What is LASIK Surgery?

LASIK (Laser-Assisted In Situ Keratomileusis) is a popular surgical procedure that is used to correct conditions related to vision such as myopia (nearsightedness), hyperopia (farsightedness), and astigmatism. Lasik laser eye surgery aims to clear the front part of the eye, reshape the cornea, and improve how the eye focuses light onto the retina.

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There are several types of LASIK surgery, each with variations and techniques. Here are some common types:

  • Traditional LASIK: Traditional LASIK uses a microkeratome or femtosecond laser to create a thin flap on the cornea. The excimer laser then reshapes the tissue beneath the cornea to correct the refractive error.

 

  • Bladeless LASIK (Femtosecond LASIK): This type of LASIK uses a femtosecond laser to create the corneal flap instead of a microkeratome blade. Bladeless LASIK is considered a more precise and customizable approach.

 

  • Wavefront-Guided LASIK: This procedure uses wavefront technology to create a detailed eye map, allowing for highly personalized laser eye treatment. It addresses higher-order aberrations, and issues like glare and halos, and provides improved visual outcomes.

 

  • Topography-Guided LASIK: Similar to wavefront-guided LASIK, topography-guided LASIK uses corneal topography to create a detailed corneal map. It is useful in cases where there are irregularities in the corneal surface.

 

  • Presby LASIK or Multifocal LASIK: This type of LASIK is designed to correct presbyopia, a condition where the eye's ability to focus on close objects diminishes with age. Multifocal LASIK creates a multifocal cornea to improve both near and distance vision.

 

  • Custom LASIK: Custom LASIK is a broad term that often refers to wave front-guided or topography-guided LASIK. The goal is to tailor the LASIK procedure to the unique characteristics of each individual's eyes.

 

  • ReLEX SMILE (Small Incision Lenticule Extraction): Unlike traditional LASIK, ReLEX SMILE involves creating a small incision to extract a lenticule from the cornea, reshaping the cornea to correct vision. This procedure is minimally invasive and may have a shorter recovery time.

General overview of the LASIK procedure

  • Pre-surgery Evaluation: Before LASIK surgery, a comprehensive eye examination is conducted to determine the patient's candidacy for the surgery. Factors such as corneal thickness, refractive errors, and overall eye health are assessed.

 

  • Corneal Flap Creation: During the LASIK procedure, a specialized laser  (either a microkeratome or a femtosecond laser), is used to create a thin flap on the cornea. This flap is gently lifted to expose the underlying corneal tissue.

 

  • Reshaping the Cornea: The excimer laser is then used to precisely remove a specific amount of corneal tissue, reshaping it to correct the refractive error. In the case of myopia, the laser flattens the cornea, while for hyperopia, it steepens it. Astigmatism can be corrected by smoothing an irregular cornea into a more regular shape.

 

  • Flap Repositioning: After the cornea is reshaped, the surgeon carefully repositions the corneal flap. The flap adheres naturally without the need for stitches.

 

  • Recovery: Most patients experience improved vision shortly after the procedure, although it takes a few days to weeks for optimal results. Patients are usually advised to rest and avoid activities that could irritate the eyes during the initial recovery period.

Advantages of LASIK

  • The primary benefit of LASIK is the significant improvement in vision. Many people experience reduced dependence on glasses or contact lenses after surgery.
  • LASIK often provides quick results, with many patients experiencing improved vision within a day or two after the procedure.
  • LASIK has a high success rate, and the outcomes are generally predictable. Most individuals achieve their desired level of vision correction.
  • The results of LASIK are generally permanent. While age-related changes may still affect vision later in life, the effects of the surgery remain.
  • LASIK is typically a painless procedure. Local anesthetic eye drops are used to numb the eyes during the surgery.
  • Many individuals have significantly reduced or eliminated the need for glasses or contact lenses for everyday activities.
  • LASIK is known for its quick and relatively painless nature. It is essential to follow post-operative care instructions provided by the laser surgeon to ensure proper healing and optimal results. 

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Frequently Asked Questions

Q-LASIK (Quik Laser-Assisted in situ Keratomileusis) is an advanced laser eye surgery technique designed to correct refractive errors such as myopia (nearsightedness), hyperopia (farsightedness), and astigmatism. It involves reshaping the cornea to improve visual acuity and reduce or eliminate the need for glasses or contact lenses.

Q-LASIK involves creating a thin corneal flap using a femtosecond laser or microkeratome. The underlying corneal tissue is then reshaped using an excimer laser to adjust the way light is focused on the retina. The corneal flap is repositioned, and healing occurs naturally.

Ideal candidates for Q-LASIK are individuals with stable refractive errors who are in good overall eye health. A comprehensive eye examination and consultation with an ophthalmologist will determine eligibility based on factors such as corneal thickness, prescription stability, and general health.

Q-LASIK is usually well-tolerated and relatively painless. Anesthetic eye drops are used to numb the eye before the procedure, minimizing discomfort. Some patients may experience mild discomfort or a sensation of pressure during the surgery.

Recovery from Q-LASIK is often quick, with many patients experiencing improved vision within a day or two. You may experience some mild discomfort, dryness, or sensitivity to light initially. Follow your doctor's post-operative instructions and attend follow-up appointments for optimal healing.

While many patients notice significant improvement shortly after Q-LASIK, it can take a few weeks for vision to stabilize completely. Visual outcomes may continue to improve over time.

As with any surgery, Q-LASIK does carry some risks, although they are relatively rare. Potential side effects include dry eyes, glare, halos, starbursts around lights, and undercorrection or overcorrection. Your ophthalmologist will discuss these risks with you during your consultation.

The Q-LASIK procedure itself typically takes around 15 to 30 minutes for both eyes. However, you should expect to spend additional time at the surgical center for pre-operative preparations and post-operative monitoring.

A comprehensive eye examination and consultation with a qualified ophthalmologist are essential to determine if Q-LASIK is suitable for your individual needs and circumstances. Your eye doctor will assess your eye health, prescription, and other factors to provide personalized recommendations.
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