keratorefractive surgery is a high-tech industry in ophthalmology and provides a predictable, high-precision and stable refractive result in patients with a wide range of refractive disorders. The analysis of accumulated scientific and clinical experience has shown that one of the most pathogenetically oriented technologies in keratorefractive surgery, minimally affecting the reduction of the biomechanical properties of the cornea, not inducing dry eye syndrome, providing a highly predictable postoperative result in the correction of myopia and myopic astigmatism is refractive lenticular extraction, opening a new era in laser vision correction.