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LASIK




 

 



 

WHAT IS LASIK?

LASIK stands for laser in situ keratomileusis, which means using a laser underneath a corneal flap (in situ) to reshape the cornea (keratomileusis). This procedure utilizes a highly specialized laser (excimer laser) designed to treat refractive errors, improve vision, and reduce or eliminate the need for glasses or contact lenses. This laser procedure alters the shape of the cornea, which is the transparent front covering of the eye. Though the excimer laser had been used for many years before, the development of LASIK is generally credited to Ioannis Pallikaris, a Greek Ophthalmologist around 1991.

HOW DOES LASIK WORK?

 

During the LASIK procedure, a specially trained eye surgeon first creates a precise, thin hinged corneal flap using a microkeratome. The surgeon then pulls back the flap to expose the underlying corneal tissue, and then the excimer laser ablates (reshapes) the cornea in a unique pre-specified pattern for each patient. The flap is then gently repositioned onto the underlying cornea without sutures.
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INTRALASE (BLADELESS LASIK)

One of the most advanced laser eye surgery procedures in the market today is IntraLase. This is also known as bladeless lasik and All laser LASIK. Which ever term is used, they all refer to the same procedure. In traditional LASIK surgery, the microkeratome or the hand-held blade is used to make the flap on the cornea so that the laser can be used beneath the flap. With IntraLase, a laser is already used for the cutting. Instead of using the microkeratome blade, a femtosecond laser is used. Using this laser, the cut will be more precise as compared to the manual method. Any induced distortion or complications from cutting the flap will be reduced when a laser is used.

HOW IS INTRALASE PERFORMED?

Computer software is used for guiding the IntraLase laser beam when it creates tiny bubbles on the layer of your cornea at the size of three microns in diameter. The corneal flap is produced at an exact diameter and depth as planned by the surgeon.. Just like using a mechanical microkeratome, there is a small section of tissue that is not cut and this will be the cover that will be used by your surgeon to patch up the fixed cornea after it has been reshaped.


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© Copyright 2010 Richard S. Kalski, M.D.

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