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LASIK (Laser-Assisted-In-Site Keratomileusis)
is currently the most common type of laser vision correction
procedure. It is an extremely effective outpatient procedure
that is suitable for low, moderate, and higher prescriptions.
It can be used to correct severe prescriptions, and is
currently one of the most commonly performed healthcare
procedures in North America.
Although no medical procedure is perfect, the excimer
laser allows for an unparalleled degree of precision and
predictability. Each pulse of the laser can remove 30-millionths
of an inch of tissue in 12-billionths of a second. This
enables an experienced surgeon to achieve remarkable accuracy
while maintaining excellent control throughout the procedure.
However, the LASIK procedure requires a great deal of
technical skill and training to perform properly, so choosing
the proper surgeon is critical. Our doctors are experienced
and highly trained in this area, having performed many
laser vision correction procedures.
Steps to the Procedure
Prior to the procedure, an extremely detailed map of
your eyes' surface is created by a computer and then used
by your surgeon to calibrate the excimer laser to your
exact prescription. Before going into the laser room,
your technician will put a few anesthetic drops in to
numb the eye and prevent pain.
Once the laser has been properly calibrated, your surgeon
will place an eyelid holder in your eye to keep it open
throughout the procedure. Your surgeon then uses a microkeratome
(an automated microsurgical instrument similar in design
to a carpenter's plane) to create a corneal flap, that
has a thickness of approximately 1/4 of the cornea's depth.
A cool laser beam of light from the excimer laser is then
used to precisely and gently reshape the cornea.
When your surgeon is finished, the flap is carefully
put back into place and the eyelid holder is removed.
Over the next dew days, the flap will heal and bond more
securely.
The entire procedure only take about five minutes to
complete and the laser is applied to each eye for less
than one minute for an average prescription.
After your procedure is completed, you will relax in
the recovery room for about fifteen to twenty minutes,
allowing the center staff to ensure that everything is
in order before you leave. During this time, additional
drops will be placed in your eyes to keep them lubricated.
You may also be given protective eye shields to place
over your eyes to prevent you from rubbing them while
sleeping during the first night, and sunglasses to reduce
the discomfort the sunlight may cause. During this early
postoperative period it is important to not squeeze or
rub the eyes. Antibiotic and anti-inflammatory drops are
used to prevent infection and decrease inflammation.
After leaving the center, many patients will feel the
need to rest for a few hours. Later that evening, most
patients feel very well and are extremely please with
their results already. Many patients go back to work the
next day, while other may choose to wait a few days.
You will need to go in for a postoperative checkup following
your procedure to ensure that your eyes are healing as
expected. There are a few restrictions for a week or so
following your procedure, but as long as you follow your
doctor's instructions, you should be free to resume all
of your normal activities thereafter.
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