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Blade-Free LASIK
Blade-free Laser Assisted In-Situ Keratomileusis, or LASIK, is a refractive
surgery procedure which uses the excimer laser, applied to the cornea
under a thin flap of corneal tissue, to help which correct refractive error,
decreasing or eliminating the need for glasses or contact lenses. With
Blade-free LASIK, a laser is used for all portions of the procedure.

How Does LASIK Work?

LASIK surgery works by sculpting the cornea in a precise manner to correct


refractive errorBy changing the corneal shape, light becomes focused on
the retina, allowing clear vision. During LASIK surgery, a very thin flap is
created on the front of the cornea. The flap is then folded back, and the
laser applied to the underlying corneal tissue in a precise manner that can
correct nearsightedness, farsightedness and/or astigmatism. The flap is
then replaced, protecting the reshaped cornea underneath. This protective
flap can be created in two ways. In the first, a very fine surgical steel blade,
called a microkeratome is used to create the flap. With Blade-free LASIK, a
laser beam is used to create the corneal flap. Several laser technologies can
be used to create the Blade-free LASIK flap. One of the most common such
lasers is the Intralase laser.
What is the advantage of Blade-free LASIK surgery?

Several clinical studies suggest that regardless of whether the LASIK flap is
created with a blade (microkeratome) or created with a laser (Blade-free
LASIK), the visual outcome is excellent. There does not seem to be a
significant advantage of one way of cutting the flap versus the other in
regards to the vision obtained after the surgery. However, Blade-free LASIK
may offer a small advantage of safety over LASIK in which a blade is used
the cut the flap. Very rarely, when a blade makes the flap, the flap can be
made irregularly, having a tattered edge or perhaps a buttonhole in the
center. This may occur if the blade (microkeratome) comes loose from the
eye during its cutting pass. With a laser created flap in Blade-free LASIK,
this risk of an irregular flap may be smaller. If the laser becomes detached
from the eye during the cutting pass, unlike the blade, the laser can be
reattached and the pass started over in most cases. As such, a portion of
flap related complications may be avoided with the Blade-free LASIK
technique. Regardless of which technology is used to make the flap,
though, the risk of any problem with cutting the flap during the surgery is
very small.
Who are candidates for Blade-free LASIK surgery?

Blade-free LASIK surgery helps correct the vision of people with myopia,
hyperopia, and/or astigmatism. In fact, a large majority of people who wear
glasses or contacts and suffer from such refractive errorsas these could be
candidates for LASIK surgery other excimer laser refractive surgery such as
PRK.

In general, candidates for Blade-free LASIK should be:

* 21 years of age or older: younger people may still have eyes that are
growing. In certain cases, individuals younger than 21 may have LASIK
surgery.
There is no upper age limit for LASIK.
* Dissatisfied with wearing glasses or contact lenses.
* Have had no change in glasses or contact lens prescription for at least
a year.
* Have otherwise healthy eyes.
* Be willing to accept a small amount of risk associated with surgery.
* Understand that glasses and/or contacts are occasionally still needed
for some activities after surgery.
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