LASIK Consumer Guide To Laser Eye Surgery
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What Is LASIK?

A Definitive Explanation Of LASIK Laser Eye Surgery

In this Topic We Will Discuss:
  What Does LASIK Stand For?
How Is The Procedure Performed?
How Does LASIK work?
How Long Does It Take?


LASIK or Laser In-situ Keratomileusis, means to shape the cornea by use of an excimer laser. This is a very precise procedure that is done by an Ophthalmologist with special training in Laser Vision Correction procedures. LASIK can be used to treat any number of vision problems. Most commonly, LASIK is used to treat myopia (near-sightedness), hyperopia (farsightedness) and astigmatisms.

LASIK is performed by the use of an Excimer Laser, a device developed by the well known computer research and development corporation, IBM. The excimer laser produces gasses that are stimulated by electricity, which then exert beams of cool ultraviolet light, this is what is to be considered the actual beam of the laser. The beam wears away and breaks down the cornea, although this may sound painful or unconventional, it is very safe and is done in an unimaginably precise fashion.


The excimer laser reshapes the cornea differently based upon what visual impairment the patient is diagnosed with:

Myopia - The laser straightens out, or decreases the curve of the cornea, allowing light to focus properly on the retina, where before the procedure, the focal point was just short of the retina, causing blurred perception of distant objects.

Hyperopia - The laser will mold the cornea to increase the curve of the cornea, correcting the focal point, where it used to focus beyond the retina, it will now focus directly onto the retina.

Astigmatism - The cornea is misshaped and results in light entering the eye and creating two focal points, the laser then smoothes out the cornea ensuring that only one light source enters the eye, and creating only one focal point.

Please not that the above list of vision impairments is not an all-inclusive list of visual impairments or cases that are treatable by LASIK.

Before any laser-work is done, the patient must undergo preoperative exams, and once that is complete, the patient is ready for surgery.

In the operating room, the patient is first given anesthetic drops to numb the eye and prevent any pain, although the eye is numbed during the procedure, the patient will still feel slight discomfort.

Once the anesthetic is used, the eye is then cleaned and prepped for surgery. The eyelids are separated and held open using a tool called a lid speculum. Once the eyelids are separated, the patient may be given something to hold to prevent themselves from moving or trying to touch their eye during the surgery, in most cases, when the patient is given something to hold, it is generally a stuffed animal.

The doctor will then use a device, called a microkeratome, to remove the outermost 20% of the cornea as a flap to expose the underlying portion of the cornea, the flap is moved aside using a suction ring. This procedure is called a keratectomy.

The patient is then told to focus on the laser, which will then pulse for about 20 seconds, depending on the intensity of the treatment, this time may decrease or increase. After the laser is done reshaping the cornea, the corneal flap is then placed over the eye, the lid speculum is removed, and an eye-guard is placed over the eye so that the same procedure can take place on the patient's remaining eye.



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