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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.
* 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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