LASEK


LASEK (LASer Epithelial Keratomileusis) is a relatively new procedure that is technically a variation of PRK. The difference is that while in PRK the epithelium is removed, it is preserved and put back in LASEK. As a result, in LASEK there is less pain and the healing is faster than PRK.


LASEK is used mostly for people with corneas that are too thin or too flat for LASIK operation. It has been developed to reduce the incidence of complications that occur when it is anticipated that the flap created during LASIK will not have ideal thickness or diameter.

Lasek operation Step 1
Lasek operation Step 2
Lasek operation Step 3
Lasek operation Step 4

1- In LASEK, the epithelium, or outer layer of the cornea, is dented like the letter C with a fine blade called a trephine.
2- The surgeon then covers the eye with an alcohol solution for approximately 30 seconds. The solution loosens the edges of the epithelium. It separates the epithelium from the underlying stroma layer.
3- After sponging the alcohol solution from the eye, the surgeon uses a tiny hoe to lift the edge of the epithelial flap,
4- and gently fold it back out of the way.

Lasek operation Step 5
Lasek operation Step 6
Lasek operation Step 7


5- The surgeon then uses an excimer laser, as in LASIK or PRK, to sculpt the corneal tissue underneath.
6- Afterward, the epithelial flap is placed back on the eye with a kind of spatula.
7- Just like other forms of laser treatments, the cornea gains a new shape for ideal focusing.

After LASEK

In many ways, what you can expect from LASEK is similar to what you can expect from PRK. Patients usually wear a bandage contact lens for around four days. You may feel eye irritation during the first day or two afterward. Also, the time it takes to recover good vision is often longer - up to four to seven days although this varies from one person to the other.

 

 
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