What is Lasik?

 
Lasik stands for laser assisted in-situ keratomileusis. It is widely considered as the procedure of choice for correction of most cases of myopia. Lasik sometimes is called the “flap and zap” procedure. It combines an established cutting technique using a cutting device called the microkeratome with the more recently developed excimer laser technique. First a circular superficial cornea flap is made with the help of the mircokeratome. Next the flap is folded back to allow the excimer laser to reshape the deeper layers of the cornea according to the patient’s spectacles prescription. The flap is then folded back and will adhere itself naturally without the need for stitches.
 

Technology (Nidek)

The Latest 4th Generation Nidek EC-5000 Excimer Laser System With Customised Ablations

Advanced Features:

- Customised Ablations is available
- Final Fit Software for Customised Ablations
- Multi-point Segmental Ablation: To perform Customised Ablations with the NIDEK Excimer Laser System
- OPD-Scan
- Advanced Auto Eye Tracker
- Hyperopic Correction Module
- Multi-Directional Scanning Beam Technology
- US & UK FDA and Japan Ministry of Health APPROVED to treat up to -14.00D


Nidek Final Fit Software
 
Nidek Final Fit Software was created to evaluate data from the OPD-Scan to determine the Customised Ablations parameters. The software converts data from the individual refractive maps into sphere, cylinder and irregular components that create the total ablation profile needed to produce the precise customised ablation parameters for the patient eye. Final Fit Software is aimed to ensure the surgery corrects the cornea shape and the aberrations. The resulting data is then transferred to the EC-5000 for the refractive surgery procedure.

Active Eye Tracker System

It utilises high-speed digital video camera technology to follow the patient eye to ensure the laser alignment during the procedure. This is closed loop system, which will track the eye movement independent of hydration or shape changes during surgery.

Multipoint Segmental Ablation

The Multipoint Segmental Ablation System divides the rectangular-shaped laser beam into six small equal segments, which can be individually or simultaneously projected onto the cornea for a more efficient treatment. The Multipoint Segmental Ablation System enables the EC-5000 to direct the Excimer laser beam to smaller, more specific areas on the corneal surface requiring additional treatment to compensate for irregularities and aberrations of the eye.

FAQ

What is laser vision correction?


It is a surgical procedure that uses a cool (non-thermal) beam of light to gently reshape the cornea — the surface of the eye — to improve vision. The laser removes microscopic bits of tissue to flatten the cornea (for nearsightedness),  steepen the cornea (for farsightedness), and/or smooth out corneal irregularities (for astigmatism).

The goal of laser eye surgery is to change the shape the cornea so it does a better job of focusing images onto the retina, for sharper vision. LASIK and PRK are two types of laser vision correction.

Are LASIK and PRK safe?

The FDA recognizes LASIK and PRK as proven, safe and effective. Laser vision correction uses a cool (non-thermal) beam of light controlled by a computer. The surgeon is able to turn the laser on or off at any moment. There are many safeguards in place to reduce the risk of error.

Although no one knows the exact number of complications, studies suggest that the incidence of minor difficulties such as dry eyes and nighttime glare is around 3% to 5%, while the risk of serious incidents such as lost vision is thought to be less than 1%. There are no known cases of blindness from LASIK or PRK. Read more about outcomes and complications.

Can I have both eyes done at the same time?


Most surgeons perform LASIK on both eyes at the same time. Because it takes longer for clear, comfortable vision after PRK, many surgeons will wait a week or two between eyes for PRK.

How is eye laser surgery different from previous types of refractive eye surgery?

Current FDA-approved laser vision correction methods, such as LASIK (laser-assisted in situ keratomileusis), have a higher predictability of the final result with a lower incidence of complications. Additionally, older techniques typically involved manually performed incisions rather than automated lasers for correction.

Does laser vision correction hurt?

During LASIK or PRK, your surgeon will place anesthetic drops in your eye. Afterwards, he or she may prescribe medication if necessary. Many LASIK patients report no more than mild discomfort for a day or so — often it's an itchy feeling. There is more discomfort after PRK because the procedure exposes the deeper layers of the cornea. For clear and comfortable vision after PRK, protective surface cells have to grow back over the treated area. This process can take 2 weeks or longer.

How long does LASIK take?

The laser treatment itself usually takes less than a minute, while the entire procedure takes around 15 minutes per eye.

What happens before laser eye surgery?

Your eyecare practitioner will give you a thorough eye examination to make sure your eyes are healthy and you're a suitable laser vision correction candidate. He or she will test for glaucoma, cataracts and other disqualifying conditions. He or she will also use a machine called a corneal topographer to photograph and electronically map your eye. The surgeon will use this map to plan your surgery for the most precise results possible.

What happens on the day of treatment?

LASIK and PRK are outpatient procedures. You'll need to spend around an hour at the surgeon's office. Someone else should drive you home, since your vision might be a little blurry right after surgery.

You'll lie down in a reclining chair. The surgeon will place anesthetic drops in your eye, position your head under the laser and place an eyelid speculum (retainer) in your eye to hold the lids open.

In LASIK, the surgeon creates a thin flap in the top of the cornea, folds it back out of the way, uses the laser to remove some corneal tissue, then puts the flap back in place. If you're having PRK, the laser removes the outer layer of the cornea.

What happens afterward?

The surgeon will place drops or ointment in your eye. You may relax for a little while, then go home and rest. You'll probably notice clearer vision immediately, and it may improve even more as the weeks go by.

When may I resume driving?


You may begin driving as soon as you can see well enough, excluding the day you had LASIK or PRK performed.

Can I go back to work right away?

Some people return to work the next day, but surgeons usually recommend 2 or 3 days of rest instead.

When may I go back to wearing makeup?

You may resume wearing makeup about one week after your surgery. However, throw out your old makeup and buy new to decrease your risk of infection.

Are there any side effects?

Some people experience dry eye, which usually is alleviated with drops and disappears over time. Others may experience starbursts or halos around lights, especially at night. Usually this effect lessens or disappears over time, too. In a small number of people (probably less than 1%), their vision worsens rather than improves.

How many checkups will I need after LASIK?

Depending on your surgeon, you will probably return the next day, then one week or one month later and then three months later. Your doctor will let you know if more visits are necessary after that.

back to top