click to read by-Emery Whalen

The newest laser innovation enables us to make a thinner corneal flap, which is much faster and also easier for patients to recover. This also minimizes complications like glow and halos from the sides of the therapy zone.

Typically, this flap was developed with a microkeratome, which had certain risks. Today we make use of a femtosecond IntraLase laser to create the flap, which is far more accurate and safer.

The Femtosecond Laser

Historically, traditional LASIK surgical procedure made use of a mechanical reducing device called a microkeratome to create a hinged flap on the cornea. The cosmetic surgeon after that folded back the flap to access the eye's underlying cells. The cosmetic surgeon after that used an excimer laser to improve the corneal tissue, remedying refractive mistakes like nearsightedness and also farsightedness.



The femtosecond laser used for LASIK treatments uses substantial advantages over traditional devices, consisting of raised safety and security, far better recovery, and also exact results. The femtosecond laser's powerful pulses of light disrupt the corneal tissues in a precisely controlled fashion.

The femtosecond laser's clever power control additionally permits doctors to track eye movement 200 times per second, which ensures that every laser pulse is totally exact. This makes it possible for cosmetic surgeons to do ideal lamellar and penetrating keratoplasties as well as clear corneal incisions, cataract surgical treatment, and a lot more. The outcome is a personalized therapy that supplies people with exceptional visual results. As a matter of fact, numerous New York City laser eye doctors compare the customized outcomes to those attained with call lenses and glasses.

The IntraLase Flap

The initial step of the LASIK procedure involves creating a flap on the corneal epithelial surface. Generally this was made with a hand-held bladed instrument called the microkeratome. Considering that the microkeratome makes physical contact with your eye, it can present an aspect of threat to the surgery.

The femtosecond laser is much safer for this crucial very first step of the LASIK procedure due to the fact that it does not make physical contact with your eye. Instead the femtosecond laser develops a pattern of microscopic bubbles below the corneal surface area that then attach to create the flap.

This brand-new method permits the cosmetic surgeon to establish specific specifications for the flap thickness, depth as well as joint area. This supplies the specialist with a high level of customization that eliminates complications related to the flap as well as makes certain an extra effective LASIK outcome. It also enables even more people with slim corneas, that were dismissed as LASIK candidates in the past, to receive the procedure and appreciate enhanced vision.

The SMILE Treatment

The FDA has actually simply accepted a new refractive surgical treatment procedure that is an alternate to LASIK called little cut lenticule removal (SMILE). It is an impressive laser treatment option for clients with myopia, or nearsightedness.

Throughout the SMILE procedure, a Visumax femtosecond laser produces pulses that will define as well as establish a summary of a slim lens-shaped piece of corneal cells, called a lenticule. The cosmetic surgeon after that creates a keyhole cut on the corneal surface, and eliminates the lenticule to improve the cornea as well as appropriate vision.

The fact that SMILE does not call for a flap might help to minimize dry eye signs and symptoms after the procedure, and also it additionally appears that the tiny lenticule cut creates less damage to the corneal nerves, bring about far better biomechanical security in the future. These advantages, together with the fact that SMILE treats a more comprehensive variety of nearsightedness issues than keratomileusis does, make SMILE an appealing alternative for several clients.

The Excimer Laser

The excimer laser uses ultraviolet radiation to alter the corneal shape, reducing refractive mistakes such as myopia (nearsightedness), hyperopia (farsightedness) and astigmatism. It is one of the most crucial tool in Lasik surgical procedure as well as the secret to eliminating your dependence on glasses and also call lenses.

Excimer lasers use a combination of two gases, commonly argon fluoride or krypton fluoride to create a light beam of ultraviolet light which can be precisely focused. This allows the laser to disintegrate the carbon-to-carbon bonds in the corneal tissue without causing any type of damage to other nearby eye cells.

Unlike previous excimer lasers, the WaveLight EX500 has integrated non-contact real-time pachymetry, which provides Dr. George immediate feedback on the progress of your treatment, making certain that your corneal thickness is being properly lowered as prepared. This aids the doctor know that the femtosecond laser is creating the flap at the correct fixed thickness, as well as verifies that the ablation quantity is being reduced as expected to treat your particular refractive mistake.