EVERY SAFE SURGERY BEGINS WITH A VERIFIED PLAN.
RLES AI plans all six refractive laser procedures — SMILE, LASIK, iLASIK, Q-LASIK, PRK and T-PRK — testing every plan against procedure-specific safety floors and the published nomograms of your own devices, and returns a signature-ready PDF report in minutes.
THE TISSUE BUDGET, DONE PROPERLY
Every plan is built on three independent pillars: PTA (percent tissue altered)[1] with a Kmax-dependent ceiling — the steeper the cornea, the tighter the limit; RSB (residual stromal bed) with floors specific to each procedure family, because LASIK, lenticule extraction and surface ablation do not share the same biomechanics; and RCT (residual corneal thickness), controlled independently of the flap, because no blade choice can repair an RCT violation — only reducing ablation can. Residual bed thickness, pre-operative corneal thickness, patient age and topographic abnormality are all factors in published ectasia risk models.[2]
- Measured ablation-depth tables per optical zone — not just the Munnerlyn approximation[3]
- Optical-zone alternatives presented with their trade-offs, so the surgeon sees the cost of every choice
- Flap and cap thickness menus restricted to what the registered device can actually cut
POST-OP KERATOMETRY — THE FORGOTTEN LIMIT
Tissue can be sufficient while the optics are not. RLES AI estimates the expected post-operative keratometry per meridian and applies a Min–Max K planning window. Keratometry outside this range has been associated with reduced optical quality and may increase the risk of unfavourable visual outcomes — excessive flattening with optical degradation and ocular-surface symptoms, excessive steepening with a topographic picture that can resemble keratoconus. From this window the system computes the maximum treatable correction of every individual cornea — a number most planning software never shows.
YOUR DEVICES, YOUR NOMOGRAMS
Register your excimer laser, microkeratome or femtosecond platform once. From then on every plan applies that device's published tables — ring and vacuum selection, blade options, ablation-zone geometry — and values are never substituted from another machine. Missing data is never assumed normal: the report names exactly what is missing.
FREQUENTLY ASKED QUESTIONS
RLES AI runs as a mobile interface on your phone — nothing to install from a store, reports in minutes. The final clinical decision always rests with the surgeon.
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- Santhiago MR et al. Association between the percent tissue altered and post-LASIK ectasia in eyes with normal preoperative topography. Am J Ophthalmol 2014;158:87-95. PMID: 24992564
- Randleman JB et al. Risk assessment for ectasia after corneal refractive surgery. Ophthalmology 2008;115:37-50. PMID: 18083221
- Celik U, Bozkurt E, Celik B, Demirok A, Yilmaz OF. Pain, wound healing and refractive comparison of mechanical and transepithelial debridement in photorefractive keratectomy for myopia: results of 1 year follow-up. Cont Lens Anterior Eye. 2014;37(6):420-6. doi:10.1016/j.clae.2014.07.001 PMID: 25081522