While performing LASIK, our surgeon first applies anesthetic eye drops to numb the eye for surgery. The Cornea is then marked with water-soluble ink to guide replacement of the flap. Next a suction ring is applied that is designed to hold the eye steady and also confirms the pressure of the eye. Our eye surgeon then creates a thin corneal flap using a device called a micro-keratome. The surgeon tests for laser alignment and walks the patient through the fixation process. A microkeratome is used to make a flap. The corneal flap is lifted up, and the laser beam is applied to the exposed interior surface of the cornea to reshape the tissue. The computer-controlled excimer laser removes the tissue under the flap and reshapes the cornea of the affected eye. High-energy pulses from the excimer laser actually reshape the internal cornea at a higher accuracy. The flap is then replaced over the treated area. This corneal flap serves a natural bandage, which eliminates the discomfort and expedites the healing process. Our eye surgery doctor will then watch the eye for five minutes to ensure proper healing. Because of the extraordinary bonding properties of the corneal tissue, stitches are not needed to keep the flap in place postoperatively.
Our experienced eye surgery doctors preform several other LASIK eye surgeries like custom LASIK, mono-vision LASIK, blade-free LASIK and iLASIK. In custom LASIK, higher order aberrations such as trefoil, coma, is measured with an instrument known as aberrometer that measures the total amount of aberrations in the eye, including the refraction, and then transforms this complex data into a wave front map. Aberrometer findings are transferred and then loaded into the excimer laser for treatment. In mono-vision LASIK, one eye is corrected for distance vision and the other eye is corrected for up close vision or reading vision. This version of LASIK is typically performed only on patients over the age of 40 years old and is the only way that an older patient can avoid needing reading glasses. People that undergo mono-vision LASIK are satisfied with their new vision. In blade free LASIK, with the help of intra-lase technology, the advanced intra-lase laser creates your flap from below the surface of the cornea without ever cutting it. The laser light passes harmlessly through your cornea. Then the laser creates rows of these bubbles just beneath your corneal surface as it moves back and forth across your eye in a uniform plane. The intra-Lase laser stacks bubbles around your corneal diameter to create the edges of your flap. These bubbles are stacked at an angle that is determined by your doctor and is individualized to the way your eye is shaped. The iLASIK is the brand name offered by VISX and American Medical Optics for custom LASIK surgery with intra-lase. iLASIK combines custom LASIK, blade-FREE LASIK and the use of the excimer lasik. iLASIK is not a different LASIK surgery it is a brand of the combination of technology offered.