Technique of intrastromal pocket creation in the Visumax Femtosecond Laser System – The Ganesh pocket

Intrastromal pocket creation for purposes of lenticule-assisted corneal refractive surgery in the treatment of high hyperopia, keratoconus, and corneal inlay implantation has shown promising results. Several femtosecond laser machines have preprogrammed software that aids in the creation of such an intrastromal pocket. The Visumax Femtosecond Laser System (FSL) (Carl Zeiss Meditec, Germany), however, does not, although it is an excellent system for lenticule extraction procedures such as ReLEX Small Incision Lenticule Extraction. Here, we describe a novel surgical technique using the Visumax FSL to create an intrastromal femto-pocket for purposes described above.